Evidence map›Paper›PMID 29731620›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease

The impact of patient education and shared decision making on hospital readmissions for COPD.

Ashley W Collinsworth, Rachel M Brown, Cameron S James, Richard H Stanford, Daniel Alemayehu, Elisa L Priest

Open access · goldAbstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 7 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 7 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ashley W CollinsworthCenter for Clinical Effectiveness, Baylor Scott and White Health, Dallas, TX, USA.
Rachel M BrownCenter for Clinical Effectiveness, Baylor Scott and White Health, Dallas, TX, USA.
Cameron S JamesGlaxoSmithKline, Research Triangle Park, NC, USA.
Richard H StanfordGlaxoSmithKline, Research Triangle Park, NC, USA.
Daniel AlemayehuCenter for Clinical Effectiveness, Baylor Scott and White Health, Dallas, TX, USA.
Elisa L PriestCenter for Clinical Effectiveness, Baylor Scott and White Health, Dallas, TX, USA.
Baylor Scott & White Health · USResearch Triangle Park Foundation · USBaylor University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEducation on the self-management of COPD has been shown to improve patients' quality of life and reduce hospital admissions. This study aimed to assess the feasibility of a pilot, pragmatic COPD Chronic Care (CCC) education program led by registered respiratory therapists and determine the CCC's impact on hospital readmissions, patient activation, and health status. PATIENTS AND

methodsThis was a prospective, randomized, pilot study of inpatients with COPD admitted to a US community hospital between August 2014 and February 2016. In total, 308 patients were randomized 1:1 to receive standard care with or without the CCC program. Outcomes included the number of patients completing the program, frequency and time to first all-cause and COPD-related hospital readmissions, and changes in the Patient Activation Measure (PAM) and COPD Assessment Test (CAT).

resultsOverall, 37% (n=52) of patients in the CCC group and 29% (n=48) of patients in the control group remained in the study for 6 months and completed all follow-up phone calls. In total, 74% (n=105) of patients in the CCC group and 69% (n=115) of patients in the control group had at least one readmission (

conclusionUtilizing respiratory therapists to lead a chronic care education program for COPD in a community hospital was feasible. Although CCC patients showed improvements in perceived symptom severity, they were readmitted sooner than control group patients. However, the program did not impact the frequency of hospital readmissions. A more comprehensive disease management program may be needed to improve outcomes.

Indexed as

Clinical Decision-MakingDecision MakingHealth Knowledge, Attitudes, PracticePatient Education as TopicPatient ParticipationPatient ReadmissionAgedAged, 80 and overAttitude of Health PersonnelFeasibility StudiesFemaleHealth StatusHospitals, CommunityHumansMaleMiddle Agedchronic disease managementCOPDhospital readmissionpatient educationshared decision making

Identifiers

PMID29731620
PMCPMC5927146
OpenAlexW2800115349

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.