Evidence map›Paper›PMID 30923313›Full record

Trial reportNPJ primary care respiratory medicine2019

The impact of integrated disease management in high-risk COPD patients in primary care.

Madonna Ferrone, Marcello G Masciantonio, Natalie Malus, Larry Stitt, Tim O'Callahan, Zofe Roberts, Laura Johnson, Jim Samson, Lisa Durocher, Mark Ferrari and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in NPJ primary care respiratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. What conservative interventions can improve the long-term quality of life, depression, and anxiety of individuals with stable COPD? A systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Integrated Care for COPD in the Elderly: Impact on Healthcare Utilization Across Healthcare Settings.International journal of chronic obstructive pulmonary disease · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Article
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  18. Article
  19. Article
  20. Review
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

14 authors at 4 institutions in 1 country.

Madonna FerroneAsthma Research Group Windsor-Essex County Inc., Windsor, ON, Canada.
Marcello G MasciantonioAsthma Research Group Windsor-Essex County Inc., Windsor, ON, Canada.
Natalie MalusAsthma Research Group Windsor-Essex County Inc., Windsor, ON, Canada.
Larry StittLawson Health Research Institute, London, ON, Canada.
Tim O'CallahanAmherstburg Family Health Team, Amherstburg, ON, Canada.
Zofe RobertsAsthma Research Group Windsor-Essex County Inc., Windsor, ON, Canada.
Laura JohnsonChatham Kent Family Health Team, Chatham, ON, Canada.
Jim SamsonLeamington Family Health Team, Leamington, ON, Canada.
Lisa DurocherLeamington Family Health Team, Leamington, ON, Canada.
Mark FerrariWindsor Family Health Team, Windsor, ON, Canada.
Margo ReillyHarrow Family Health Team, Harrow, ON, Canada.
Kelly GriffithsTilbury Family Health Team, Tilbury, ON, Canada.
Christopher J LicskaiAsthma Research Group Windsor-Essex County Inc., Windsor, ON, Canada. clicskai@uwo.ca.
Primary Care Innovation Collaborative
Windsor Clinical Research · CAWestern University · CAHôtel-Dieu Grace Healthcare · CALawson Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with chronic obstructive pulmonary disease (COPD) have a reduced quality of life (QoL) and exacerbations that drive health service utilization (HSU). A majority of patients with COPD are managed in primary care. Our objective was to evaluate an integrated disease management, self-management, and structured follow-up intervention (IDM) for high-risk patients with COPD in primary care. This was a one-year multi-center randomized controlled trial. High-risk, exacerbation-prone COPD patients were randomized to IDM provided by a certified respiratory educator and physician, or usual physician care. IDM received case management, self-management education, and skills training. The primary outcome, COPD-related QoL, was measured using the COPD Assessment Test (CAT). Of 180 patients randomized from 8 sites, 81.1% completed the study. Patients were 53.6% women, mean age 68.2 years, post-bronchodilator FEV

Indexed as

AgedDelivery of Health Care, IntegratedEmergency Service, HospitalFemaleForced Expiratory VolumeHumansMalePrimary Health CarePulmonary Disease, Chronic ObstructiveQuality of LifeRisk FactorsSelf Care

Identifiers

PMID30923313
PMCPMC6438975
OpenAlexW2922849923

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.