Evidence map›Paper›PMID 31178998›Full record

Trial reportBMJ open respiratory research2019

Innovating the treatment of COPD exacerbations: a phone interactive telesystem to increase COPD Action Plan adherence.

Raquel Farias, Maria Sedeno, Danielle Beaucage, Isabelle Drouin, Isabelle Ouellet, Alexandre Joubert, Rita Abimaroun, Meena Patel, Mira Abou Rjeili, Jean Bourbeau

Registry-linked trialOpen access · goldAbstract readClinical TrialObservational Study
In one paragraph

Trial report in BMJ open respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02275078 (Pilot Study Evaluating the Feasibility and Potential Benefits of a Novel Approach of COPD Self-management That Includes a Phone Assessment/Reporting System), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT02275078 nacompletednot on this map

Pilot Study Evaluating the Feasibility and Potential Benefits of a Novel Approach of COPD Self-management That Includes a Phone Assessment/Reporting System (Tele-system)

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2013 to 2017Enrolled40ConditionsCOPDArmsCOPD self-management using an action plan, Telesystem-Phone self-assessment/reporting system, Nurse case manager support
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Effects of Adherence to an mHealth Tool for Self-Management of COPD Exacerbations.International journal of chronic obstructive pulmonary disease · 2023
    Article
  16. Telehealth and telemedicine in the management of adult patients after hospitalization for COPD exacerbation: a scoping review.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Article
  17. Article
  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

10 authors at 1 institution in 1 country.

Raquel FariasRespiratory Epidemiology and Clinical Research Unit, Department of Medicine, McGill University Health Center, McGill University, Montreal, Quebec, Canada.ORCID 0000-0003-1729-2997
Maria SedenoRespiratory Epidemiology and Clinical Research Unit, Department of Medicine, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
Danielle BeaucageMontreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada.
Isabelle DrouinMontreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada.
Isabelle OuelletMontreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada.
Alexandre JoubertMontreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada.
Rita AbimarounMontreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada.
Meena PatelRespiratory Epidemiology and Clinical Research Unit, Department of Medicine, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
Mira Abou RjeiliRespiratory Epidemiology and Clinical Research Unit, Department of Medicine, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
Jean BourbeauRespiratory Epidemiology and Clinical Research Unit, Department of Medicine, McGill University Health Center, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-7649-038X
McGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Self-management interventions with Written Action Plans and case management support have been shown to improve outcomes in patients with chronic obstructive pulmonary disease (COPD). Novel telehealth technologies may improve self-management interventions. The objectives of this study were to determine whether the use of an interactive phone telesystem increases Action Plan adherence, improves exacerbation recovery and reduces healthcare use in a real-life practice of a COPD clinic. Methods: Initially, 40 patients were followed by a COPD telesystem for 1 year. Detailed data from patients' behaviours during exacerbations was recorded. The telesystem use was then extended to 256 patients from a real-life COPD clinic. Healthcare utilisation for the year before and after telesystem enrolment was then assessed through hospital administrative databases. Results: Thirty-three of the 40 patients completed the initial 1-year study. Eighty-one exacerbations were reported in the 1-year follow-up. Action Plan adherence was observed for 72% of the exacerbations and those who were adherent had a significantly faster exacerbation recovery time. The large-scale implementation of the telesystem resulted in a significant decrease in the proportion of patients with ≥1 respiratory-related emergency room (ER) visits (120 before vs 110 after enrolment, p<0.001) and with ≥1 COPD-related hospitalisations (75 before vs 65 after enrolment, p<0.001). Discussion: COPD Written Action Plan adherence was further enhanced with the use of telehealth technologies in a specialised clinic with experience in COPD self-management. Patients followed by the telesystem recovered faster from exacerbations and had a further decrease in COPD-related ER visits and hospitalisations. Trial registration number: NCT02275078.

Indexed as

Case ManagementAgedFeasibility StudiesFemaleFollow-Up StudiesHospitalizationHumansMaleMiddle AgedPatient CompliancePilot ProjectsPulmonary Disease, Chronic ObstructiveQuality of LifeSelf-ManagementSymptom Flare UpTelemedicineaction plan adherenceCOPDexacerbationsself-managementtelehealth

Identifiers

PMID31178998
PMCPMC6530499
OpenAlexW2938015437

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.