Evidence map›Paper›PMID 33238087›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2021

Impact of Proactive Integrated Care on Chronic Obstructive Pulmonary Disease.

Patricia B Koff, Sung-Joon Min, Tammie J Freitag, Debora L P Diaz, Shannon S James, Norbert F Voelkel, Derek J Linderman, Fernando Diaz Del Valle, Jonathan K Zakrajsek, Richard K Albert and 10 more

Open access · diamondAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  6. Integrated care for chronic respiratory disease: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
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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

20 authors at 6 institutions in 1 country.

Patricia B KoffDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Sung-Joon MinDivision of Health Care Policy and Research, Department of Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado, United States.
Tammie J FreitagDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Debora L P DiazDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Shannon S JamesDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Norbert F VoelkelDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Derek J LindermanDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Fernando Diaz Del ValleDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Jonathan K ZakrajsekDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Richard K AlbertDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Todd M BullDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
Arne BeckInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, United States.
Thomas J StelznerInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, United States.
Debra P RitzwollerInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, United States.
Christine M KvetonInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, United States.
Stephanie CarwinInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, United States.
Moumita GhoshNational Jewish Health, Denver, Colorado, United States.
Robert L KeithDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
John M WestfallDepartment of Family Medicine, High Plains Research Network, University of Colorado Denver, Anschutz Medical Campus, United States.
R William VandivierDivision of Pulmonary Sciences and Critical Care Medicine, Colorado Pulmonary Outcomes Research Group, Aurora, Colorado, United States.
University of Colorado Denver · USKaiser Permanente · USNational Jewish Health · USUniversity of Colorado Anschutz Medical Campus · USDenver VA Medical Center · USOutcomes Research Consortium · US

Funding

Exhaustion of Airway Progenitor Cells Indicates Susceptibility to COPDR01HL129938 · NHLBI · NATIONAL JEWISH HEALTH · PI GHOSH, MOUMITA · 2015 to 2017
$1.2M
Colorado Cancer, Cardiovascular Disease and Chronic Pulmonary Disease Prevention, Early Detection and Treatment ProgramNHLBI NIH HHS R01 HL129938the National Institutes of Health HL129938-03
6 · The paper itself

Abstract

backgroundUp to 50% of chronic obstructive pulmonary disease (COPD) patients do not receive recommended care for COPD. To address this issue, we developed Proactive Integrated Care (Proactive iCare), a health care delivery model that couples integrated care with remote monitoring.

methodsWe conducted a prospective, quasi-randomized clinical trial in 511 patients with advanced COPD or a recent COPD exacerbation, to test whether Proactive iCare impacts patient-centered outcomes and health care utilization. Patients were allocated to Proactive iCare (n=352) or Usual Care ( =159) and were examined for changes in quality of life using the St George's Respiratory Questionnaire (SGRQ), symptoms, guideline-based care, and health care utilization.

findingsProactive iCare improved total SGRQ by 7-9 units (

interpretationLinking integrated care with remote monitoring improves the lives of people with advanced COPD, findings that may have been made more relevant by the coronavirus 2019 (COVID-19) pandemic.

Indexed as

acute exacerbations of COPD, patient education, Self-Care, primary care.Disease Managementpatient educationprimary careSelf-Caretelemedicine

Identifiers

PMID33238087
PMCPMC8047611
OpenAlexW3107103696

What OpenQuestion holds

Textmetadata
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.