Evidence map›Paper›PMID 35095272›Full record

ReviewInternational journal of chronic obstructive pulmonary disease2022

The Importance of Self-Management in the Context of Personalized Care in COPD.

Ana Cravo, Darush Attar, Daryl Freeman, Steve Holmes, Lindsay Ip, Sally J Singh

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in International journal of chronic obstructive pulmonary disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07573098 (Digital Tool for Improved Self-management of COPD), which is not on this map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
6.8field-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.

NCT07573098 narecruitingnot on this mapstarted 2025, after this paper: background citation

Digital Tool for Improved Self-management of COPD

TypeinterventionalSponsorBjörn NordlundRan2025 to 2027Enrolled50ConditionsCOPDArmsCOPD treatment check
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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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 6 institutions in 1 country.

Ana CravoMedical Affairs, Boehringer Ingelheim Ltd, Bracknell, UK.
Darush AttarNorth Central London Clinical Commissioning Group (CCG), London, UK.
Daryl FreemanNorfolk Community Health & Care, Norwich, UK.
Steve HolmesThe Park Medical Practice, Shepton Mallet, UK.
Lindsay IpKing's Health Partners and Ealing Community Partners, London, UK.
Sally J SinghFaculty of Health and Life Sciences, Coventry University, Coventry, UK.ORCID 0000-0002-9834-0366
Boehringer Ingelheim (United Kingdom) · GBKings Health Partners · GBLondon Clinic · GBNorfolk Community Health and Care NHS Trust · GBShepton Mallet Community Hospital · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite current guidelines and decades of evidence on the benefits of a self-management approach, self-management of COPD remains relatively under-utilized in clinical care compared with other chronic diseases. However, self-management interventions can play a valuable role in supporting people with COPD to respond to changing symptoms, and thereby make appropriate decisions regarding the management of their own chronic condition. In this review, we discuss the history and evolution of the concept of self-management, assess current multidisciplinary support programs and clinical interactions designed to optimize self-management, and reflect on how effective these are in terms of clinical and humanistic outcomes. We also evaluate the mechanisms for encouraging change from protocol-based care towards a more personalized care approach, and discuss the role of digital self-management interventions and the importance of addressing health inequalities in COPD treatment, which have been accelerated by the COVID-19 pandemic. Reflecting on the importance of self-management in the context of symptom monitoring and provision of educational support, including information from patient organizations and charities, we discuss the ideal components of a self-management plan for COPD and provide six key recommendations for its implementation: 1) better education for healthcare professionals on disease management and consultation skills; 2) new targets and priorities for patient-focused outcomes; 3) skills gap audits to identify barriers to self-management; 4) best practice sharing within primary care networks and ongoing professional development; 5) enhanced initial consultations to establish optimal self-management from the outset; and 6) negotiation and sharing of self-management plans at the point of diagnosis.

Indexed as

COVID-19Pulmonary Disease, Chronic ObstructiveSelf-ManagementHumansPandemicsSARS-CoV-2chronic obstructive pulmonary diseaseCOPDpersonalized careself-management

Identifiers

PMID35095272
PMCPMC8791295
OpenAlexW4207026730

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.