Effectiveness of integrated disease management for primary care chronic obstructive pulmonary disease patients: results of cluster randomised trial

摘要

This pragmatic study found no additional benefit of an integrated disease management approach delivered in primary care compared with usual care, except an improved level of integrated care and a self reported higher degree of daily activities. WHAT IS KNOWN AND WHATTHiS PAPER ADDS In a Cochrane systematic review, integrated disease management programmes for COPD showed clinically relevant effects on quality of life and exercise tolerance and reductions in admissions and hospital days. This large study in Dutch primary care could not replicate these effects.