Chest
Original Research: COPDEconomic Benefits of Self-Management Education in COPD
Section snippets
Materials and Methods
The design and methods of this trial have been described in more detail elsewhere,12 and are briefly summarized below.
Study Subjects
The clinical results of our trial have been described elsewhere.12 Of the 469 eligible COPD patients, 251 refused to participate, while 27 agreed but could not be enrolled because they lived too far away from the study sites. The main reason for patient refusal was the perceived burden of study-related evaluations, given the 50% likelihood of remaining with usual care. Potential eligible patients who did not participate were similar to the 191 study participants with respect to sex, age, and
Discussion
This study has demonstrated that a multicomponent self-management education program with ongoing supervision by a case manager can reduce the use of health services among previously hospitalized patients with moderate-to-severe COPD. This reduction is primarily the result of fewer hospitalizations, emergency department visits, and unscheduled physician visits. Although the 1-year time frame may seem short to policy makers, we have recently shown that the benefit of our program is sustained past
Appendix
Participating members of the COPD axis of the Respiratory Health Network of the Fond de la Recherche en Santé du Québec were as follows: Jean Bourbeau, MD and Diane Nault, RN, Montréal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre; Paolo Renzi, MD, Hôpital Notre-Dame, Centre hospitalier affilié de l’Université de Montréal; Marcel Julien, MD, Hôpital du Sacré-Cœur, Centre hospitalier affilié de l’Université de Montréal; Alain Beaupré, MD, Centre hospitalier
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Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).
†Members of the COPD axis of the Respiratory Health Network of the FRSQ who have participated in the research project are listed in the Appendix.
This study was made possible by an unrestricted grant from Boehringer Ingelheim Canada, Burlington, ON, in partnership with the Fonds de la recherche en santé du Québec, Montréal, QC, Canada. Dr. Schwartzman is the recipient of a Chercheur-Boursier Clinicien career award from the Fonds de la Recherche en Santé du Québec.