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http://hdl.handle.net/1942/32821
Title: | The clinical effectiveness of the COPDnet integrated care model | Authors: | Koolen, E. H. van den Borst, B. de Man, M. Antons, J. C. Robberts, B. Dekhuijzen, P. N. R. Vercoulen, J. H. van den Heuvel, M. SPRUIT, Martijn A. van Der Wees, P. J. van't Hul, A. J. |
Issue Date: | 2020 | Publisher: | W B SAUNDERS CO LTD | Source: | Respiratory medicine, 172 (Art N° 106152) | Abstract: | Rationale: Integrated care models have the potential to improve outcomes for patients with COPD. We therefore designed the COPDnet integrated care model and implemented it in two hospitals and affiliated primary care regions in the Netherlands. The COPDnet model consists of a comprehensive diagnostic trajectory ran in secondary care followed by a non-pharmacological intervention program of both monodisciplinary and multidisciplinary components. Objective: To assess the clinical effectiveness of the COPDnet integrated care model on health status change in patients with COPD. Methods: A total of 402 patients with COPD were offered care according to the COPDnet model. At baseline and between 7- and 9-months later health status was measured with the Clinical COPD Questionnaire (CCQ). Primary analysis was carried out for the sample at large. In addition, subgroup analyses were performed after stratification for the type of non-pharmacological intervention where patients had been referred to. Results: The CCQ total score improved statistically significantly from 1.94 +/- 1.04 to 1.73 +/- 0.96 (P < 0.01) in the 154 patients with valid follow-up measurements. Subgroup analyses revealed significant improvements in the patients receiving pulmonary rehabilitation only. No change in health status was found in patients receiving pharmacotherapy only, carried out self-treatment or who participated in mono-disciplinary primary care offered by allied healthcare professionals. Conclusions: An improved health status was found in patients with COPD who received care according to the COPDnet integrated care model. Subgroups participating in an interdisciplinary pulmonary rehabilitation program predominantly accounted for this effect. | Notes: | van't Hul, AJ (corresponding author), Univ Med Ctr, Dept Resp Dis, POB 91101, NL-6500 HB Nijmegen, Netherlands. alex.vanthul@radboudumc.nl |
Other: | van't Hul, AJ (corresponding author), Univ Med Ctr, Dept Resp Dis, POB 91101, NL-6500 HB Nijmegen, Netherlands. alex.vanthul@radboudumc.nl | Document URI: | http://hdl.handle.net/1942/32821 | ISSN: | 0954-6111 | e-ISSN: | 1532-3064 | DOI: | 10.1016/j.rmed.2020.106152 | ISI #: | WOS:000579986900021 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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