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Review: existing evidence does not support nurse led interventions in chronic obstructive pulmonary disease

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Q In patients with chronic obstructive pulmonary disease (COPD), are nurse led chronic disease management innovations more effective than usual care?


Embedded ImageData sources:

16 English language and 8 Dutch language citation databases (1980 to January 2005), conference proceedings of 7 respiratory associations, and researchers and practitioners in the field.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) that evaluated clinical service interventions or care packages aimed at improving the management of community dwelling patients with COPD and were led, coordinated, or delivered by nurses. Trials that evaluated drugs, hospital at home or early discharge for acute exacerbations, or educational interventions for healthcare providers, or trials with a minority of patients with …

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  • For correspondence: Dr S J Taylor, Centre for Health Sciences, Barts and the London, Queen Mary’s School of Medicine and Dentistry, London, UK. s.j.c.taylor{at}

  • Source of funding: NHS Research and Development Service Delivery and Organisation Programme.