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Action plans for COPD: strategies to manage exacerbations and improve outcomes
COPD is the third-largest killer in the world, and certainly takes a toll on the health care system. Recurrent COPD exacerbations accelerate lung-function decline, worsen mortality, and consume over US$50 billion in health care spending annually. This has led to a tide of payment reforms eliciting i...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898028/ https://www.ncbi.nlm.nih.gov/pubmed/27330286 http://dx.doi.org/10.2147/COPD.S76970 |
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author | Jalota, Leena Jain, Vipul V |
author_facet | Jalota, Leena Jain, Vipul V |
author_sort | Jalota, Leena |
collection | PubMed |
description | COPD is the third-largest killer in the world, and certainly takes a toll on the health care system. Recurrent COPD exacerbations accelerate lung-function decline, worsen mortality, and consume over US$50 billion in health care spending annually. This has led to a tide of payment reforms eliciting interest in strategies reducing preventable COPD exacerbations. In this review, we analyze and discuss the evidence for COPD action plan-based self-management strategies. Although action plans may provide stabilization of acute symptomatology, there are several limitations. These include patient-centered attributes, such as comprehension and adherence, and nonadherence of health care providers to established guidelines. While no single intervention can be expected independently to translate into improved outcomes, structured together within a comprehensive integrated disease-management program, they may provide a robust paradigm. |
format | Online Article Text |
id | pubmed-4898028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-48980282016-06-21 Action plans for COPD: strategies to manage exacerbations and improve outcomes Jalota, Leena Jain, Vipul V Int J Chron Obstruct Pulmon Dis Review COPD is the third-largest killer in the world, and certainly takes a toll on the health care system. Recurrent COPD exacerbations accelerate lung-function decline, worsen mortality, and consume over US$50 billion in health care spending annually. This has led to a tide of payment reforms eliciting interest in strategies reducing preventable COPD exacerbations. In this review, we analyze and discuss the evidence for COPD action plan-based self-management strategies. Although action plans may provide stabilization of acute symptomatology, there are several limitations. These include patient-centered attributes, such as comprehension and adherence, and nonadherence of health care providers to established guidelines. While no single intervention can be expected independently to translate into improved outcomes, structured together within a comprehensive integrated disease-management program, they may provide a robust paradigm. Dove Medical Press 2016-06-02 /pmc/articles/PMC4898028/ /pubmed/27330286 http://dx.doi.org/10.2147/COPD.S76970 Text en © 2016 Jalota and Jain. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Review Jalota, Leena Jain, Vipul V Action plans for COPD: strategies to manage exacerbations and improve outcomes |
title | Action plans for COPD: strategies to manage exacerbations and improve outcomes |
title_full | Action plans for COPD: strategies to manage exacerbations and improve outcomes |
title_fullStr | Action plans for COPD: strategies to manage exacerbations and improve outcomes |
title_full_unstemmed | Action plans for COPD: strategies to manage exacerbations and improve outcomes |
title_short | Action plans for COPD: strategies to manage exacerbations and improve outcomes |
title_sort | action plans for copd: strategies to manage exacerbations and improve outcomes |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898028/ https://www.ncbi.nlm.nih.gov/pubmed/27330286 http://dx.doi.org/10.2147/COPD.S76970 |
work_keys_str_mv | AT jalotaleena actionplansforcopdstrategiestomanageexacerbationsandimproveoutcomes AT jainvipulv actionplansforcopdstrategiestomanageexacerbationsandimproveoutcomes |