dc.contributor.author | Alcazar, Bernardino | |
dc.contributor.author | de Lucas, Pilar | |
dc.contributor.author | Soriano, Joan B | |
dc.contributor.author | Fernandez-Nistal, Alonso | |
dc.contributor.author | Fuster Gomila, Antonia | |
dc.contributor.author | Rodriguez Gonzalez-Moro, Jose Miguel | |
dc.contributor.author | Arnedillo, Aurelio | |
dc.contributor.author | Garcia Sidro, Patricia | |
dc.contributor.author | Espinosa de los Monteros, Maria Jose | |
dc.date.accessioned | 2024-07-09T09:14:21Z | |
dc.date.available | 2024-07-09T09:14:21Z | |
dc.date.issued | 2016-11-08 | |
dc.identifier.citation | Alcazar B, De Lucas P, Soriano JB, Fernandez-Nistal A, Fuster Gomila A, Rodriguez Gonzalez-Moro JM, et al. The evaluation of a remote support program on quality of life and evolution of disease in COPD patients with frequent exacerbations. BMC Pulm Med. 2016 Nov 08;16:140. | en |
dc.identifier.issn | 1471-2466 | |
dc.identifier.other | http://hdl.handle.net/20.500.13003/10089 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/20295 | |
dc.description.abstract | Background: Chronic obstructive pulmonary disease (COPD) patients often present considerable individual medical burden in their symptoms, limitations, and well-being that complicate medical treatment. To improve their overall health status, while reducing the number of exacerbations, a multidisciplinary approach including different elements of care is needed. The aim of this study was to evaluate the effects of a remote support program on COPD patients at high risk of experiencing worsening of their disease and other health-related outcomes. Methods: An observational, multicenter, prospective study aimed at evaluating the impact of a 7-month remote support program on COPD patients in exacerbations control and changes in health status measured with the COPD assessment test (CAT). Factors associated with a clinically relevant decrease in CAT were assessed using a logistic regression analysis. Results: A total of 114 subjects started the program. The majority of the study population were males (81.6 %), retired (70.2 %), without academic qualifications or with a low level of education (68.4 %), and ex-smokers (79.8 %). The mean +/- SD age was 69.6 +/- 9.1 years and the BMI was 27.8 +/- 5.5 Kg/m(2). Overall, 41.9 % (95 % CI 31.9-52.0) patients, significantly improved health status (CAT decrease >= 2 points). Univariate analysis showed that significant improvement in CAT was associated with baseline CAT scores [high CAT score 19.2 (+/- 7.5) vs. low CAT score 12.4 (+/- 6.4); OR = 1.15, 95 % CI: 1.07-1.24; p < 0.001] and with being non-compliant [62.5 % (15/24) of non-compliant vs 34.7 % (24/69) of compliant patients significantly improved CAT scores; OR = 3.13, 95 % CI: 1.19-8.19; p = 0.021). After controlling for the effect of all variables in a multivariable logistic regression model, the only factor that remained significant was baseline CAT score. The proportion of smokers in the total population remained constant during the study. There was a significant reduction in the number of exacerbations after entering this remote support program with median -1 (IQR: -2, 0), (p < 0.001). The Morisky-Green questionnaire showed an increase of treatment compliance, namely at baseline, 25.8 % (24/93) of patients were noncompliant while in the end 66.7 % (16/24) of them became compliant) (p = 0.053). Conclusions: A remote support program for high-risk COPD patients results in an improvement of the patients' health status, particularly in those with initially poor health status, and it helps to reduce COPD exacerbations. | en |
dc.description.sponsorship | The ESOPO study was funded by Takeda Pharmaceutical Spain SA. | es_ES |
dc.language.iso | eng | en |
dc.publisher | BioMed Central (BMC) | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Chronic obstructive pulmonary disease | |
dc.subject | Education | |
dc.subject | Management | |
dc.subject | Quality of life | |
dc.subject | Exacerbations | |
dc.subject.mesh | Disease Progression | * |
dc.subject.mesh | Aged | * |
dc.subject.mesh | Spain | * |
dc.subject.mesh | Pulmonary Disease, Chronic Obstructive | * |
dc.subject.mesh | Humans | * |
dc.subject.mesh | Health Status | * |
dc.subject.mesh | Middle Aged | * |
dc.subject.mesh | Male | * |
dc.subject.mesh | Multivariate Analysis | * |
dc.subject.mesh | Quality of Life | * |
dc.subject.mesh | Severity of Illness Index | * |
dc.subject.mesh | Prospective Studies | * |
dc.subject.mesh | Patient Compliance | * |
dc.subject.mesh | Female | * |
dc.subject.mesh | Self Care | * |
dc.subject.mesh | Telemedicine | * |
dc.subject.mesh | Program Evaluation | * |
dc.subject.mesh | Surveys and Questionnaires | * |
dc.subject.mesh | Logistic Models | * |
dc.subject.mesh | Patient Education as Topic | * |
dc.title | The evaluation of a remote support program on quality of life and evolution of disease in COPD patients with frequent exacerbations | en |
dc.type | research article | en |
dc.rights.license | Attribution 4.0 International | * |
dc.identifier.pubmedID | 27821164 | es_ES |
dc.format.volume | 16 | es_ES |
dc.format.page | 140 | es_ES |
dc.identifier.doi | 10.1186/s12890-016-0304-3 | |
dc.relation.publisherversion | https://dx.doi.org/10.1186/s12890-016-0304-3 | en |
dc.identifier.journal | BMC Pulmonary Medicine | es_ES |
dc.rights.accessRights | open access | en |
dc.subject.decs | Evaluación de Programas y Proyectos de Salud | * |
dc.subject.decs | Modelos Logísticos | * |
dc.subject.decs | Telemedicina | * |
dc.subject.decs | Femenino | * |
dc.subject.decs | Análisis Multivariante | * |
dc.subject.decs | Masculino | * |
dc.subject.decs | Cooperación del Paciente | * |
dc.subject.decs | Enfermedad Pulmonar Obstructiva Crónica | * |
dc.subject.decs | Autocuidado | * |
dc.subject.decs | Humanos | * |
dc.subject.decs | Persona de Mediana Edad | * |
dc.subject.decs | Calidad de Vida | * |
dc.subject.decs | Estudios Prospectivos | * |
dc.subject.decs | Estado de Salud | * |
dc.subject.decs | Anciano | * |
dc.subject.decs | Índice de Severidad de la Enfermedad | * |
dc.subject.decs | Progresión de la Enfermedad | * |
dc.subject.decs | Encuestas y Cuestionarios | * |
dc.subject.decs | Educación del Paciente como Asunto | * |
dc.subject.decs | España | * |
dc.identifier.scopus | 2-s2.0-84994406901 | |
dc.identifier.wos | 387085500001 | |
dc.identifier.pui | L613098053 | |