The purpose of this study is to determine whether comprehensive disease management program combined with best care recommended in clinical guidelines, is more effective than best care alone in patients with advanced chronic obstructive pulmonary disease (COPD).
The study objective is to evaluate the effectiveness of a comprehensive program among patients with advanced COPD, implemented by a multi-disciplinary team. The program consists of best care recommended in clinical guidelines, combined with disease management, compared to best care only. The program will include designated COPD centers operated by multi-disciplinary teams (pulmonologists, nurse practitioners, physiotherapists, social workers and dietitians). Disease management will be provided in these centers by qualified designated nurses.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
1,202
Disease management by COPD nurses, including active follow-up and coordination of care in addition to best care according to clinical guidelines for COPD patients
Comprehensive care for COPD patients recommended in clinical guidelines
Bat-Yam COPD Center
Bat Yam, Israel
COPD Center, Hadera
Hadera, Israel
Hospital admission for acute exacerbation of COPD or all-cause mortality
Time frame: Within 2 to 5 years after randomization
Total days of hospitalization for acute exacerbations of COPD
Time frame: Within 2 to 5 years after randomization
Quality of life
Time frame: Within 2 to 5 years after randomization
Total number of acute exacerbations of COPD
Time frame: Within 2 to 5 years after randomization
Depression
Time frame: Within 2 to 5 years after randomization
Functional capacity
Time frame: Within 2 to 5 years after randomization
Spirometry parameters
Time frame: Within 2 to 5 years after randomization
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