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Table 7 Characteristics of trials evaluating IDM programmes in primary care or home-based setting

From: RECODE: Design and baseline results of a cluster randomized trial on cost-effectiveness of integrated COPD management in primary care

  RECODE Rea 2004 Boxall 2005 Fernandez 2009 Wetering 2010 Gottlieb 2011
Recruitment P P + S P + S S S P
Pilot study + - - - - -
Population GOLD stage 1-4 GOLD stage 1-4 GOLD 4 GOLD 4 GOLD 2-3 GOLD 2
Intervention Multidisciplinary team training, designing practice and patient relevant treatment plans including education, smoking cessation, physiotherapeutic reactivation, dietary intervention (24 mo) Exacerbation action plan, structured follow-up by nurse, GP. Education about smoking cessation, medication (12 mo) Home rehabilitation programma (12 wks), under supervision of physiotherapist. Educational sessions for patients and carers, including structured follow up by physiotherapists, nurses, occupational therapy Home-rehabilitation programme (11 mo) under supervision of physiotherapist. Three education sessions Intensive exercise programme (4mo), individualized education programme, smoking cessation, dietary intervention (if needed). 20mo maintenance phase, exercise at home (under supervision). Intensive exercise and educational programme (7wks) led by multidisciplinary team. Smoking cessation counseling.
Included HCP 3-5 3 3 2 3 ?
Randomization Clustered Clustered Individual Individual Individual Individual
Blinding outcome
assessor
+ - - - + -
Stratification/matching + - - - - -
Powercalculation based on MRC score >2 Hospital days 6MWD Not mentioned SGRQ Not mentioned
Cost-effectiveness analysis + - - - + -
Included patients 1086 135 60 50 199 61
Follow-up (months) 24 12 3 12 24 18