An international randomized study of a home-based self-management program for severe COPD: the COMET
Jean Bourbeau,1 Pere Casan,2 Silvia Tognella,3 Peter Haidl,4 Joëlle B Texereau,5,6 Romain Kessler7 On behalf of the COMET investigators 1Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada;...
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doaj-ec5900bd043c463788f1db8c11ae21822020-11-24T21:05:26ZengDove Medical PressInternational Journal of COPD1178-20052016-06-012016Issue 11447145127658An international randomized study of a home-based self-management program for severe COPD: the COMETBourbeau JCasan PTognella SHaidl PTexereau JBKessler RJean Bourbeau,1 Pere Casan,2 Silvia Tognella,3 Peter Haidl,4 Joëlle B Texereau,5,6 Romain Kessler7 On behalf of the COMET investigators 1Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada; 2Hospital Universitario Central de Asturias, Facultad de Medicina, Oviedo, Spain; 3Lung Department, Ospedale Orlandi, Bussolengo VR, Italy; 4Krankenhaus Kloster Grafschaft, Schmallenberg, Germany; 5Air Liquide Healthcare, Medical Research and Development, Jouy-en-Josas, 6Assistance Publique-Hôpitaux de Paris, Service de Physiologie Clinique, Hôpital Cochin, Paris, 7Department of Pulmonary Medicine, Translational Medicine Federation of Strasbourg, University Hospital of Strasbourg, Strasbourg, France Introduction: Most hospitalizations and costs related to COPD are due to exacerbations and insufficient disease management. The COPD patient Management European Trial (COMET) is investigating a home-based multicomponent COPD self-management program designed to reduce exacerbations and hospital admissions.Design: Multicenter parallel randomized controlled, open-label superiority trial.Setting: Thirty-three hospitals in four European countries.Participants: A total of 345 patients with Global initiative for chronic Obstructive Lung Disease III/IV COPD.Intervention: The program includes extensive patient coaching by health care professionals to improve self-management (eg, develop skills to better manage their disease), an e-health platform for reporting frequent health status updates, rapid intervention when necessary, and oxygen therapy monitoring. Comparator is the usual management as per the center’s routine practice.Main outcome measures: Yearly number of hospital days for acute care, exacerbation number, quality of life, deaths, and costs. Keywords: COPD, disease management, exacerbations, hospitalization, home care, clinical trialhttps://www.dovepress.com/an-international-randomized-study-of-a-home-based-self-management-prog-peer-reviewed-article-COPDCOPDchronic obstructive pulmonary diseasedisease managementexacerbationshospitalization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bourbeau J Casan P Tognella S Haidl P Texereau JB Kessler R |
spellingShingle |
Bourbeau J Casan P Tognella S Haidl P Texereau JB Kessler R An international randomized study of a home-based self-management program for severe COPD: the COMET International Journal of COPD COPD chronic obstructive pulmonary disease disease management exacerbations hospitalization |
author_facet |
Bourbeau J Casan P Tognella S Haidl P Texereau JB Kessler R |
author_sort |
Bourbeau J |
title |
An international randomized study of a home-based self-management program for severe COPD: the COMET |
title_short |
An international randomized study of a home-based self-management program for severe COPD: the COMET |
title_full |
An international randomized study of a home-based self-management program for severe COPD: the COMET |
title_fullStr |
An international randomized study of a home-based self-management program for severe COPD: the COMET |
title_full_unstemmed |
An international randomized study of a home-based self-management program for severe COPD: the COMET |
title_sort |
international randomized study of a home-based self-management program for severe copd: the comet |
publisher |
Dove Medical Press |
series |
International Journal of COPD |
issn |
1178-2005 |
publishDate |
2016-06-01 |
description |
Jean Bourbeau,1 Pere Casan,2 Silvia Tognella,3 Peter Haidl,4 Joëlle B Texereau,5,6 Romain Kessler7 On behalf of the COMET investigators 1Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada; 2Hospital Universitario Central de Asturias, Facultad de Medicina, Oviedo, Spain; 3Lung Department, Ospedale Orlandi, Bussolengo VR, Italy; 4Krankenhaus Kloster Grafschaft, Schmallenberg, Germany; 5Air Liquide Healthcare, Medical Research and Development, Jouy-en-Josas, 6Assistance Publique-Hôpitaux de Paris, Service de Physiologie Clinique, Hôpital Cochin, Paris, 7Department of Pulmonary Medicine, Translational Medicine Federation of Strasbourg, University Hospital of Strasbourg, Strasbourg, France Introduction: Most hospitalizations and costs related to COPD are due to exacerbations and insufficient disease management. The COPD patient Management European Trial (COMET) is investigating a home-based multicomponent COPD self-management program designed to reduce exacerbations and hospital admissions.Design: Multicenter parallel randomized controlled, open-label superiority trial.Setting: Thirty-three hospitals in four European countries.Participants: A total of 345 patients with Global initiative for chronic Obstructive Lung Disease III/IV COPD.Intervention: The program includes extensive patient coaching by health care professionals to improve self-management (eg, develop skills to better manage their disease), an e-health platform for reporting frequent health status updates, rapid intervention when necessary, and oxygen therapy monitoring. Comparator is the usual management as per the center’s routine practice.Main outcome measures: Yearly number of hospital days for acute care, exacerbation number, quality of life, deaths, and costs. Keywords: COPD, disease management, exacerbations, hospitalization, home care, clinical trial |
topic |
COPD chronic obstructive pulmonary disease disease management exacerbations hospitalization |
url |
https://www.dovepress.com/an-international-randomized-study-of-a-home-based-self-management-prog-peer-reviewed-article-COPD |
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