A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations
Authors: R. William Vandivier, Derek J. Linderman, Patricia B. Koff
Journal: Annals of Internal Medicine (2012)

Letters2 October 2012A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease HospitalizationsR. William Vandivier, MD, Derek J. Linderman, MD, and Patricia B. Koff, RRT, MedR. William Vandivier, MDFrom University of Colorado Anschutz Medical Campus, Aurora, CO 80045, and Robert Bosch Healthcare, Palo Alto, CA 94303.Search for more papers by this author, Derek J. Linderman, MDFrom University of Colorado Anschutz Medical Campus, Aurora, CO 80045, and Robert Bosch Healthcare, Palo Alto, CA 94303.Search for more papers by this author, and Patricia B. Koff, RRT, MedFrom University of Colorado Anschutz Medical Campus, Aurora, CO 80045, and Robert Bosch Healthcare, Palo Alto, CA 94303.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-7-201210020-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We were disappointed at the results of a comprehensive care management program for chronic obstructive pulmonary disease (COPD) reported by Fan and colleagues (1). Patients received extensive education and were given an individualized action plan that advised them to initiate therapy within 48 hours of symptom onset and to contact their care coordinator if it was not effective. The intervention had minimal to no effect on treatment and worsened mortality rates. As pointed out in the article, treatment delays are common in patients with COPD, and these delays result in worse clinical outcomes (1). We would be ...References1. Fan VS, Gaziano JM, Lew R, Bourbeau J, Adams SG, Leatherman S, et al. A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: a randomized, controlled trial. Ann Intern Med. 2012;156:673-83. [PMID: 22586006] LinkGoogle Scholar2. Koff PB, Jones RH, Cashman JM, Voelkel NF, Vandivier RW. Proactive integrated care improves quality of life in patients with COPD. Eur Respir J. 2009;33:1031-8. [PMID: 19129289] CrossrefMedlineGoogle Scholar3. Linderman DJ, Koff PB, Freitag TJ, Min SJ, Vandivier RW. Effect of integrated care on advanced chronic obstructive pulmonary disease in high-mortality rural areas [Letter]. Arch Intern Med. 2011;171:2059-61. [PMID: 22158579] CrossrefMedlineGoogle Scholar4. Koff PB, Min SJ, Freitag TJ, James SS, Keith RL, Kveton C, et al. Proactive integrated care reduces critical care and improves quality of life in COPD [Abstract]. Am J. Respir Crit Care Med. 2009;179:A3100. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of Colorado Anschutz Medical Campus, Aurora, CO 80045, and Robert Bosch Healthcare, Palo Alto, CA 94303.Disclosures: Dr. Vandivier: Grant (money to institution): Colorado Department of Public Health and Environment, University of Colorado Hospital. Dr. Koff: Grant (money to institution): State of Colorado; Consulting fee or honorarium: Nonin Medical, Connections 365, Robert Bosch Healthcare; Support for travel to meetings for the study or other purposes (money to institution): State of Colorado; Fees for participation in review activities such as data monitoring, boards, statistical analysis, end point committees, and the like (money to institution): State of Colorado; Provision of writing assistance, medicines, equipment, or administrative support (money to institution): grant supported administrative assistant, Datex-Ohmeda, Health Hero Network; Consultancy: Nonin Medical, Connections 365, Robert Bosch Healthcare; Employment: Robert Bosch Healthcare. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations Vincent S. Fan , J. Michael Gaziano , Robert Lew , Jean Bourbeau , Sandra G. Adams , Sarah Leatherman , Soe Soe Thwin , Grant D. Huang , Richard Robbins , Peruvemba S. Sriram , Amir Sharafkhaneh , M. Jeffery Mador , George Sarosi , Ralph J. Panos , Padmashri Rastogi , Todd H. Wagner , Steven A. Mazzuca , Colleen Shannon , Cindy Colling , Matthew H. Liang , James K. Stoller , Louis Fiore , and Dennis E. Niewoehner A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations Vincent S. Fan , Dennis E. Niewoehner , and Robert Lew Metrics Cited bySelf-Management in Chronic Obstructive Pulmonary Disease. Time for a Paradigm Shift?Successful patient self-management of COPD requires hands-on guidance 2 October 2012Volume 157, Issue 7Page: 530KeywordsChronic obstructive pulmonary diseaseConflicts of interestDeath ratesForecastingHealth careHealth statisticsHospitalizationsPatientsPrevention, policy, and public healthStatistical data ePublished: 2 October 2012 Issue Published: 2 October 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...