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. 2021 Jul 20;2021(7):CD013196. doi: 10.1002/14651858.CD013196.pub2

Jódar‐Sanchez 2013.

Study characteristics
Methods Study design: single‐centre, open‐label, parallel individual randomised controlled trial in Spain
Duration: 17 weeks
Setting: hospital care
Participants Population: 45 adults recruited from hospital in Madrid, Spain
Baseline characteristics: % Male: 95 RM and 95 UC, Mean age: 74 RM and 71 UC, % White: not reported, % African: not reported, % LTOT: 100 RM and 100 UC, % Home oxygen: not reported, % Anxiety or depression: RM 10 and UC 10, Baseline medications: not reported, FEV₁ (% mean): RM 38 and UC 37, FVC (% mean): RM 59 and UC 63, FEV₁/FVC (% mean): not reported, Current smokers (n): not reported, GOLD stage: very severe, COPD exacerbations last 12 months: not reported, Hospitalisations in past 12 months: not reported
Inclusion criteria: adult diagnosis of COPD and chronic respiratory failure with LTOT indication according to GOLD, at least 1 hospitalisation in the last year, clinically stable in the last 3 months
Exclusion criteria: not following LTOT at enrolment, no home telephone line, not given informed consent
Interventions Run‐in: measurements taken at baseline and at end of study
Treatment arms
  1. Telehealth intervention

  2. Standard care

Outcomes Primary outcomes: exacerbations, A&E department visits, hospital admissions
Secondary outcomes: SGRQ, EQ‐5D, patient satisfaction
Notes Funding: Spanish Ministry of Science and Innovation
Other identifier: none
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Trial was reported as randomised, but randomisation process not described
Allocation concealment (selection bias) Unclear risk No further information provided
Blinding of participants and personnel (performance bias)
All outcomes High risk Open‐label study; neither study investigators nor patients were blinded
Blinding of outcome assessment (detection bias)
All outcomes High risk Open‐label study; no measures were reported to show that outcome assessors were blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk 1 death and 1 withdrawal in each group were observed; all analysed
Selective reporting (reporting bias) Unclear risk Outcomes were reported as planned; however, no trial registration details were found
Other bias Low risk None