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. 2022 Jan 10;2022(1):CD002990. doi: 10.1002/14651858.CD002990.pub4

Comparison 1. Self‐management versus usual care (primary outcomes).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Health‐related quality of life (HRQoL): adjusted SGRQ total score (primary analysis) 14 2778 Mean Difference (IV, Random, 95% CI) ‐2.86 [‐4.87, ‐0.85]
1.2 Health‐related quality of life (HRQoL): adjusted SGRQ total score (secondary analysis) 14   Mean Difference (IV, Random, 95% CI) Subtotals only
1.2.1 HRQoL: adjusted SGRQ total short term follow‐up (≤ 6 months) 7 1461 Mean Difference (IV, Random, 95% CI) ‐2.36 [‐4.92, 0.20]
1.2.2 HRQoL: adjusted SGRQ total medium term follow‐up (>6‐≤12 months) 13 2651 Mean Difference (IV, Random, 95% CI) ‐2.65 [‐4.78, ‐0.52]
1.3 Health‐related quality of life (HRQoL): CRQ domain scores (primary analysis) 5   Mean Difference (IV, Random, 95% CI) Subtotals only
1.3.1 HRQoL: CRQ ‐ dyspnoea 5 738 Mean Difference (IV, Random, 95% CI) 0.13 [‐0.10, 0.35]
1.3.2 HRQoL: CRQ ‐ mastery 5 738 Mean Difference (IV, Random, 95% CI) 0.12 [‐0.09, 0.33]
1.3.3 HRQoL: CRQ ‐ fatigue 5 738 Mean Difference (IV, Random, 95% CI) 0.23 [‐0.01, 0.47]
1.3.4 HRQoL: CRQ ‐ emotional function 5 738 Mean Difference (IV, Random, 95% CI) 0.20 [‐0.06, 0.46]
1.4 Health‐related quality of life (HRQoL): CRQ domain scores (secondary analyses) 4   Mean Difference (IV, Random, 95% CI) Subtotals only
1.4.1 HRQoL: CRQ ‐ dyspnoea (≤ 6 months) 3 386 Mean Difference (IV, Random, 95% CI) 0.23 [‐0.15, 0.61]
1.4.2 HRQoL: CRQ ‐ mastery (≤6 months) 3 386 Mean Difference (IV, Random, 95% CI) 0.12 [‐0.33, 0.57]
1.4.3 HRQoL: CRQ ‐ fatigue (≤6 months) 3 386 Mean Difference (IV, Random, 95% CI) 0.11 [‐0.55, 0.77]
1.4.4 HRQoL: CRQ ‐ emotional function (≤6 months) 3 386 Mean Difference (IV, Random, 95% CI) 0.22 [‐0.37, 0.82]
1.4.5 HRQoL: CRQ ‐ dyspnoea (>6‐≤12 months) 3 557 Mean Difference (IV, Random, 95% CI) 0.13 [‐0.09, 0.34]
1.4.6 HRQoL: CRQ ‐ mastery (>6‐≤12 months) 3 557 Mean Difference (IV, Random, 95% CI) 0.17 [‐0.07, 0.41]
1.4.7 HRQoL: CRQ ‐ fatigue (>6‐≤12 months) 3 557 Mean Difference (IV, Random, 95% CI) 0.22 [‐0.15, 0.59]
1.4.8 HRQoL: CRQ ‐ emotional function (>6‐≤12 months) 3 557 Mean Difference (IV, Random, 95% CI) 0.12 [‐0.27, 0.51]
1.5 Healthcare utilisation: respiratory‐related hospital admissions (number of participants with at least one admission) (primary analysis) 15 3263 Odds Ratio (M‐H, Random, 95% CI) 0.75 [0.57, 0.98]
1.6 Healthcare utilisation: respiratory‐related hospital admissions (number of participants with at least one admission) (secondary analyses) 15   Odds Ratio (M‐H, Random, 95% CI) Subtotals only
1.6.1 Healthcare utilisation: respiratory‐related hospital admissions ≤ 6 months (number of participants with at least one admission) 4 437 Odds Ratio (M‐H, Random, 95% CI) 0.84 [0.45, 1.55]
1.6.2 Healthcare utilisation: respiratory‐related hospital admissions > 6 to ≤ 12 months (number of participants with at least one admission) 11 2826 Odds Ratio (M‐H, Random, 95% CI) 0.74 [0.53, 1.03]
1.7 Healthcare utilisation: respiratory‐related hospital admissions (mean number per participant) (primary analysis) 7 1572 Mean Difference (IV, Random, 95% CI) ‐0.29 [‐0.60, 0.01]
1.8 Healthcare utilisation: respiratory‐related hospital admissions (mean number per participant) (secondary analyses) 7   Mean Difference (IV, Random, 95% CI) Subtotals only
1.8.1 Healthcare utilisation: respiratory‐related hospital admissions ≤ 6 months (mean number per participant) 3 709 Mean Difference (IV, Random, 95% CI) ‐0.01 [‐0.04, 0.02]
1.8.2 Healthcare utilisation: respiratory‐related hospital admissions >6 ‐ ≤12 months (mean number per participant) 6 1548 Mean Difference (IV, Random, 95% CI) ‐0.33 [‐0.68, 0.01]
1.9 Mortality: respiratory‐related mortality (primary analysis) 8 1572 Risk Difference (M‐H, Random, 95% CI) 0.01 [‐0.02, 0.04]
1.10 Mortality: respiratory‐related mortality (secondary analyses) 7   Risk Difference (M‐H, Random, 95% CI) Subtotals only
1.10.1 Respiratory‐related ≤ 6 months mortality 4 309 Risk Difference (M‐H, Random, 95% CI) ‐0.01 [‐0.05, 0.03]
1.10.2 Respiratory‐related > 6 to ≤ 12 months mortality 6 1322 Risk Difference (M‐H, Random, 95% CI) 0.01 [‐0.01, 0.03]
1.11 Mortality: all‐cause mortality (primary analysis) 24 5719 Risk Difference (M‐H, Random, 95% CI) ‐0.01 [‐0.03, 0.01]
1.12 Mortality: all‐cause mortality (secondary analyses) 24   Risk Difference (M‐H, Random, 95% CI) Subtotals only
1.12.1 All‐cause ≤ 6 months mortality 9 1678 Risk Difference (M‐H, Random, 95% CI) 0.00 [‐0.01, 0.01]
1.12.2 All‐cause > 6 to ≤ 12 months mortality 21 5240 Risk Difference (M‐H, Random, 95% CI) ‐0.01 [‐0.03, 0.01]