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

Comparison 2. Self‐management versus usual care (secondary outcomes).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Healthcare utilisation: all‐cause hospital admissions (number of participants with at least one admission) 10 2633 Odds Ratio (M‐H, Random, 95% CI) 0.88 [0.71, 1.08]
2.2 Healthcare utilisation: all‐cause hospital admissions (mean number per participant) 7 1914 Mean Difference (IV, Random, 95% CI) ‐0.01 [‐0.06, 0.04]
2.3 Healthcare utilisation: respiratory‐related hospitalisation days (per participant) 4 819 Mean Difference (IV, Random, 95% CI) ‐0.62 [‐2.27, 1.03]
2.4 Healthcare utilisation: all‐cause hospitalisation days (per participant) 6 2073 Mean Difference (IV, Random, 95% CI) ‐0.51 [‐1.85, 0.84]
2.5 Healthcare utilisation: emergency department visits (number of participants with at least one visit) 5 865 Odds Ratio (M‐H, Random, 95% CI) 0.53 [0.32, 0.87]
2.6 Healthcare utilisation: emergency department visits (mean number per participant) 6 1939 Mean Difference (IV, Random, 95% CI) ‐0.52 [‐0.89, ‐0.15]
2.7 Healthcare utilisation: GP visits (mean number per participant) 4 1113 Mean Difference (IV, Random, 95% CI) ‐0.21 [‐0.68, 0.25]
2.8 COPD exacerbations (mean number per participant) 7   Mean Difference (IV, Random, 95% CI) Subtotals only
2.8.1 COPD exacerbations (regardless of definition) 7 1401 Mean Difference (IV, Random, 95% CI) ‐0.06 [‐0.26, 0.15]
2.8.2 COPD exacerbations (symptom based) 4 1047 Mean Difference (IV, Random, 95% CI) 0.05 [‐0.22, 0.31]
2.9 Courses of oral steriods (number of participants who used at least one course) 3 881 Odds Ratio (M‐H, Random, 95% CI) 4.19 [0.35, 50.65]
2.10 Courses of antibiotics (number of participants who used at least one course) 3 1012 Odds Ratio (M‐H, Random, 95% CI) 3.95 [1.37, 11.43]
2.11 Health status: modified Medical Research Council Dyspnoea Scale (mMRC) 3 356 Mean Difference (IV, Random, 95% CI) ‐0.31 [‐1.23, 0.60]
2.12 Health status: Hospital Anxiety and Depression Scale (HADS) 9   Mean Difference (IV, Random, 95% CI) Subtotals only
2.12.1 Health status: Hospital Anxiety and Depression Scale (HADS) ‐ anxiety 9 1647 Mean Difference (IV, Random, 95% CI) ‐0.57 [‐1.01, ‐0.13]
2.12.2 Health status: Hospital Anxiety and Depression Scale (HADS) ‐ depression 9 1653 Mean Difference (IV, Random, 95% CI) ‐0.45 [‐0.80, ‐0.10]
2.13 Exercise capacity: six‐minute walk test (6MWT) 6 772 Mean Difference (IV, Random, 95% CI) 45.14 [9.16, 81.13]