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10.15326/jcopdf.2020.0139 http://scihub22266oqcxt.onion/10.15326/jcopdf.2020.0139 33238087!8047611!33238087     free     free     free Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Chronic+Obstr+Pulm+Dis 2021 ; 8 (1): 100-16 Nephropedia Template TP {{tp|p=33238087|t=2021. Impact of Proactive Integrated Care on Chronic Obstructive Pulmonary Disease |pdf=|usr=}}{{33238087}} gab.com Text Impact of Proactive Integrated Care on Chronic Obstructive Pulmonary Disease JO: Chronic Obstr Pulm Dis http://www.kidney.de/pget.php?&tw=1&pmid=33238087 #FOAvip BACKGROUND: Up to 50% of chronic obstructive pulmonary disease (COPD) patients do not receive recommended care for COPD. To address this issue, we developed Proactive Integrated Care (Proactive iCare), a health care delivery model that couples integrated care with remote monitoring. METHODS: We conducted a prospective, quasi-randomized clinical trial in 511 patients with advanced COPD or a recent COPD exacerbation, to test whether Proactive iCare impacts patient-centered outcomes and health care utilization. Patients were allocated to Proactive iCare (n=352) or Usual Care ( =159) and were examined for changes in quality of life using the St George's Respiratory Questionnaire (SGRQ), symptoms, guideline-based care, and health care utilization. FINDINGS: Proactive iCare improved total SGRQ by 7-9 units (p < 0.0001), symptom SGRQ by 9 units (p<0.0001), activity SGRQ by 6-7 units (p<0.001) and impact SGRQ by 7-11 units (p<0.0001) at 3, 6 and 9 months compared with Usual Care. Proactive iCare increased the 6-minute walk distance by 40 m (p<0.001), reduced annual COPD-related urgent office visits by 76 visits per 100 participants (p<0.0001), identified unreported exacerbations, and decreased smoking (p=0.01). Proactive iCare also improved symptoms, the body mass index-airway obstruction-dyspnea-exercise tolerance (BODE) index and oxygen titration (p<0.05). Mortality in the Proactive iCare group (1.1%) was not significantly different than mortality in the Usual Care group (3.8%; p=0.08). INTERPRETATION: Linking integrated care with remote monitoring improves the lives of people with advanced COPD, findings that may have been made more relevant by the coronavirus 2019 (COVID-19) pandemic. Twit Text FOAVip Impact of Proactive Integrated Care on Chronic Obstructive Pulmonary Disease ????Chronic Obstr Pulm Dis http://www.kidney.de/pget.php?&tw=1&pmid=33238087 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33238087 #FOAvip English Wikipedia <ref>{{Cite pmid|33238087}}</ref> Impact of Proactive Integrated Care on Chronic Obstructive Pulmonary Disease #MMPMID33238087 Koff PB; Min SJ; Freitag TJ; Diaz DLP; James SS; Voelkel NF; Linderman DJ; Diaz Del Valle F; Zakrajsek JK; Albert RK; Bull TM; Beck A; Stelzner TJ; Ritzwoller DP; Kveton CM; Carwin S; Ghosh M; Keith RL; Westfall JM; Vandivier RW Chronic Obstr Pulm Dis 2021[Jan]; 8 (1): 100-16 PMID33238087show ga BACKGROUND: Up to 50% of chronic obstructive pulmonary disease (COPD) patients do not receive recommended care for COPD. To address this issue, we developed Proactive Integrated Care (Proactive iCare), a health care delivery model that couples integrated care with remote monitoring. METHODS: We conducted a prospective, quasi-randomized clinical trial in 511 patients with advanced COPD or a recent COPD exacerbation, to test whether Proactive iCare impacts patient-centered outcomes and health care utilization. Patients were allocated to Proactive iCare (n=352) or Usual Care ( =159) and were examined for changes in quality of life using the St George's Respiratory Questionnaire (SGRQ), symptoms, guideline-based care, and health care utilization. FINDINGS: Proactive iCare improved total SGRQ by 7-9 units (p < 0.0001), symptom SGRQ by 9 units (p<0.0001), activity SGRQ by 6-7 units (p<0.001) and impact SGRQ by 7-11 units (p<0.0001) at 3, 6 and 9 months compared with Usual Care. Proactive iCare increased the 6-minute walk distance by 40 m (p<0.001), reduced annual COPD-related urgent office visits by 76 visits per 100 participants (p<0.0001), identified unreported exacerbations, and decreased smoking (p=0.01). Proactive iCare also improved symptoms, the body mass index-airway obstruction-dyspnea-exercise tolerance (BODE) index and oxygen titration (p<0.05). Mortality in the Proactive iCare group (1.1%) was not significantly different than mortality in the Usual Care group (3.8%; p=0.08). INTERPRETATION: Linking integrated care with remote monitoring improves the lives of people with advanced COPD, findings that may have been made more relevant by the coronavirus 2019 (COVID-19) pandemic. äImpact of Proactive Integrated Care on Chronic Obstructive Pulmonary D(epmc).pdf DeepDyve Pubget Overpricing