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A Cochrane systematic review has assessed the efficacy of self-management interventions for COPD (22 studies, 3,854 participants).1 The review included randomised controlled trials that compared the effectiveness of COPD self-management interventions (that included an action plan for acute exacerbations of COPD) with usual care. Outcomes included health-related quality of life (HRQoL) and respiratory-related hospital admissions. Disease management programmes that could be classified as, or confused with, pulmonary rehabilitation were excluded.
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