A cluster randomised controlled trial evaluating a novel interdisciplinary community-based intervention aimed at screening, diagnosing and managing COPD in adult long-term smokers in primary care, compared with usual care, to improve health-related quality of life.

Monash University0 个研究点目标入组 280 人开始时间: 2014年10月31日最近更新: 2020年1月13日

试验速览

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•Current and ex-smokers of at least 10 packs years, including those with an existing diagnosis of COPD, aged 40 years or older, who had 2 or more visits to the practice in the previous 12 months. Those with an existing diagnosis of COPD but no smoking history will also be eligible.

•Those with a terminal illness (anticipated survival <12 months), those unable to provide informed consent (e.g. cognitive impairment), those with pre-existing interstitial lung disease, unstable cardiovascular status, comorbidities preventing participation in an exercise training program or contraindications to spirometry (including abdominal/thoracic/neuro-/ocular surgery in past 6 weeks, pneumothorax in past 6 weeks, haemoptysis of unknown origin, open pulmonary TB, thoracic/abdominal/cerebral aneurysms, angiogram in previous 24 hours, recent pulmonary embolus and those listed in the ATS/ERS 2005 guidelines). Those patients who have completed a pulmonary rehabilitation program in the previous 24 months will also be excluded from the study.

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