BMJ  2005;331 (3 September), doi:10.1136/bmj.331.7515.0-c

Nurse led programmes don't improve COPD

Nurse led interventions for management of chronic obstructive pulmonary disease (COPD) don't have a detectable effect on mortality, disability, or health related quality of life and psychological wellbeing. In a systematic review of nine randomised controlled trials, Taylor and colleagues (p 485) found no evidence that nurse led interventions improve management of this chronic disease. The evidence on hospital readmissions was equivocal, and the evidence on some important outcomes such as patients' adherence to treatment was extremely weak or absent.

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Relevant Article

Effectiveness of innovations in nurse led chronic disease management for patients with chronic obstructive pulmonary disease: systematic review of evidence

Stephanie J C Taylor, Bridget Candy, Rosamund M Bryar, Jean Ramsay, Hubertus J M Vrijhoef, Glenda Esmond, Jadwiga A Wedzicha, and Chris J Griffiths
BMJ 2005 331: 485. [Abstract] [Full Text] [PDF]

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Misleading interpretaion of the evidence

Grace M Lindsay, et al.
bmj.com, 28 Oct 2005 [Full text]