Status:
COMPLETED
COPD Assessment and Management Bundle Versus Usual Care
Lead Sponsor:
University of Illinois at Chicago
Collaborating Sponsors:
National Heart, Lung, and Blood Institute (NHLBI)
Conditions:
Chronic Obstructive Pulmonary Disease
Eligibility:
All Genders
40+ years
Phase:
NA
Brief Summary
Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory (lung) disease that makes it harder to breathe over time. To date, there is no cure for COPD, but it can be managed when diagn...
Detailed Description
The purpose of this study is to determine if diagnosis and guided therapy with the use of spirometry is related to better patient associated outcomes compared to usual care which may or may not includ...
Eligibility Criteria
Inclusion
- Patients, male and female, who are at least 40 years of age, receive primary treatment at the University of Illinois , and with any one of the following:
- New Diagnosis
- Inpatient or emergency department setting
- New physician-diagnosis of COPD and/or new physician-diagnosis of asthma with a ≥10 pack year smoking without a spirometry 4 weeks or more after discharge from diagnosis setting.
- Outpatient setting
- A new physician diagnosis of COPD within the past 6 months prior to their visit, without a spirometry or with a normal spirometry within the past 5 years prior to the diagnosis to the time of their visit.
- A new physician diagnosis of asthma within past 6 months and a ≥10 pack year smoking history prior to their visit, without a diagnosis of COPD, without a spirometry or with a pre-bronchodilator spirometry with evidence of obstruction within the past 5 years prior to the diagnosis to the time of their visit.
- Any patient with an existing physician-diagnosis of asthma within the past 2 years but \> 6 months prior to the time of their visit and a ≥10 pack year smoking history, without a diagnosis of COPD, using a respiratory medication in the past year, and no spirometry on record or had a pre-bronchodilator spirometry with evidence of obstruction on record for at least the past 5 years.
- Existing Diagnosis
- Any patient with an existing physician-diagnosis of COPD within the past 2 years but \> 6 months prior to the time of their visit, and using a respiratory medication in the past year but no spirometry on record or had a spirometry without evidence of chronic obstruction in the past 5 years.
Exclusion
- Unable to perform adequate spirometry (e.g. muscle weakness, tracheostomy, cognitive dysfunction, mental retardation or other psychiatric disorders)
- Non-English speaking
- Pregnancy
- Any patient planning to move away from the city within the next year.
- Seen by a pulmonary specialist in the past 3 years.
- Any terminal illness with a life expectancy of \<6 months (e.g. hospice care, malignancies)
- Any patient with a physician diagnosis of COPD and had a pre or post-bronchodilator spirometry with evidence of chronic obstruction on record.
Key Trial Info
Start Date :
March 1 2013
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2016
Estimated Enrollment :
56 Patients enrolled
Trial Details
Trial ID
NCT01833026
Start Date
March 1 2013
End Date
May 1 2016
Last Update
December 24 2019
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
University of Illinois
Chicago, Illinois, United States, 60612