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Care in Chronic Obstructive Lung Disease (CAROL): a randomised trial in general in general practice

Stefan Markun, Thomas Rosemann, Kaba Dalla-Lana, et al.
Eur Respir J 2018;51:1701873
doi: 10.1183/13993003.01873-2017

Chronic obstructive pulmonary disease (COPD) requires continual management that is often complex. Disease-management aids, known as care bundles, may help address this complexity and improve the efficiency and efficacy of COPD management. Markun and colleagues attempt to test the role of COPD care bundles in the implementation of COPD care by GPs and practice assistants.

This cluster-randomised clinical trial followed 35 GPs and 216 COPD patients for one year, half of which were given the care bundle (intervention), while the rest were given usual care (control). Results demonstrated that COPD care bundles resulted in significantly higher implementation rates of seven of the nine studied key elements of COPD care compared with the control. Based on these results, the researchers concluded that the implementation of key elements of COPD care increased in general practice as a result of the COPD care bundle.

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