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Management of chronic obstructive pulmonary disease in India: a systematic review.

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Title: Management of chronic obstructive pulmonary disease in India: a systematic review.
Authors: McKay, AJ
Pa, M
Patel, RK
Majeed, A
Item Type: Journal Article
Abstract: OBJECTIVES: Chronic diseases are fast becoming the largest health burden in India. Despite this, their management in India has not been well studied. We aimed to systematically review the nature and efficacy of current management strategies for chronic obstructive pulmonary disease (COPD) in India. METHODS: We used database searches (MEDLINE, EMBASE, IndMED, CENTRAL and CINAHL), journal hand-searches, scanning of reference lists and contact with experts to identify studies for systematic review. We did not review management strategies aimed at chronic diseases more generally, nor management of acute exacerbations. Due to the heterogeneity of reviewed studies, meta-analysis was not appropriate. Thus, narrative methods were used. SETTING: India. PARTICIPANTS: All adult populations resident in India. MAIN OUTCOME MEASURES: 1. Trialled interventions and outcomes 2. Extent and efficacy of current management strategies 3. Above outcomes by subgroup. RESULTS: We found information regarding current management - particularly regarding the implementation of national guidelines and primary prevention - to be minimal. This led to difficulty in interpreting studies of management strategies, which were varied and generally of positive effect. Data regarding current management outcomes were very few. CONCLUSIONS: The current understanding of management strategies for COPD in India is limited due to a lack of published data. Determination of the extent of current use of management guidelines, availability and use of treatment, and current primary prevention strategies would be useful. This would also provide evidence on which to interpret existing and future studies of management outcomes and novel interventions.
Issue Date: 1-Dec-2012
Date of Acceptance: 1-Dec-2012
URI: http://hdl.handle.net/10044/1/93559
DOI: 10.1258/shorts.2012.012029
ISSN: 2042-5333
Start Page: 1
End Page: 23
Journal / Book Title: JRSM Short Rep
Volume: 3
Issue: 12
Copyright Statement: © 2012 Royal Society of Medicine Press This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/2.0/), which permits non-commercial use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: COPD
chronic disease management
chronic disease management
Publication Status: Published
Conference Place: England
Online Publication Date: 2012-12-01
Appears in Collections:School of Public Health