Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study
Background: While sub-optimal patient outcomes in chronic diseases with chronic obstructive pulmonary disease (COPD) seem quite common, the scope of supplemental co-professional support in reinforcing personalized care and thereby optimizing outcomes has not received much due attention. The present...
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Jaypee Brothers Medical Publisher
2025-06-01
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| Series: | Bengal Physician Journal |
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| Online Access: | https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8063 |
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| author | Rudra Paul Shatavisa Mukherjee Santanu Kumar Tripathi Chiranjib Bagchi Sumitra Basu Thakur Sibes Kumar Das |
| author_facet | Rudra Paul Shatavisa Mukherjee Santanu Kumar Tripathi Chiranjib Bagchi Sumitra Basu Thakur Sibes Kumar Das |
| author_sort | Rudra Paul |
| collection | DOAJ |
| description | Background: While sub-optimal patient outcomes in chronic diseases with chronic obstructive pulmonary disease (COPD) seem quite common, the scope of supplemental co-professional support in reinforcing personalized care and thereby optimizing outcomes has not received much due attention. The present study thus aimed to evaluate patient outcomes in COPD outpatients, in terms of symptom control, avoidance of exacerbations and tolerability, and further explore if co-professional supplemental care could optimize these outcomes, compared with routine care.
Methods: A prospective, parallel-group randomized interventional study was carried out on adult COPD patients of either gender, receiving treatment as prescribed in the same OPD, for at least 3 months. Eligible patients were randomized to either the routine care arm or add-on co-professional supplemental care arm. Periodic follow-up assessments of adherence and outcomes were continued in all the patients for 12 months.
Results: Male:female ratio in our study was observed to be 3:1. Improvement in COPD staging was observed for both groups at gradual time points. Mean FEV1/FVC values showed marked improvement from baseline over the time period for both groups. A significantly higher improvement (<i>p</i> < 0.001) from baseline values was observed for group II compared with group I at all time points for dyspnea score, COPD (symptoms) assessment test (CAT) score, and mMRC score. Intergroup analysis showed that group II had significantly higher adherence compared with group I at all relevant time points. A gradual and significant steady increase in each quality of life domain was observed for both groups with slightly more increase noticed for group II compared with group I.
Conclusion: Through all its efficacy, safety, and quality of life parameters, the study strongly confers that add-on co-professional care may somewhat be more beneficial in terms of improved patient outcomes in comparison to usual care. |
| format | Article |
| id | doaj-art-c34756da8083484d8ce683f2fcb21c21 |
| institution | Kabale University |
| issn | 2582-1202 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Bengal Physician Journal |
| spelling | doaj-art-c34756da8083484d8ce683f2fcb21c212025-08-20T03:41:15ZengJaypee Brothers Medical PublisherBengal Physician Journal2582-12022025-06-01122626610.5005/jp-journals-10070-80633Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional StudyRudra Paul0https://orcid.org/0000-0002-2842-1080Shatavisa Mukherjee1https://orcid.org/0000-0001-9524-1525Santanu Kumar Tripathi2Chiranjib Bagchi3Sumitra Basu Thakur4Sibes Kumar Das5Department of Clinical and Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, IndiaShatavisa Mukherjee, Department of Clinical and Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, India, Phone: +91 9830529192Department of Clinical and Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, IndiaDepartment of Clinical and Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, IndiaDepartment of Respiratory and Chest Medicine, Medical College and Hospital, Kolkata, West Bengal, IndiaDepartment of Respiratory and Chest Medicine, Medical College and Hospital, Kolkata, West Bengal, IndiaBackground: While sub-optimal patient outcomes in chronic diseases with chronic obstructive pulmonary disease (COPD) seem quite common, the scope of supplemental co-professional support in reinforcing personalized care and thereby optimizing outcomes has not received much due attention. The present study thus aimed to evaluate patient outcomes in COPD outpatients, in terms of symptom control, avoidance of exacerbations and tolerability, and further explore if co-professional supplemental care could optimize these outcomes, compared with routine care. Methods: A prospective, parallel-group randomized interventional study was carried out on adult COPD patients of either gender, receiving treatment as prescribed in the same OPD, for at least 3 months. Eligible patients were randomized to either the routine care arm or add-on co-professional supplemental care arm. Periodic follow-up assessments of adherence and outcomes were continued in all the patients for 12 months. Results: Male:female ratio in our study was observed to be 3:1. Improvement in COPD staging was observed for both groups at gradual time points. Mean FEV1/FVC values showed marked improvement from baseline over the time period for both groups. A significantly higher improvement (<i>p</i> < 0.001) from baseline values was observed for group II compared with group I at all time points for dyspnea score, COPD (symptoms) assessment test (CAT) score, and mMRC score. Intergroup analysis showed that group II had significantly higher adherence compared with group I at all relevant time points. A gradual and significant steady increase in each quality of life domain was observed for both groups with slightly more increase noticed for group II compared with group I. Conclusion: Through all its efficacy, safety, and quality of life parameters, the study strongly confers that add-on co-professional care may somewhat be more beneficial in terms of improved patient outcomes in comparison to usual care.https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8063assessment test scorechronic obstructive pulmonary diseaseco-professional caredyspnea score modified medical research council |
| spellingShingle | Rudra Paul Shatavisa Mukherjee Santanu Kumar Tripathi Chiranjib Bagchi Sumitra Basu Thakur Sibes Kumar Das Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study Bengal Physician Journal assessment test score chronic obstructive pulmonary disease co-professional care dyspnea score modified medical research council |
| title | Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study |
| title_full | Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study |
| title_fullStr | Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study |
| title_full_unstemmed | Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study |
| title_short | Patient Outcomes in Chronic Obstructive Pulmonary Disease and Impact of Supplemental Co-professional Care on Outcomes: A Parallel-group, Randomized Interventional Study |
| title_sort | patient outcomes in chronic obstructive pulmonary disease and impact of supplemental co professional care on outcomes a parallel group randomized interventional study |
| topic | assessment test score chronic obstructive pulmonary disease co-professional care dyspnea score modified medical research council |
| url | https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8063 |
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