TY - JOUR
AU - J. Bourbeau
AU - C. LeBlanc
A1 - 
AB - COPD is a chronic condition that comes with a significant symptoms burden and healthcare utilization. It is the fourth leading cause of death worldwide and its prevalence is expected to rise in the years to come. We know that pharmacological treatment has a preponderant role to play in the management of this disease, but we also know that the non-pharmacological aspect of care is the cornerstone. In the last years, it has been increasingly recognized that education, self-management and integrated care are key components of COPD patients care trajectory. This review article presents the evolution of integrated care throughout the years and highlights the evidence of randomized clinical trials and on patient perspective behind this care model as well as the challenges healthcare professionals are still facing. This review also presents an illustrative example of integrated care in COPD which has been implemented over 2 decades, building on evidence from RCT to real-world evidence adoption in healthcare settings for broader reach and sustainability.
AD - Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, Montreal, Canada; Department of Medicine, McGill University, Montreal, Quebec, Canada. Electronic address: jean.bourbeau@mcgill.ca.; Department of Medicine, McGill University, Montreal, Quebec, Canada.
AN - 41175926
BT - Presse Med
C5 - Healthcare Disparities; Education & Workforce
CP - 1
DA - Oct 30
DO - 10.1016/j.lpm.2025.104320
DP - NLM
ET - 20251030
IS - 1
JF - Presse Med
LA - eng
N2 - COPD is a chronic condition that comes with a significant symptoms burden and healthcare utilization. It is the fourth leading cause of death worldwide and its prevalence is expected to rise in the years to come. We know that pharmacological treatment has a preponderant role to play in the management of this disease, but we also know that the non-pharmacological aspect of care is the cornerstone. In the last years, it has been increasingly recognized that education, self-management and integrated care are key components of COPD patients care trajectory. This review article presents the evolution of integrated care throughout the years and highlights the evidence of randomized clinical trials and on patient perspective behind this care model as well as the challenges healthcare professionals are still facing. This review also presents an illustrative example of integrated care in COPD which has been implemented over 2 decades, building on evidence from RCT to real-world evidence adoption in healthcare settings for broader reach and sustainability.
PY - 2025
SN - 0755-4982
SP - 104320
ST - Integrated care in COPD
T1 - Integrated care in COPD
T2 - Presse Med
TI - Integrated care in COPD
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1016/j.lpm.2025.104320
VL - 55
VO - 0755-4982
Y1 - 2025
ER -