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Comment & Response
May 21, 2019

Self-medication as Part of Self-management Plans for Patients With COPD

Author Affiliations
  • 1Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, Zurich, Switzerland
JAMA. 2019;321(19):1937. doi:10.1001/jama.2019.2048

To the Editor The randomized clinical trial by Dr Aboumatar and colleagues1 demonstrated that the combination of transitional care support and long-term self-management resulted in fewer hospitalizations and emergency department visits for patients with chronic obstructive pulmonary disease (COPD). One statement in the article deserves a comment.

The authors wrote that the intervention included the essential elements of COPD care and emphasized that provision of antibiotics or steroids for self-medication of exacerbations was not included because, in a prior study,2 this practice increased the risk of mortality.