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Contributions of COPD, asthma, and ten comorbid conditions to health care utilization and patient-centered outcomes among US adults with obstructive airway disease.
- Source :
-
International journal of chronic obstructive pulmonary disease [Int J Chron Obstruct Pulmon Dis] 2017 Aug 23; Vol. 12, pp. 2515-2522. Date of Electronic Publication: 2017 Aug 23 (Print Publication: 2017). - Publication Year :
- 2017
-
Abstract
- Background: Among persons with obstructive airway disease, the relative contributions of chronic obstructive pulmonary disease (COPD), asthma, and common comorbid conditions to health care utilization and patient-centered outcomes (PCOs) have not been previously reported.<br />Methods: We followed a total of 3,486 persons aged ≥40 years with COPD, asthma, or both at baseline, from the Medical Expenditure Panel Survey (MEPS) cohorts enrolled annually from 2008 through 2012 for 1 year. MEPS is a prospective observational study of US households recording self-reported COPD, asthma, and ten medical conditions: angina, arthritis, cancer, coronary heart disease, cognitive impairment, diabetes, hypertension, lung cancer, myocardial infarction, and stroke/transient ischemic attack. We studied the separate contributions of these conditions to health care utilization (all-cause and respiratory disease hospitalization, any emergency department [ED] visit, and six or more outpatient visits) and PCOs (seven or more days spent in bed due to illness, incident loss of mobility, and incident decline in self-perceived health).<br />Results: COPD made the largest contributions to all-cause and respiratory disease hospitalization and ED visits, while arthritis made the largest contribution to outpatient health care. Arthritis and COPD, respectively, made the greatest contributions to the PCOs.<br />Conclusion: COPD made the largest and second largest contributions to health care utilization and PCOs among US adults with obstructive airway disease. The twelve medical conditions collectively accounted for between 52% and 61% of the health care utilization outcomes and between 53% and 68% of the PCOs. Cognitive impairment, diabetes, hypertension, and stroke also made significant contributions.<br />Competing Interests: Disclosure The authors report no conflicts of interest in this work.
- Subjects :
- Adult
Aged
Ambulatory Care
Asthma diagnosis
Asthma economics
Asthma epidemiology
Comorbidity
Emergency Service, Hospital
Female
Health Care Costs
Health Care Surveys
Health Expenditures
Health Resources economics
Health Status
Hospitalization
Humans
Male
Middle Aged
Prospective Studies
Pulmonary Disease, Chronic Obstructive diagnosis
Pulmonary Disease, Chronic Obstructive economics
Pulmonary Disease, Chronic Obstructive epidemiology
Risk Factors
Time Factors
Treatment Outcome
United States epidemiology
Asthma therapy
Health Resources statistics & numerical data
Patient-Centered Care economics
Pulmonary Disease, Chronic Obstructive therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1178-2005
- Volume :
- 12
- Database :
- MEDLINE
- Journal :
- International journal of chronic obstructive pulmonary disease
- Publication Type :
- Academic Journal
- Accession number :
- 28883718
- Full Text :
- https://doi.org/10.2147/COPD.S139948