Quality of Life and Economic Features in Elderly Asthmatics

Plaza, Vicente; Serra-Batllés, Joan; Ferrer, Montse; Morejón, Elena

doi:10.1159/000029465

Cited by 54 publications

(39 citation statements)

References 12 publications

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“…Confining the study to patients between 16-44 yrs ensured a reasonably homogeneous cohort. Health problems affecting elderly people are likely to be more numerous and serious, and attended by the effects of multiple drug therapy [25,26].…”

Section: Discussionmentioning

confidence: 99%

Costs of asthma are correlated with severity: a 1-yr prospective study

et al. 2001

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Asthma prevalence is increasing and asthma-related costs are likely to increase, but few studies have analysed the relationship of asthma costs and severity. The impact of severity on costs was quantified in a cohort of 318 asthmatic patients followed up prospectively for 1 yr.Patients presenting with a broad range of severity of the disease (intermittent, mild persistent, moderate persistent, severe persistent) were recruited by chest physicians throughout France and treated for 1 yr according to customary clinical practice and following international guidelines. Severity, direct and indirect costs, and quality of life (QoL) were assessed. A multivariate analysis was conducted to relate factors contributing to the costs measured.Mean direct costs for goods and services excluding hospitalization, numbers of consultations, supplementary examinations, and the use and cost of bronchodilators and corticosteroids, indirect costs of days lost from work, and adverse QoL parameters all increased significantly with increasing severity. This also applied to mean age, body weight, asthma duration, depression of forced expiratory volume in one second, and inhaled corticosteroid posology in the 234 patients completing the study. There was a significant relationship (r=0.614, pv0.001) between direct costs (hospitalization and cures were excluded) and three domains of the QoL questionnaire (mobility, pain and energy).Overall costs of asthma (including individual direct costs, indirect costs, and intangible quality of life costs) are clearly related to severity. This is the first study in asthma to combine rigorous independent classification of grades of severity in statistically valid numbers of patients of grades receiving "real-world" treatment and followed-up prospectively for 1 yr. It allowed severity to be accurately related to direct, indirect and intangible costs of asthma. Quality of life explained a significant part of these costs.

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Section: Discussionmentioning

confidence: 99%

Costs of asthma are correlated with severity: a 1-yr prospective study

et al. 2001

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“…Now, medication costs have replaced the hospital costs as the largest component of the direct cost of asthma. Except in the elderly, the total asthma cost was reported to be higher than adult asthmatics due to a greater use of medications as well as frequent and longer hospital stays in this particular group [21]. …”

Section: Discussionmentioning

confidence: 99%

Direct Medical Cost of Asthma in Ankara, Turkey

et al. 2004

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Background: There has been no documented data regarding the cost of asthma in our country. Objective: In this 1-year prospective study, we aimed to determine the annual cost of asthma in Ankara, Turkey. Methods: Direct medical cost analysis was performed in 118 patients. Results: Mean annual direct medical costs of asthma were USD 1,465.7 ± 111.8 per capita. Medication cost comprised the majority (81%) of the total direct cost. Mean direct medical costs according to the stage of disease were USD 172.5 ± 51.7, 860.7 ± 70.2, 1,671.6 ± 141.8 and 3,491.9 ± 417.6 for stage 1 (n = 4), 2 (n = 54), 3 (n = 46) and 4 (n = 14) patients, respectively. Conclusions: In this first study to document the cost of asthma for our region, direct cost of asthma was found to be increased with the severity of the illness. Considering the fact that medication cost comprises the major fraction of the direct cost, cost-effectiveness trials to determine the effective treatment with optimal cost for different asthma stages should be the next step.

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“…Die klinische Symptomatik unterscheidet sich zwar nicht zwischen jüngeren und älteren Patienten mit Asthma, jedoch weisen ältere Asthmatiker häufiger einen hö-heren Asthmaschweregrad und häufigere Krankenhausaufenthalte auf [23,24].…”

Section: Prävalenz äLterer Asthmatikerunclassified

Der ältere Asthmapatient

Vries

Petermann

2008

Internist

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Elderly patients with asthma are a specific group with particular needs. These must be addressed in order to provide appropriate asthma care. Asthma causes higher morbidity and mortality rates among the elderly patients. Older patients often fail or have problems with compliance and self-management due to age-specific factors. Older patients with asthma are often misdiagnosed, due to an impaired patient perception of symptom severity, different opinions of what kind of asthma-control is possible, or not sufficient communication skills. Often the quality of life is impaired by asthma. Improvement in self management skills in a special way may enhance the health status of elderly patients with asthma.

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Quality of Life and Economic Features in Elderly Asthmatics

Cited by 54 publications

References 12 publications

Costs of asthma are correlated with severity: a 1-yr prospective study

Costs of asthma are correlated with severity: a 1-yr prospective study

Direct Medical Cost of Asthma in Ankara, Turkey

Der ältere Asthmapatient

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