The economic burden of chronic obstructive pulmonary disease (COPD) in a U.S. Medicare population

Menzin, Joseph; Boulanger, Luke; Marton, J.; Guadagno, Lisa; Dastani, Homa; Dirani, Riad; Phillips, Amy; Shah, Hemal

doi:10.1016/j.rmed.2008.04.009

Cited by 102 publications

(81 citation statements)

References 18 publications

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“…Chronic obstructive pulmonary disease (COPD) is a common chronic illness with an associated cost 1,2 . Inadequate literacy skills are common and associated with increased risk for mortality, hospitalization, and poor disease control [3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial of a Literacy-Sensitive Self-Management Intervention for Chronic Obstructive Pulmonary Disease Patients

et al. 2011

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BACKGROUND: Low literacy skills are common and associated with a variety of poor health outcomes. This may be particularly important in patients with chronic illnesses such as chronic obstructive pulmonary disease (COPD) that require appropriate inhaler technique to maintain quality of life and avoid exacerbations. OBJECTIVE: To explore the impact of a literacy-sensitive self-management intervention on inhaler technique scores in COPD patients and to determine if effects differ by literacy. DESIGN: Randomized controlled trial. PARTICIPANTS: Ninety-nine patients with COPD. INTERVENTION: Patients were randomly assigned to a one-on-one self-management educational intervention or usual care. The intervention focused on inhaler technique, smoking cessation, and using a COPD action plan. MAIN MEASURES: At baseline, an inhaler technique assessment, literacy assessment, health-related quality of life questionnaires, and pulmonary function tests were completed. Inhaler technique was re-evaluated after two to eight weeks. KEY RESULTS: Mean age 63, 65% female, 69% Caucasian, moderate COPD severity on average, 36% with low literacy, moderately impaired health-related quality of life, and similar baseline metered dose inhaler technique scores. Patients in the intervention group had greater mean improvement from baseline in metered dose inhaler technique score compared to those in the usual care group (difference in mean change 2.1, 95% CI 1.1, 3.0). The patients in the intervention group also had greater mean improvements in metered dose inhaler technique score than those in the usual care group whether they had low health literacy (difference in mean change 2.8, 95% CI 0.6, 4.9) or higher health literacy (1.8, 95% CI 0.7, 2.9).CONCLUSIONS: A literacy-sensitive self-management intervention can lead to improvements in inhaler technique, with benefits for patients with both low and higher health literacy.KEY WORDS: COPD; inhaler technique; health literacy; selfmanagement; randomized controlled trial.

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Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial of a Literacy-Sensitive Self-Management Intervention for Chronic Obstructive Pulmonary Disease Patients

et al. 2011

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“…The yearly cost of COPD to Medicare is high, with an estimated $4 billion spent in COPD-related hospitalizations alone (2). Most of this spending is incurred on repeat visits to the emergency department (ED) and rehospitalizations after an acute exacerbation of COPD (AE-COPD) (3)(4)(5). For older beneficiaries hospitalized with an AE-COPD, the estimated 30-day all-cause rehospitalization rate is as high as 20 to 23% (6,7).…”

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confidence: 99%

Early and Long-term Outcomes of Older Adults after Acute Care Encounters for Chronic Obstructive Pulmonary Disease Exacerbation

Genao

Durheim

et al. 2015

Annals ATS

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Rationale: Older patients are at high risk of death and rehospitalization after hospitalizations for acute exacerbations of chronic obstructive pulmonary disease (AE-COPD). Emergency department visits comprise a substantial portion of acute care encounters in this patient population. The risks of mortality and repeat acute care encounters, including both hospital readmission and repeat emergency department visits, after AE-COPD among older adults are not well understood.Objectives: To examine early and long-term rates of death and repeat acute care encounters after hospitalization or emergency department visit for AE-COPD in Medicare fee-for-service beneficiaries and to identify patient characteristics, including medical comorbid conditions, associated with these outcomes.

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“…1 Diagnosis of COPD is usually made on the basis of medical history taking, physical examination, and results from pulmonary function test. 2 Worldwide, the prevalence of COPD is 4-10% of all population. 3,4 The World Health Organization (WHO) has ranked COPD as the fourth leading cause of death.…”

Section: Introductionmentioning

confidence: 99%

“…6 The COPD is mostly accompanied by comorbidities that can impact patients' prognosis, change the effectiveness of COPD therapy, cause potentially dangerous therapeutic interactions and increase patients' expenses in treating the disease. 2,[7][8][9] The definition of comorbidity is the presence of one or more diseases or health conditions in an individual at a given time. 10 Comorbidity is different from complication.…”

Section: Introductionmentioning

confidence: 99%

Comorbidities of Chronic Obstructive Pulmonary Disease Patients at Respirology and Critical Care Outpatient Clinic Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

Suhendro¹,

Santoso²,

Riswari³

2017

amj

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Background: Chronic obstructive pulmonary disease (COPD) is a chronic disease that becomes one of the leading causes of death in the world. The COPD is usually accompanied by comorbidities that impact prognosis and increase patients' expenses. However, the comorbidities of COPD patients have not yet to be known in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. This study was aimed to determine the frequency, type and number of comorbidities accompanying COPD. Methods: This study was a retrospective, cross-sectional study at the respirology and critical care outpatient clinic of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia in 2012. Data were obtained from medical records of patients diagnosed with COPD and had an obstructive pulmonary function test result. Sampling technique in this study was total sampling. Data were classified by age, gender, smoking history and severity of disease and were analyzed to determine the frequency, type and number of comorbidities accompanying COPD. Results: Thirty eight COPD patients with obstructive pulmonary function test results were analyzed. It consists of 31 males and 7 females with age ranged between 43-82 years and median age of 64 years. Severe obstruction was found in 15 of 38 patients. Comorbidities were found in 26 patients, and 2 patients had up to four comorbidities. The most common comorbidity was hypertension (9 of 38). Conclusions:The majority of COPD patients had comorbidities and the most frequent comorbidity was hypertension. [AMJ. 2017;4(1):30-5]

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The economic burden of chronic obstructive pulmonary disease (COPD) in a U.S. Medicare population

Cited by 102 publications

References 18 publications

A Randomized Controlled Trial of a Literacy-Sensitive Self-Management Intervention for Chronic Obstructive Pulmonary Disease Patients

A Randomized Controlled Trial of a Literacy-Sensitive Self-Management Intervention for Chronic Obstructive Pulmonary Disease Patients

Early and Long-term Outcomes of Older Adults after Acute Care Encounters for Chronic Obstructive Pulmonary Disease Exacerbation

Comorbidities of Chronic Obstructive Pulmonary Disease Patients at Respirology and Critical Care Outpatient Clinic Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

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