Cargando…
Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system
Limited data exist on asthma and chronic obstructive pulmonary disease (COPD) management—major drivers of healthcare resource utilization (HCRU) in the USA. We describe prevalence and exacerbation rates, therapeutic interventions, and HCRU for asthma and/or COPD within a large, integrated healthcare...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9586654/ https://www.ncbi.nlm.nih.gov/pubmed/36304620 http://dx.doi.org/10.1080/08998280.2022.2096370 |
_version_ | 1784813731402743808 |
---|---|
author | Collinsworth, Ashley W. Masica, Andrew L. Kudyakov, Rustam Bayer, Valentina Millard, Mark W. Shaikh, Asif |
author_facet | Collinsworth, Ashley W. Masica, Andrew L. Kudyakov, Rustam Bayer, Valentina Millard, Mark W. Shaikh, Asif |
author_sort | Collinsworth, Ashley W. |
collection | PubMed |
description | Limited data exist on asthma and chronic obstructive pulmonary disease (COPD) management—major drivers of healthcare resource utilization (HCRU) in the USA. We describe prevalence and exacerbation rates, therapeutic interventions, and HCRU for asthma and/or COPD within a large, integrated healthcare system. Patients with asthma, COPD, and asthma + COPD were identified from retrospective electronic health record data (2016–2018) of >1.7 million patients. Descriptive analysis of disease prevalence and exacerbation frequencies, pharmacotherapies, and HCRU was performed. Time-to-event analysis of time to first exacerbation was performed in patients with asthma and/or COPD. Exacerbation rates, pharmacotherapies, and HCRU were examined by exploratory analysis in an outpatient subset. Overall, 149,086 unique patients (8.6%) had encounters for asthma, COPD, or asthma + COPD. Acute care utilization was high, including emergency department visits (asthma, 52.9%; COPD, 35.1%) and hospitalizations (asthma, 26.7%; COPD, 65.7%). Many patients were prescribed short-acting therapies (asthma, 45.3%; COPD, 40.0%; asthma + COPD, 54.7%). Prescription rates for maintenance therapies were low (17.1%, 20.8%, 31.7%) and annual exacerbation rates were 0.65, 0.80, and 1.33. This analysis showed a substantive prevalence of pulmonary disease, variability between documented prescriptions and pharmacotherapy guidelines, and high HCRU. Appropriate tailoring of pharmacotherapies and management of asthma and COPD over a continuum are opportunities to improve patient care. |
format | Online Article Text |
id | pubmed-9586654 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-95866542022-10-26 Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system Collinsworth, Ashley W. Masica, Andrew L. Kudyakov, Rustam Bayer, Valentina Millard, Mark W. Shaikh, Asif Proc (Bayl Univ Med Cent) Original Research Limited data exist on asthma and chronic obstructive pulmonary disease (COPD) management—major drivers of healthcare resource utilization (HCRU) in the USA. We describe prevalence and exacerbation rates, therapeutic interventions, and HCRU for asthma and/or COPD within a large, integrated healthcare system. Patients with asthma, COPD, and asthma + COPD were identified from retrospective electronic health record data (2016–2018) of >1.7 million patients. Descriptive analysis of disease prevalence and exacerbation frequencies, pharmacotherapies, and HCRU was performed. Time-to-event analysis of time to first exacerbation was performed in patients with asthma and/or COPD. Exacerbation rates, pharmacotherapies, and HCRU were examined by exploratory analysis in an outpatient subset. Overall, 149,086 unique patients (8.6%) had encounters for asthma, COPD, or asthma + COPD. Acute care utilization was high, including emergency department visits (asthma, 52.9%; COPD, 35.1%) and hospitalizations (asthma, 26.7%; COPD, 65.7%). Many patients were prescribed short-acting therapies (asthma, 45.3%; COPD, 40.0%; asthma + COPD, 54.7%). Prescription rates for maintenance therapies were low (17.1%, 20.8%, 31.7%) and annual exacerbation rates were 0.65, 0.80, and 1.33. This analysis showed a substantive prevalence of pulmonary disease, variability between documented prescriptions and pharmacotherapy guidelines, and high HCRU. Appropriate tailoring of pharmacotherapies and management of asthma and COPD over a continuum are opportunities to improve patient care. Taylor & Francis 2022-07-19 /pmc/articles/PMC9586654/ /pubmed/36304620 http://dx.doi.org/10.1080/08998280.2022.2096370 Text en Copyright © 2022 Baylor University Medical Center https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
spellingShingle | Original Research Collinsworth, Ashley W. Masica, Andrew L. Kudyakov, Rustam Bayer, Valentina Millard, Mark W. Shaikh, Asif Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
title | Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
title_full | Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
title_fullStr | Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
title_full_unstemmed | Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
title_short | Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
title_sort | retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9586654/ https://www.ncbi.nlm.nih.gov/pubmed/36304620 http://dx.doi.org/10.1080/08998280.2022.2096370 |
work_keys_str_mv | AT collinsworthashleyw retrospectiveobservationalstudyofasthmaandchronicobstructivepulmonarydiseaseprevalenceandassociatedhealthcareresourceutilizationinalargeintegratedhealthcaresystem AT masicaandrewl retrospectiveobservationalstudyofasthmaandchronicobstructivepulmonarydiseaseprevalenceandassociatedhealthcareresourceutilizationinalargeintegratedhealthcaresystem AT kudyakovrustam retrospectiveobservationalstudyofasthmaandchronicobstructivepulmonarydiseaseprevalenceandassociatedhealthcareresourceutilizationinalargeintegratedhealthcaresystem AT bayervalentina retrospectiveobservationalstudyofasthmaandchronicobstructivepulmonarydiseaseprevalenceandassociatedhealthcareresourceutilizationinalargeintegratedhealthcaresystem AT millardmarkw retrospectiveobservationalstudyofasthmaandchronicobstructivepulmonarydiseaseprevalenceandassociatedhealthcareresourceutilizationinalargeintegratedhealthcaresystem AT shaikhasif retrospectiveobservationalstudyofasthmaandchronicobstructivepulmonarydiseaseprevalenceandassociatedhealthcareresourceutilizationinalargeintegratedhealthcaresystem |