Comparing health status between patients with COPD in primary, secondary and tertiary care

Author:

de Klein Mieke M.,Peters Jeannette B.ORCID,van ’t Hul Alex J.,Akkermans Reinier P.,in ’t Veen Johannes C.,Vercoulen Jan H.,Bischoff Erik W.,Schermer Tjard R.ORCID

Abstract

AbstractIn this study, we compare health status between COPD patients treated in three different care levels in the Netherlands and assess determinants that influence their health status. We applied the Nijmegen Clinical Screening Instrument to measure eight health status subdomains in primary (n = 289), secondary (n = 184) and tertiary care (n = 433) COPD patient cohorts. Proportions of patients with severe problems in ≥3 subdomains are 47% in primary, 71% in secondary and 94% in tertiary care. Corrected for patient characteristics, differences between the care levels are statistically significant for nearly all health status subdomains. The pooled cohort data show female sex, age, FEV1 % predicted and BMI to be determinants of one or more subdomains. We conclude that the proportion of COPD patients with severe health status problems is substantial, not just in tertiary care but also in primary and secondary care. Use of detailed health status information may support patient-tailored COPD care.

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health,Pulmonary and Respiratory Medicine

Reference22 articles.

1. Catalfo, G. et al. Depression, body mass index, and chronic obstructive pulmonary disease - a holistic approach. Int. J. Chron. Obstruct. Pulmon. Dis. 11, 239–249 (2016).

2. Svedsater, H. et al. Life impact and treatment preferences of individuals with asthma and chronic obstructive pulmonary disease: results from qualitative interviews and focus groups. Adv. Ther. 34, 1466–1481 (2017).

3. Jones, G. L. Quality of life changes over time in patients with chronic obstructive pulmonary disease. Curr. Opin. Pulm. Med. 22, 125–129 (2016).

4. Peters, J. B. et al. Integral health status-based cluster analysis in moderate-severe COPD patients identifies three clinical phenotypes: relevant for treatment as usual and pulmonary rehabilitation. Int. J. Behav. Med. 24, 571–583 (2017).

5. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2019 report). https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf (2019). Accessed 12 Aug 2019.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3