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Continuing to Confront COPD International Patient Survey: Economic Impact of COPD in 12 Countries.

Foo J, Landis SH, Maskell J, Oh YM, van der Molen T, Han MK, Mannino DM, Ichinose M, Punekar Y - PLoS ONE (2016)

Bottom Line: Indirect costs were calculated from work loss values using the Work Productivity and Activity Impairment scale.Combined direct and indirect costs estimated the total societal costs per patient.The annual direct costs of COPD ranged from $504 (South Korea) to $9,981 (USA), with inpatient hospitalisations (5 countries) and home oxygen therapy (3 countries) being the key drivers of direct costs.

View Article: PubMed Central - PubMed

Affiliation: Health Outcomes, GlaxoSmithKline, Uxbridge, United Kingdom.

ABSTRACT

Background: The Continuing to Confront COPD International Patient Survey estimated the prevalence and burden of COPD across 12 countries. Using data from this survey we evaluated the economic impact of COPD.

Methods: This cross-sectional, population-based survey questioned 4,343 subjects aged 40 years and older, fulfilling a case definition of COPD based on self-reported physician diagnosis or symptomatology. Direct cost measures were based on exacerbations of COPD (treated and those requiring emergency department visits and/or hospitalisation), contacts with healthcare professionals, and COPD medications. Indirect costs were calculated from work loss values using the Work Productivity and Activity Impairment scale. Combined direct and indirect costs estimated the total societal costs per patient.

Results: The annual direct costs of COPD ranged from $504 (South Korea) to $9,981 (USA), with inpatient hospitalisations (5 countries) and home oxygen therapy (3 countries) being the key drivers of direct costs. The proportion of patients completely prevented from working due to their COPD ranged from 6% (Italy) to 52% (USA and UK) with 8 countries reporting this to be ≥20%. Total societal costs per patient varied widely from $1,721 (Russia) to $30,826 (USA) but a consistent pattern across countries showed greater costs among those with increased burden of COPD (symptoms, health status and more severe disease) and a greater number of comorbidities.

Conclusions: The economic burden of COPD is considerable across countries, and requires targeted resources to optimise COPD management encompassing the control of symptoms, prevention of exacerbations and effective treatment of comorbidities. Strategies to allow COPD patients to remain in work are important for addressing the substantial wider societal costs.

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Related in: MedlinePlus

Annual societal costs per patient of COPD in each country (using exchange rates): Continuing to Confront COPD International Patient Survey, 2012–13.Abbreviations: USA, United States of America, UK, United Kingdom, NL, Netherlands; SK, South Korea
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pone.0152618.g002: Annual societal costs per patient of COPD in each country (using exchange rates): Continuing to Confront COPD International Patient Survey, 2012–13.Abbreviations: USA, United States of America, UK, United Kingdom, NL, Netherlands; SK, South Korea

Mentions: The proportion of working age patients completely prevented from working due to their COPD ranged from 6% to 52% across countries with the highest proportions reported in the UK and the USA (52%) and the lowest (≤10%) reported in Italy, Russia and Japan (S1 Fig). Patients reporting a limited ability to work ranged from 11% (Brazil and the Netherlands) to 28% (Germany), with the majority of countries falling within the range 11% to 19% (S1 Fig). The annual indirect cost of COPD ranged from $979 (Russia) to $20,844 (the USA) (Fig 2). Indirect costs calculated using the friction cost method were around a quarter of those calculated using the human capital approach (Table D in S1 Supporting information).


Continuing to Confront COPD International Patient Survey: Economic Impact of COPD in 12 Countries.

Foo J, Landis SH, Maskell J, Oh YM, van der Molen T, Han MK, Mannino DM, Ichinose M, Punekar Y - PLoS ONE (2016)

Annual societal costs per patient of COPD in each country (using exchange rates): Continuing to Confront COPD International Patient Survey, 2012–13.Abbreviations: USA, United States of America, UK, United Kingdom, NL, Netherlands; SK, South Korea
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4836731&req=5

pone.0152618.g002: Annual societal costs per patient of COPD in each country (using exchange rates): Continuing to Confront COPD International Patient Survey, 2012–13.Abbreviations: USA, United States of America, UK, United Kingdom, NL, Netherlands; SK, South Korea
Mentions: The proportion of working age patients completely prevented from working due to their COPD ranged from 6% to 52% across countries with the highest proportions reported in the UK and the USA (52%) and the lowest (≤10%) reported in Italy, Russia and Japan (S1 Fig). Patients reporting a limited ability to work ranged from 11% (Brazil and the Netherlands) to 28% (Germany), with the majority of countries falling within the range 11% to 19% (S1 Fig). The annual indirect cost of COPD ranged from $979 (Russia) to $20,844 (the USA) (Fig 2). Indirect costs calculated using the friction cost method were around a quarter of those calculated using the human capital approach (Table D in S1 Supporting information).

Bottom Line: Indirect costs were calculated from work loss values using the Work Productivity and Activity Impairment scale.Combined direct and indirect costs estimated the total societal costs per patient.The annual direct costs of COPD ranged from $504 (South Korea) to $9,981 (USA), with inpatient hospitalisations (5 countries) and home oxygen therapy (3 countries) being the key drivers of direct costs.

View Article: PubMed Central - PubMed

Affiliation: Health Outcomes, GlaxoSmithKline, Uxbridge, United Kingdom.

ABSTRACT

Background: The Continuing to Confront COPD International Patient Survey estimated the prevalence and burden of COPD across 12 countries. Using data from this survey we evaluated the economic impact of COPD.

Methods: This cross-sectional, population-based survey questioned 4,343 subjects aged 40 years and older, fulfilling a case definition of COPD based on self-reported physician diagnosis or symptomatology. Direct cost measures were based on exacerbations of COPD (treated and those requiring emergency department visits and/or hospitalisation), contacts with healthcare professionals, and COPD medications. Indirect costs were calculated from work loss values using the Work Productivity and Activity Impairment scale. Combined direct and indirect costs estimated the total societal costs per patient.

Results: The annual direct costs of COPD ranged from $504 (South Korea) to $9,981 (USA), with inpatient hospitalisations (5 countries) and home oxygen therapy (3 countries) being the key drivers of direct costs. The proportion of patients completely prevented from working due to their COPD ranged from 6% (Italy) to 52% (USA and UK) with 8 countries reporting this to be ≥20%. Total societal costs per patient varied widely from $1,721 (Russia) to $30,826 (USA) but a consistent pattern across countries showed greater costs among those with increased burden of COPD (symptoms, health status and more severe disease) and a greater number of comorbidities.

Conclusions: The economic burden of COPD is considerable across countries, and requires targeted resources to optimise COPD management encompassing the control of symptoms, prevention of exacerbations and effective treatment of comorbidities. Strategies to allow COPD patients to remain in work are important for addressing the substantial wider societal costs.

Show MeSH
Related in: MedlinePlus