Patient Characteristics and Healthcare Resource Utilization Among Patients with COPD New to LAMA/LABA Fixed-Dose Combination Treatment in US-Based Real-World Practice.
Administration, Inhalation
Adrenal Cortex Hormones
/ therapeutic use
Adrenergic beta-2 Receptor Agonists
/ therapeutic use
Aged
Bronchodilator Agents
/ therapeutic use
Delivery of Health Care
Female
Humans
Male
Muscarinic Antagonists
/ therapeutic use
Pulmonary Disease, Chronic Obstructive
/ drug therapy
Retrospective Studies
Treatment Outcome
cost
demographic characteristics
disease characteristics
muscarinic antagonist
β2-agonist
Journal
International journal of chronic obstructive pulmonary disease
ISSN: 1178-2005
Titre abrégé: Int J Chron Obstruct Pulmon Dis
Pays: New Zealand
ID NLM: 101273481
Informations de publication
Date de publication:
2020
2020
Historique:
received:
16
11
2019
accepted:
21
03
2020
entrez:
30
4
2020
pubmed:
30
4
2020
medline:
29
6
2021
Statut:
epublish
Résumé
This retrospective, observational cohort study utilized an integrated dataset from an electronic health records system and a claims database to describe demographic and clinical characteristics, healthcare resource utilization (HCRU), and treatment patterns in COPD patients initiating long-acting muscarinic antagonist (LAMA)/long-acting β Patients were aged ≥40 years and had a COPD diagnosis (Practice Fusion system) and ≥1 prescription of LAMA/LABA FDC therapy, with an index date (first prescription) 1 May 2014-31 December 2017. For the HCRU analysis, patients had ≥2 claims from the Symphony Health database within 12 months before index. All analyses of outcomes relating to demographic and clinical characteristics, HCRU, and treatment patterns were descriptive. Patients initiating LAMA/LABA FDCs (n=8224) had a mean age of 67.9 years, 52.8% were female, and mean BMI was 29.2 kg/m This observational study is the first to describe the real-world demographic and clinical characteristics and HCRU of patients initiating LAMA/LABA FDC treatment in the USA. Patients were generally elderly and overweight, with comorbidities of CVD, hypertension, and hyperlipidemia. Inpatient visits were the largest contributor to COPD-related costs per patient in the year prior to initiation of LAMA/LABA FDCs.
Identifiants
pubmed: 32346288
doi: 10.2147/COPD.S238408
pii: 238408
pmc: PMC7169942
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Adrenergic beta-2 Receptor Agonists
0
Bronchodilator Agents
0
Muscarinic Antagonists
0
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
775-786Informations de copyright
© 2020 Ding et al.
Déclaration de conflit d'intérêts
BD and DG are employees of AstraZeneca. DG holds AstraZeneca stock and/or stock options. LK, LS, AW, and DO are employees of Practice Fusion. The authors report no other conflicts of interest in this work.
Références
Int J Chron Obstruct Pulmon Dis. 2018 Sep 26;13:2969-2984
pubmed: 30310273
J Clin Epidemiol. 1992 Jun;45(6):613-9
pubmed: 1607900
Can J Hosp Pharm. 2012 Mar;65(2):111-8
pubmed: 22529403
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
Am J Respir Crit Care Med. 2015 Nov 1;192(9):1068-79
pubmed: 26177074
J Manag Care Spec Pharm. 2016 Mar;22(3):293-304
pubmed: 27003559
JAMA. 2018 Apr 10;319(14):1444-1472
pubmed: 29634829
Allergy Asthma Immunol Res. 2012 Jul;4(4):184-91
pubmed: 22754711
Int J Chron Obstruct Pulmon Dis. 2019 Feb 19;14:343-352
pubmed: 30863037
Chron Respir Dis. 2016 Feb;13(1):13-22
pubmed: 26396159
Am J Respir Crit Care Med. 2001 Apr;163(5):1256-76
pubmed: 11316667
Lancet. 2018 Nov 10;392(10159):1736-1788
pubmed: 30496103
Respir Med. 2017 Oct;131:77-84
pubmed: 28947047
Int J Chron Obstruct Pulmon Dis. 2016 Dec 21;12:59-71
pubmed: 28053517
Chest. 2005 Jan;127(1):335-71
pubmed: 15654001
Eur Respir J. 1999 Nov;14(5):1034-7
pubmed: 10596686
Eur Respir J. 2015 Apr;45(4):969-79
pubmed: 25573406
Ann Intern Med. 2015 Sep 15;163(6):461-4
pubmed: 26259067
Chest. 2015 Jan;147(1):31-45
pubmed: 25058738
Lancet Respir Med. 2017 Sep;5(9):691-706
pubmed: 28822787
Chest. 2017 Feb;151(2):340-357
pubmed: 27916620
Respir Med. 2013 Oct;107(10):1538-46
pubmed: 23830094
Respir Med. 2018 Oct;143:1-7
pubmed: 30261979
Pharmacotherapy. 2017 Apr;37(4):447-455
pubmed: 28226405
Respir Care. 2008 Mar;53(3):324-8
pubmed: 18291048