COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.
Identifieur interne : 001499 ( Main/Exploration ); précédent : 001498; suivant : 001500COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.
Auteurs : Edwin K. Luk [Australie] ; Anastasia F. Hutchinson [Australie] ; Mark Tacey [Australie] ; Louis Irving [Australie] ; Fary Khan [Australie]Source :
- Lung [ 1432-1750 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Broncho-pneumopathie chronique obstructive (diagnostic), Broncho-pneumopathie chronique obstructive (mortalité), Broncho-pneumopathie chronique obstructive (physiopathologie), Broncho-pneumopathie chronique obstructive (thérapie), Facteurs de risque (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Prestation intégrée de soins de santé (tendances), Ressources en santé (statistiques et données numériques), Ressources en santé (tendances), Réadmission du patient (tendances), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Thérapie respiratoire (statistiques et données numériques), Thérapie respiratoire (tendances), Équipe soignante (tendances), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Broncho-pneumopathie chronique obstructive.
- mortalité : Broncho-pneumopathie chronique obstructive.
- physiopathologie : Broncho-pneumopathie chronique obstructive.
- statistiques et données numériques : Ressources en santé, Thérapie respiratoire.
- tendances : Prestation intégrée de soins de santé, Ressources en santé, Réadmission du patient, Thérapie respiratoire, Équipe soignante.
- thérapie : Broncho-pneumopathie chronique obstructive.
- Adulte d'âge moyen, Facteurs de risque, Facteurs temps, Femelle, Humains, Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Delivery of Health Care, Integrated (trends), Female (MeSH), Health Resources (statistics & numerical data), Health Resources (trends), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Care Team (trends), Patient Readmission (trends), Process Assessment, Health Care (trends), Pulmonary Disease, Chronic Obstructive (diagnosis), Pulmonary Disease, Chronic Obstructive (mortality), Pulmonary Disease, Chronic Obstructive (physiopathology), Pulmonary Disease, Chronic Obstructive (therapy), Respiratory Therapy (statistics & numerical data), Respiratory Therapy (trends), Retrospective Studies (MeSH), Risk Factors (MeSH), Time Factors (MeSH), Treatment Outcome (MeSH).
- MESH :
- diagnosis : Pulmonary Disease, Chronic Obstructive.
- mortality : Pulmonary Disease, Chronic Obstructive.
- physiopathology : Pulmonary Disease, Chronic Obstructive.
- statistics & numerical data : Health Resources, Respiratory Therapy.
- therapy : Pulmonary Disease, Chronic Obstructive.
- trends : Delivery of Health Care, Integrated, Health Resources, Patient Care Team, Patient Readmission, Process Assessment, Health Care, Respiratory Therapy.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome.
Abstract
PURPOSE
The management of COPD is a significant and costly issue worldwide, with acute healthcare utilisation consisting of admissions and outpatient attendances being a major contributor to the cost. Pulmonary rehabilitation (PR) and integrated disease management (IDM) are often offered. Whilst there is strong evidence of physical and quality of life outcomes following IDM and PR, few studies have looked into healthcare utilisation. The aims of this study were to confirm whether IDM and PR reduce acute healthcare utilisation and to identify factors which contribute to acute health care utilisation or increased mortality.
METHODS
This was a retrospective cohort study of patients with COPD who were referred to IDM over a 10-year period. Patients were also offered an 8-week PR program. Data collected were matched with the hospital dataset to obtain information on inpatient, ED and outpatient attendances.
RESULTS
517 patients were enrolled to IDM. 315 (61%) also commenced PR and 220 (43%) completed PR. Patients who were referred to PR were younger and had less comorbidities (p < 0.001). Both groups (IDM only and IDM + PR referred) had reductions in healthcare utilisation but the IDM-only group had greater reductions. A survival benefit (HR 0.68, 95% CI 0.50-0.92) was seen in those who were PR completers compared to patients who received IDM only.
CONCLUSIONS
Patients with COPD who successfully complete PR in addition to participating in IDM have improved survival. IDM alone was effective in the reduction of healthcare utilisation; however, the addition of PR did not reduce healthcare usage further.
DOI: 10.1007/s00408-017-0010-9
PubMed: 28474109
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Delivery of Health Care, Integrated (trends)</term>
<term>Female (MeSH)</term>
<term>Health Resources (statistics & numerical data)</term>
<term>Health Resources (trends)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Care Team (trends)</term>
<term>Patient Readmission (trends)</term>
<term>Process Assessment, Health Care (trends)</term>
<term>Pulmonary Disease, Chronic Obstructive (diagnosis)</term>
<term>Pulmonary Disease, Chronic Obstructive (mortality)</term>
<term>Pulmonary Disease, Chronic Obstructive (physiopathology)</term>
<term>Pulmonary Disease, Chronic Obstructive (therapy)</term>
<term>Respiratory Therapy (statistics & numerical data)</term>
<term>Respiratory Therapy (trends)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Broncho-pneumopathie chronique obstructive (diagnostic)</term>
<term>Broncho-pneumopathie chronique obstructive (mortalité)</term>
<term>Broncho-pneumopathie chronique obstructive (physiopathologie)</term>
<term>Broncho-pneumopathie chronique obstructive (thérapie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Prestation intégrée de soins de santé (tendances)</term>
<term>Ressources en santé (statistiques et données numériques)</term>
<term>Ressources en santé (tendances)</term>
<term>Réadmission du patient (tendances)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Thérapie respiratoire (statistiques et données numériques)</term>
<term>Thérapie respiratoire (tendances)</term>
<term>Équipe soignante (tendances)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Resources</term>
<term>Respiratory Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Ressources en santé</term>
<term>Thérapie respiratoire</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Prestation intégrée de soins de santé</term>
<term>Ressources en santé</term>
<term>Réadmission du patient</term>
<term>Thérapie respiratoire</term>
<term>Équipe soignante</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Broncho-pneumopathie chronique obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Delivery of Health Care, Integrated</term>
<term>Health Resources</term>
<term>Patient Care Team</term>
<term>Patient Readmission</term>
<term>Process Assessment, Health Care</term>
<term>Respiratory Therapy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études rétrospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>The management of COPD is a significant and costly issue worldwide, with acute healthcare utilisation consisting of admissions and outpatient attendances being a major contributor to the cost. Pulmonary rehabilitation (PR) and integrated disease management (IDM) are often offered. Whilst there is strong evidence of physical and quality of life outcomes following IDM and PR, few studies have looked into healthcare utilisation. The aims of this study were to confirm whether IDM and PR reduce acute healthcare utilisation and to identify factors which contribute to acute health care utilisation or increased mortality.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This was a retrospective cohort study of patients with COPD who were referred to IDM over a 10-year period. Patients were also offered an 8-week PR program. Data collected were matched with the hospital dataset to obtain information on inpatient, ED and outpatient attendances.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>517 patients were enrolled to IDM. 315 (61%) also commenced PR and 220 (43%) completed PR. Patients who were referred to PR were younger and had less comorbidities (p < 0.001). Both groups (IDM only and IDM + PR referred) had reductions in healthcare utilisation but the IDM-only group had greater reductions. A survival benefit (HR 0.68, 95% CI 0.50-0.92) was seen in those who were PR completers compared to patients who received IDM only.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Patients with COPD who successfully complete PR in addition to participating in IDM have improved survival. IDM alone was effective in the reduction of healthcare utilisation; however, the addition of PR did not reduce healthcare usage further.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2018</Year>
<Month>05</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>195</Volume>
<Issue>4</Issue>
<PubDate><Year>2017</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>Lung</Title>
<ISOAbbreviation>Lung</ISOAbbreviation>
</Journal>
<ArticleTitle>COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.</ArticleTitle>
<Pagination><MedlinePgn>455-461</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00408-017-0010-9</ELocationID>
<Abstract><AbstractText Label="PURPOSE">The management of COPD is a significant and costly issue worldwide, with acute healthcare utilisation consisting of admissions and outpatient attendances being a major contributor to the cost. Pulmonary rehabilitation (PR) and integrated disease management (IDM) are often offered. Whilst there is strong evidence of physical and quality of life outcomes following IDM and PR, few studies have looked into healthcare utilisation. The aims of this study were to confirm whether IDM and PR reduce acute healthcare utilisation and to identify factors which contribute to acute health care utilisation or increased mortality.</AbstractText>
<AbstractText Label="METHODS">This was a retrospective cohort study of patients with COPD who were referred to IDM over a 10-year period. Patients were also offered an 8-week PR program. Data collected were matched with the hospital dataset to obtain information on inpatient, ED and outpatient attendances.</AbstractText>
<AbstractText Label="RESULTS">517 patients were enrolled to IDM. 315 (61%) also commenced PR and 220 (43%) completed PR. Patients who were referred to PR were younger and had less comorbidities (p < 0.001). Both groups (IDM only and IDM + PR referred) had reductions in healthcare utilisation but the IDM-only group had greater reductions. A survival benefit (HR 0.68, 95% CI 0.50-0.92) was seen in those who were PR completers compared to patients who received IDM only.</AbstractText>
<AbstractText Label="CONCLUSIONS">Patients with COPD who successfully complete PR in addition to participating in IDM have improved survival. IDM alone was effective in the reduction of healthcare utilisation; however, the addition of PR did not reduce healthcare usage further.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Luk</LastName>
<ForeName>Edwin K</ForeName>
<Initials>EK</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052, Australia. edwin.luk@mh.org.au.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia. edwin.luk@mh.org.au.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hutchinson</LastName>
<ForeName>Anastasia F</ForeName>
<Initials>AF</Initials>
<AffiliationInfo><Affiliation>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>School of Nursing and Midwifery, Quality Patient Safety Research, Deakin University, Geelong, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tacey</LastName>
<ForeName>Mark</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Melbourne EpiCentre, Royal Melbourne Hospital, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Clayton, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Irving</LastName>
<ForeName>Louis</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Khan</LastName>
<ForeName>Fary</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>School of Public Health and Preventative Medicine, Monash University, Clayton, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>05</Month>
<Day>04</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Lung</MedlineTA>
<NlmUniqueID>7701875</NlmUniqueID>
<ISSNLinking>0341-2040</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019033" MajorTopicYN="N">Delivery of Health Care, Integrated</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006295" MajorTopicYN="N">Health Resources</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010348" MajorTopicYN="N">Patient Care Team</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010359" MajorTopicYN="N">Patient Readmission</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017064" MajorTopicYN="N">Process Assessment, Health Care</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012138" MajorTopicYN="N">Respiratory Therapy</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Disease management</Keyword>
<Keyword MajorTopicYN="Y">Hospitalisation</Keyword>
<Keyword MajorTopicYN="Y">Pulmonary disease, chronic obstructive</Keyword>
<Keyword MajorTopicYN="Y">Readmission</Keyword>
<Keyword MajorTopicYN="Y">Rehabilitation</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year>
<Month>12</Month>
<Day>29</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
<Month>04</Month>
<Day>24</Day>
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<PubMedPubDate PubStatus="pubmed"><Year>2017</Year>
<Month>5</Month>
<Day>6</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2018</Year>
<Month>5</Month>
<Day>8</Day>
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<PubMedPubDate PubStatus="entrez"><Year>2017</Year>
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<affiliations><list><country><li>Australie</li>
</country>
<region><li>Victoria (État)</li>
</region>
<settlement><li>Melbourne</li>
</settlement>
<orgName><li>Université de Melbourne</li>
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<tree><country name="Australie"><noRegion><name sortKey="Luk, Edwin K" sort="Luk, Edwin K" uniqKey="Luk E" first="Edwin K" last="Luk">Edwin K. Luk</name>
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<name sortKey="Hutchinson, Anastasia F" sort="Hutchinson, Anastasia F" uniqKey="Hutchinson A" first="Anastasia F" last="Hutchinson">Anastasia F. Hutchinson</name>
<name sortKey="Hutchinson, Anastasia F" sort="Hutchinson, Anastasia F" uniqKey="Hutchinson A" first="Anastasia F" last="Hutchinson">Anastasia F. Hutchinson</name>
<name sortKey="Irving, Louis" sort="Irving, Louis" uniqKey="Irving L" first="Louis" last="Irving">Louis Irving</name>
<name sortKey="Irving, Louis" sort="Irving, Louis" uniqKey="Irving L" first="Louis" last="Irving">Louis Irving</name>
<name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
<name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
<name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
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<name sortKey="Tacey, Mark" sort="Tacey, Mark" uniqKey="Tacey M" first="Mark" last="Tacey">Mark Tacey</name>
<name sortKey="Tacey, Mark" sort="Tacey, Mark" uniqKey="Tacey M" first="Mark" last="Tacey">Mark Tacey</name>
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