PoplarV1, Main, Exploration, bibRecord, 001499

COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.

Identifieur interne : 001499 ( Main/Exploration ); précédent : 001498; suivant : 001500

COPD: 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.

RBID : pubmed:28474109

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...)

to stream Main, to step Corpus: 001331
to stream Main, to step Curation: 001331

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.</title>
<author><name sortKey="Luk, Edwin K" sort="Luk, Edwin K" uniqKey="Luk E" first="Edwin K" last="Luk">Edwin K. Luk</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052, Australia. edwin.luk@mh.org.au.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052</wicri:regionArea>
<wicri:noRegion>3052</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia. edwin.luk@mh.org.au.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hutchinson, Anastasia F" sort="Hutchinson, Anastasia F" uniqKey="Hutchinson A" first="Anastasia F" last="Hutchinson">Anastasia F. Hutchinson</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Quality Patient Safety Research, Deakin University, Geelong, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Nursing and Midwifery, Quality Patient Safety Research, Deakin University, Geelong, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tacey, Mark" sort="Tacey, Mark" uniqKey="Tacey M" first="Mark" last="Tacey">Mark Tacey</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Melbourne EpiCentre, Royal Melbourne Hospital, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne EpiCentre, Royal Melbourne Hospital, Parkville, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Clayton, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Epidemiology and Preventive Medicine, Monash University, Clayton, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Irving, Louis" sort="Irving, Louis" uniqKey="Irving L" first="Louis" last="Irving">Louis Irving</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052</wicri:regionArea>
<wicri:noRegion>3052</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>School of Public Health and Preventative Medicine, Monash University, Clayton, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Public Health and Preventative Medicine, Monash University, Clayton, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2017">2017</date>
<idno type="RBID">pubmed:28474109</idno>
<idno type="pmid">28474109</idno>
<idno type="doi">10.1007/s00408-017-0010-9</idno>
<idno type="wicri:Area/Main/Corpus">001331</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001331</idno>
<idno type="wicri:Area/Main/Curation">001331</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001331</idno>
<idno type="wicri:Area/Main/Exploration">001331</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.</title>
<author><name sortKey="Luk, Edwin K" sort="Luk, Edwin K" uniqKey="Luk E" first="Edwin K" last="Luk">Edwin K. Luk</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052, Australia. edwin.luk@mh.org.au.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052</wicri:regionArea>
<wicri:noRegion>3052</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia. edwin.luk@mh.org.au.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hutchinson, Anastasia F" sort="Hutchinson, Anastasia F" uniqKey="Hutchinson A" first="Anastasia F" last="Hutchinson">Anastasia F. Hutchinson</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Quality Patient Safety Research, Deakin University, Geelong, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Nursing and Midwifery, Quality Patient Safety Research, Deakin University, Geelong, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tacey, Mark" sort="Tacey, Mark" uniqKey="Tacey M" first="Mark" last="Tacey">Mark Tacey</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Melbourne EpiCentre, Royal Melbourne Hospital, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Melbourne EpiCentre, Royal Melbourne Hospital, Parkville, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Clayton, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Epidemiology and Preventive Medicine, Monash University, Clayton, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Irving, Louis" sort="Irving, Louis" uniqKey="Irving L" first="Louis" last="Irving">Louis Irving</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Respiratory Medicine & Sleep Disorders, Royal Melbourne Hospital, Parkville, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Rehabilitation, Royal Melbourne Hospital, Royal Park Campus 34 Poplar Road, Parkville, VIC, 3052</wicri:regionArea>
<wicri:noRegion>3052</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>School of Public Health and Preventative Medicine, Monash University, Clayton, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Public Health and Preventative Medicine, Monash University, Clayton, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Lung</title>
<idno type="eISSN">1432-1750</idno>
<imprint><date when="2017" type="published">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<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>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28474109</PMID>
<DateCompleted><Year>2018</Year>
<Month>05</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1750</ISSN>
<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>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
<Month>04</Month>
<Day>24</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2017</Year>
<Month>5</Month>
<Day>6</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2018</Year>
<Month>5</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2017</Year>
<Month>5</Month>
<Day>6</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">28474109</ArticleId>
<ArticleId IdType="doi">10.1007/s00408-017-0010-9</ArticleId>
<ArticleId IdType="pii">10.1007/s00408-017-0010-9</ArticleId>
</ArticleIdList>
<ReferenceList><Reference><Citation>Respir Med. 2014 Dec;108(12):1794-800</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25294691</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Lancet. 2000 Jan 29;355(9201):362-8</Citation>
<ArticleIdList><ArticleId IdType="pubmed">10665556</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Cardiopulm Rehabil. 2004 Jan-Feb;24(1):52-62</Citation>
<ArticleIdList><ArticleId IdType="pubmed">14758104</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Cochrane Database Syst Rev. 2013 Oct 10;(10):CD009437</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24108523</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Clin Chest Med. 2007 Sep;28(3):617-28, vii</Citation>
<ArticleIdList><ArticleId IdType="pubmed">17720048</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Respirology. 2015 Apr;20(3):357-8</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25678218</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>BMJ. 2014 Sep 19;349:g5675</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25239134</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Med Care. 2009 Jun;47(6):626-33</Citation>
<ArticleIdList><ArticleId IdType="pubmed">19433995</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Respir Res. 2011 Jan 13;12:7</Citation>
<ArticleIdList><ArticleId IdType="pubmed">21232087</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Chest. 2001 Feb;119(2):364-9</Citation>
<ArticleIdList><ArticleId IdType="pubmed">11171710</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Aust N Z J Med. 1999 Oct;29(5):718-25</Citation>
<ArticleIdList><ArticleId IdType="pubmed">10630654</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>COPD. 2004 Apr;1(1):105-41; discussion 103-4</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16997745</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Am J Respir Crit Care Med. 2010 Oct 1;182(7):890-6</Citation>
<ArticleIdList><ArticleId IdType="pubmed">20075385</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Physiotherapy. 2011 Dec;97(4):284-90</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22051584</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Thorax. 2008 Mar;63(3):194-200</Citation>
<ArticleIdList><ArticleId IdType="pubmed">17901162</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Australie</li>
</country>
<region><li>Victoria (État)</li>
</region>
<settlement><li>Melbourne</li>
</settlement>
<orgName><li>Université de Melbourne</li>
</orgName>
</list>
<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>
</noRegion>
<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>
<name sortKey="Luk, Edwin K" sort="Luk, Edwin K" uniqKey="Luk E" first="Edwin K" last="Luk">Edwin K. Luk</name>
<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>
<name sortKey="Tacey, Mark" sort="Tacey, Mark" uniqKey="Tacey M" first="Mark" last="Tacey">Mark Tacey</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Bois/explor/PoplarV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001499 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001499 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Bois
   |area=    PoplarV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:28474109
   |texte=   COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:28474109" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a PoplarV1

This area was generated with Dilib version V0.6.37.
Data generation: Wed Nov 18 12:07:19 2020. Site generation: Wed Nov 18 12:16:31 2020

	Serveur d'exploration sur le peuplier
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur le peuplier

COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.

COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki