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ABSTRACT: Purpose
This study aimed to measure the true burden of COPD by calculating incremental direct and indirect costs. Direct medical resource use, productivity metrics, and COPD-specific resource use and costs were also evaluated.Patients and methods
This was a retrospective, observational, matched cohort study using administrative claims data from the Truven Health MarketScan® Commercial Claims and Encounters and the Health and Productivity Management databases (2007-2010). Working-age (18-65 years) patients with COPD were identified as having at least one hospitalization or one emergency department visit or two outpatient visits. Patients in the non-COPD cohort did not have a diagnosis of COPD during the study period. Outcomes were evaluated in the first full calendar year after the year of identification (index).Results
Of the 5,701 patients with COPD identified, 3.6% patients were frequent exacerbators (?2), 10.4% patients were infrequent exacerbators (1), and 86% patients were non-exacerbators (0). When compared with the 17,103 patients without COPD, the incremental direct cost of COPD was estimated at $6,246/patient/year (95% confidence interval: $4,620, $8,623; P<0.001). Loss in productivity was significantly greater in patients with COPD, with an average of 5 more days/year of absence from work and incremental indirect costs from short-term disability of $641 (P<0.001). Direct costs for frequent exacerbators ($17,651/year) and infrequent exacerbators ($14,501/year) were significantly higher than those for non-exacerbators ($11,395, P<0.001).Conclusion
Working-age patients with COPD incur statistically significantly higher direct and indirect costs and use more resources compared with those who do not have COPD.
SUBMITTER: Patel JG
PROVIDER: S-EPMC6072680 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
Patel Jeetvan G JG Coutinho Anna D AD Lunacsek Orsolya E OE Dalal Anand A AA
International journal of chronic obstructive pulmonary disease 20180730
<h4>Purpose</h4>This study aimed to measure the true burden of COPD by calculating incremental direct and indirect costs. Direct medical resource use, productivity metrics, and COPD-specific resource use and costs were also evaluated.<h4>Patients and methods</h4>This was a retrospective, observational, matched cohort study using administrative claims data from the Truven Health MarketScan<sup>®</sup> Commercial Claims and Encounters and the Health and Productivity Management databases (2007-2010 ...[more]