The costs of treating COPD in the United States

被引:183
作者
Strassels, SA
Smith, DH
Sullivan, SD
Mahajan, PS
机构
[1] Univ Washington, Dept Pharm, Seattle, WA 98195 USA
[2] Glaxo Wellcome Inc, Global Hlth Outcomes, Res Triangle Pk, NC 27709 USA
[3] Kaiser Permanente Ctr Hlth Res, Portland, OR USA
关键词
COPD; cost of illness; economics; National Medical Expenditure Survey;
D O I
10.1378/chest.119.2.344
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Study objectives: COPD affects millions of people in the United States, The purpose of this study was to describe the medical resource use and costs incurred by persons with COPD in the United States in 1987, Design: Data for this study were derived from the 1987 National Medical Expenditure Survey. A societal perspective was adopted for this analysis. Patients or participants: All persons greater than or equal to 40 years old with resource use or expenditures for chronic bronchitis, emphysema, or nonspecific chronic airway obstruction were included in this study. Results: Mean per-person direct medical expenditures among persons with COPD were $6,469 (1987 US dollars), about 25% of which was COPD related, Approximately, 68% of direct medical expenditures in persons with COPD were for inpatient hospitalization. Conclusions: COPD causes a large societal burden of illness that is expected to increase. This study provides a valuable foundation and historical measure against which to compare other estimates.
引用
收藏
页码:344 / 352
页数:9
相关论文
共 32 条
[1]  
ADAMS P, 1999, VITAL HLTH STAT, V10
[2]  
COHEN S, 1991, AHCPR PUBLICATION
[3]  
COLLINS JG, 1997, VITAL HLTH STAT, V10, P12
[4]  
EDWARDS W, 1989, NATL MED EXPENDITURE, V2, P1
[5]  
Freeman R A, 1976, Inquiry, V13, P15
[6]   Capitation, managed care, and chronic obstructive pulmonary disease [J].
Grasso, ME ;
Weller, WE ;
Shaffer, TJ ;
Diette, GB ;
Anderson, GF .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 158 (01) :133-138
[7]  
HAHN B, 1992, AHCPR PUBL
[8]   Persons with chronic conditions - Their prevalence and costs [J].
Hoffman, C ;
Rice, D ;
Sung, HY .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (18) :1473-1479
[9]  
HOYERT DL, 1999, NATL VITAL STAT REPO, V47, P5
[10]  
*INT CLASS DIS, 1998, CLIN MOD, P226