Evidence map›Paper›PMID 19281084›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2008

Determinants and predictors of the cost of COPD in primary care: a Spanish perspective.

Javier de Miguel Diez, Pilar Carrasco Garrido, Marta García Carballo, Angel Gil de Miguel, Javier Rejas Gutierrez, José M Bellón Cano, Valentín Hernández Barrera, Rodrigo Jimenez García

Abstract readMulticenter Study
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Burden of Disease Among Exacerbating Patients with COPD Treated with Triple Therapy in Spain.International journal of chronic obstructive pulmonary disease · 2021
    Observational
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Impact of lung function on exacerbations, health care utilization, and costs among patients with COPD.International journal of chronic obstructive pulmonary disease · 2016
    Observational
  11. Article
  12. Article
  13. Observational
  14. Budgetary impact analysis on funding smoking-cessation drugs in patients with COPD in Spain.International journal of chronic obstructive pulmonary disease · 2015
    Article
  15. Observational
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Javier de Miguel DiezDepartment of Pneumology, University Hospital Gregorio Marañón, Madrid, Spain. jmiguel.hgugm@salud.madrid.org
Pilar Carrasco Garrido
Marta García Carballo
Angel Gil de Miguel
Javier Rejas Gutierrez
José M Bellón Cano
Valentín Hernández Barrera
Rodrigo Jimenez García

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives1) To estimate the annual cost of patients with stable chronic obstructive pulmonary disease (COPD) followed in primary care in Spain; 2) To analyze the possible cost predictor variables. PATIENTS AND

methodsA multicenter, epidemiological, observational, descriptive study. Sociodemographic data, severity of disease, associated comorbidity, treatment followed by patients, quality of life (SF-12 questionnaire), health care resource utilization in the previous 12 months and duration of working disability due to COPD were collected.

resultsA total of 10,711 patients (75.6% men; 24.4% women) with a mean age of 67.1 +/- 9.66 years were evaluated. The mean forced expiratory volume in one second (FEV1) value was 57.4 +/- 13.4%. The total cost per patient per year was Euro1,922.60 +/- 2,306.44. The largest component of this cost was hospitalization (Euro788.72 +/- 1,766.65), followed by cost of drugs (Euro492.87 +/- 412.15) and visits to emergency rooms (Euro134.32 +/- 195.44). Linear regression analysis found associated heart disease, FEV1, physical component of quality of life, number of medical visits (primary care physician, pneumologist and emergency room), hospital admissions (frequency and duration of stay) and duration of working disability to be significant predictors of the total annual cost.

conclusionsThe total annual cost of a COPD patient followed in primary care in Spain was considered high in this study. The presence of associated heart disease, severity of airflow obstruction, physical component of quality of life, health care resource utilization and duration of work disability were found to be predictor of cost.

Indexed as

Health Care CostsAdultAgedDisability EvaluationDrug CostsEmergency Service, HospitalFemaleForced Expiratory VolumeHealth ServicesHeart DiseasesHospitalizationHumansLength of StayLinear ModelsMaleMiddle Aged

Identifiers

PMID19281084
PMCPMC2650614

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.