ArticleInternational journal of chronic obstructive pulmonary disease2011
Geographic disparities in chronic obstructive pulmonary disease (COPD) hospitalization among Medicare beneficiaries in the United States.
Article in International journal of chronic obstructive pulmonary disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- A systematic review of the magnitude and cause of geographic variation in unplanned hospital admission rates and length of stay for ambulatory care sensitive conditions.BMC health services research · 2015Pooled it
- Census Tract Variability in COPD Emergency Department, Hospitalization, and Readmission Rates in Travis County, Texas.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2026Article
- Guideline-discordant inhaler regimens after COPD hospitalization: associations with rurality, drive time to care, and fragmented care - a United States cohort study.Lancet regional health. Americas · 2023Article
- Cancer risk in adherent users of polyurethane foam-containing CPAP devices for sleep apnoea.The European respiratory journal · 2022Article
- State-level political partisanship strongly correlates with health outcomes for US children.European journal of pediatrics · 2022Article
- Racial Disparities in Health Risk Indicators Reported by Alabamians Diagnosed with COPD.International journal of environmental research and public health · 2021Article
- Disparities in Mortality and Health Care Utilization for 460,851 Hospitalized Patients with Cirrhosis and Hepatic Encephalopathy.Digestive diseases and sciences · 2021Observational
- Multimorbidity in Finnish and Swedish speaking Finns; association with daily habits and socioeconomic status - Nordic EpiLung cross-sectional study.Preventive medicine reports · 2021Article
- Journal Club: The Intersection of Racial/Ethnic Disparities in Coronavirus Disease 2019 and COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
- County-Level Concentration of Selected Chronic Conditions Among Medicare Fee-for-Service Beneficiaries and Its Association with Medicare Spending in the United States, 2017.Population health management · 2021Article
- Prevalence and Trends in Smoking Among Surgical Patients in Michigan, 2012-2019.JAMA network open · 2021Article
- Determinants of Youth-Reported Past 30-Day Tobacco Use.Journal of community health · 2020Article
- Latent Health Risk Classes Associated with Poor Physical and Mental Outcomes in Workers with COPD from Central Appalachian U.S. States.International journal of environmental research and public health · 2020Article
- Pilot Study of Chronic Obstructive Pulmonary Disease in an Industrial Town in India.Journal of health & pollution · 2019Article
- State-level prevalence, health service use, and spending vary widely among Medicare beneficiaries with Parkinson disease.NPJ Parkinson's disease · 2019Article
- Harmonization of Respiratory Data From 9 US Population-Based Cohorts: The NHLBI Pooled Cohorts Study.American journal of epidemiology · 2018Article
- Characteristics of the Tobacco User Adult Cohort in Urban and Rural Ohio.Tobacco regulatory science · 2018Article
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- Multiple sclerosis spatial cluster in Tuscany.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017Article
- Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitalizations for persons with chronic obstructive pulmonary disease (COPD) result in significant health care resource use and excess expenditures. Despite well-documented sociodemographic disparities in COPD outcomes, no study has characterized geographic variations in COPD hospitalization across the US.
methodsAlmost 3.8 million COPD hospitalization records were extracted from Medicare claims for 1995-2006, and the total population of eligible Medicare beneficiaries was extracted from the Medicare enrollment records to calculate COPD hospitalization rates by Health Service Area (HSA), (n = 949). Spatial cluster analysis and Bayesian hierarchical spatial modeling were used to characterize the geography of COPD hospitalizations.
resultsThe overall COPD hospitalization rate was 11.30 per 1,000 beneficiaries for the aggregated period 1995-2006. HSA-level COPD hospitalization rates had a median of 11.7 and a range of 3.0 (Cache, UT) to 76.3 (Pike, KY). Excessive hospitalization risk was concentrated in Appalachia, the southern Great Lakes, the Mississippi Delta, the Deep South, and west Texas. In the Bayesian spatial mixture model, 73% of variability of COPD hospitalization relative risk was attributed to unidentified regional social and physical environments shared by HSAs rather than to unique local HSA factors (27%).
conclusionWe discovered distinct geographic patterns in COPD hospitalization rates and risks attributed to both regionally-shared environmental risk factors and HSA-unique environmental contexts. The correlates of these geographic patterns remain to be determined. Geographic comparisons of COPD hospitalization risk provide insights for better public health practice, policies, and programs for COPD prevention.
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