Evidence map›Paper›PMID 26604729›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2015

Health care and social care costs of pneumonia in Denmark: a register-based study of all citizens and patients with COPD in three municipalities.

Susanne Lausten Brogaard, Maj Britt Dahl Nielsen, Lars Ulrik Nielsen, Trine Mosegaard Albretsen, Morten Bundgaard, Niels Anker, Maja Appel, Kim Gustavsen, Rose-Marie Lindkvist, Anne Skjoldan and 2 more

Open access · goldAbstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 41% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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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

12 authors at 5 institutions in 2 countries.

Susanne Lausten BrogaardCOWI AS, Management - Health, Kongens Lyngby, Denmark.
Maj Britt Dahl NielsenCOWI AS, Management - Health, Kongens Lyngby, Denmark.
Lars Ulrik NielsenSeniors and Health Department, Gladsaxe Municipality, Welfare Technology, Søborg, Denmark.
Trine Mosegaard AlbretsenElderly and Health Care Department, Lolland Municipality, Maribo, Denmark.
Morten BundgaardDepartment of Public Health, Holbaek Municipality, Holbaek, Denmark.
Niels AnkerCOWI AS, Management - Health, Kongens Lyngby, Denmark.
Maja AppelCOWI AS, Management - Health, Kongens Lyngby, Denmark.
Kim GustavsenCOWI AS, Management - Health, Kongens Lyngby, Denmark.
Rose-Marie LindkvistPfizer Denmark ApS, Health & Value, Ballerup, Denmark.
Anne SkjoldanSeniors and Health Department, Gladsaxe Municipality, Welfare Technology, Søborg, Denmark.
Grete BreinhildElderly and Health Care Department, Lolland Municipality, Maribo, Denmark.
Peter Bo PoulsenPfizer Denmark ApS, Health & Value, Ballerup, Denmark.
Cowi (Denmark) · DKCenter for Clinical & Basic Research · DKOdense Municipality · DKSocial Welfare Department · HKHolbæk Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPneumonia is a frequent lung infection and a serious illness, which is often diagnosed among patients hospitalized with acute exacerbations of COPD. The aim of this study was to estimate the attributable costs due to pneumonia among patients hospitalized with pneumonia compared to a matched general population control group without pneumonia hospitalization.

methodsThis study includes citizens older than 18 years from three municipalities (n=142,344). Based on national registers and municipal data, the health and social care costs of pneumonia in the second half of 2013 are estimated and compared with propensity score-matched population controls.

resultsThe average health care costs of 383 patients hospitalized with pneumonia in the second half of 2013 were US$34,561 per patient. Among pneumonia patients with COPD, the costs were US$35,022. The attributable costs of patients with pneumonia compared to the population control group for the 6-month period were US$24,155 per case. Overall, the attributable costs for the 383 pneumonia cases amounted to US$9.25 million. Subgroup analyses showed that costs increased with age. The attributable costs due to pneumonia were highest among the 18-59-year-old and the 70-79-year-old patients. This difference is likely to reflect an increased risk of mortality among the pneumonia patients. Men have higher costs than women in the pneumonia group.

conclusionThe costs of pneumonia are considerable. In three Danish municipalities, the attributable costs due to pneumonia were US$24,155 per case or US$64,992 per 1,000 inhabitants in the second half of 2013. Similar high health care and social care costs were found for pneumonia patients with COPD - the largest group having pneumonia episodes. The municipalities are responsible for 49% of the costs, while a closer focus on the prevention of pneumonia may be advisable, eg, starting with citizens having COPD.

Indexed as

Cost of IllnessHospital CostsAdolescentAdultAgedAged, 80 and overAge DistributionAge FactorsCase-Control StudiesCitiesDenmarkFemaleHospitalizationHumansMaleMiddle Agedattributable costsCOPDhealth caremunicipalitiespneumoniasocial care

Identifiers

PMID26604729
PMCPMC4630180
OpenAlexW1831974013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.