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dc.contributor.authorXie, L.
dc.contributor.authorKariburyo, M. Furaha
dc.contributor.authorWang, Y
dc.contributor.authorBaşer, Onur
dc.date.accessioned2019-02-28T13:04:26Z
dc.date.accessioned2019-02-28T11:08:14Z
dc.date.available2019-02-28T13:04:26Z
dc.date.available2019-02-28T11:08:14Z
dc.date.issued2015en_US
dc.identifier.citationXie, L., Kariburyo, M F., Wang, Y. & Baser, O.(2015). A descriptive analysis of patient characteristics and health care burden associated with chronic obstructive pulmonary disease in the us medicare population. Value in Health. 18, 3. p.173en_US
dc.identifier.issn1098-3015
dc.identifier.issn1524-4733
dc.identifier.urihttp://dx.doi.org/10.1016/j.jval.2015.03.1001
dc.identifier.urihttps://hdl.handle.net/20.500.11779/631
dc.descriptionOnur Başer (MEF Author)en_US
dc.description.abstractObjectives: To evaluate the patient characteristics and health care burden associated with chronic obstructive pulmonary disease (COPD) in the U.S. Medicarepopulation. Methods: COPD patients were identified (International Classificationof Disease, 9th Revision, Clinical Modification [ICD-9-CM] codes: 491.xx, 492.xx and496.xx) using U.S. national Medicare claims from 01JAN2007 to 31DEC2010. The firstdiagnosis date was designated as the index date. Patients were required to: a) be age?65 years on the index date; b) have continuous medical and pharmacy benefits for 12months pre-index date (baseline period); c) have continuous enrollment for 12 monthspost-index date (follow-up period), unless there was earlier evidence of death; and d)have no COPD diagnosis pre-index date. The outcomes of interest included medicationuse, including a long-acting beta agonist (LABA) or LABA/inhaled corticosteroid (ICS)combination, mortality and health care resource utilization and costs. Results: Atotal of 543,249 COPD patients were identified. Patients were, on average, age 78 years.Most patients were white (94%) and resided in the South U.S. region (41%). The averageCharlson Comorbidity Index score was 3.23, and hypertension (67%), diabetes (28%),congestive heart failure (21%) and chronic pulmonary disease (20%) were the mostfrequently diagnosed comorbidities. A 13.82% mortality rate was observed duringthe first year of the follow-up period. Post-index LABA medications, including arfomoterol (0.55%), formoterol (0.25%) and salmeterol (0.32%) were prescribed to 1.10%of the population. Identified LABA/ICS combinations included budesonide/formoterol(1.97%) and fluticasone/salmeterol (10.02%). High health care resource utilization wasencountered for Medicare carrier (99.40%), pharmacy (90.27%), outpatient (76.52%)and inpatient visits (48.83%). The main cost drivers were inpatient ($10,645), Medicarecarrier ($4,888), outpatient ($3,322) and skilled nursing facility ($2,695) costs, resultingin $25,397 in total health care costs. Conclusions: U.S. Medicare patients have ahigh COPD-related health care burdenen_US
dc.language.isoengen_US
dc.relation.ispartofValue in Healthen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titlePRS23 - a descriptive analysis of patient characteristics and health care burden associated with chronic obstructive pulmonary disease in the us medicare populationen_US
dc.typeMeeting Abstracten_US
dc.departmentİİSBF, Ekonomi Bölümüen_US
dc.identifier.volume18en_US
dc.identifier.issue3en_US
dc.identifier.startpage173en_US
dc.identifier.endpage173en_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.description.wosidWOS:000354498503031en_US
dc.contributor.institutionauthorBaşer, Onur
dc.description.woscitationindexScience Citation Index Expanded - Social Sciences Citation Indexen_US
dc.identifier.wosqualityQ1en_US
dc.description.WoSDocumentTypeMeeting Abstracten_US
dc.description.WoSInternationalCollaborationUluslararası işbirliği ile yapılan - EVETen_US
dc.description.WoSPublishedMonthMayısen_US
dc.description.WoSIndexDate2015en_US
dc.description.WoSYOKperiodYÖK - 2014-15en_US
dc.identifier.doi10.1016/j.jval.2015.03.1001en_US


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