Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD
Abstract Chronic obstructive pulmonary disease (COPD) is a debilitating medical condition often accompanied by multiple chronic conditions. COPD is more frequent among older adults and affects both genders. The aim of the current cross-sectional survey was to characterize chronic comorbidities strat...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-05-01
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| Series: | npj Primary Care Respiratory Medicine |
| Online Access: | https://doi.org/10.1038/s41533-022-00278-8 |
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| author | Su-Jong Kim-Dorner Torben Schmidt Alexander Kuhlmann Johann-Matthias Graf von der Schulenburg Tobias Welte Heidrun Lingner |
| author_facet | Su-Jong Kim-Dorner Torben Schmidt Alexander Kuhlmann Johann-Matthias Graf von der Schulenburg Tobias Welte Heidrun Lingner |
| author_sort | Su-Jong Kim-Dorner |
| collection | DOAJ |
| description | Abstract Chronic obstructive pulmonary disease (COPD) is a debilitating medical condition often accompanied by multiple chronic conditions. COPD is more frequent among older adults and affects both genders. The aim of the current cross-sectional survey was to characterize chronic comorbidities stratified by gender and age among patients with COPD under the care of general practitioners (GP) and pulmonologists, using real-world patient data. A total of 7966 COPD patients (women: 45%) with more than 5 years of the observation period in the practice were examined using 60 different Chronic comorbid conditions (CCC) and Elixhauser measures. More than 9 in 10 patients had at least one, and 51.7% had more than three comorbidities. No gender difference was found in the number of comorbidities. However, men had higher Elixhauser-van Walraven index scores than women, and the types of comorbidities differed by gender. An increasing number of comorbidities was seen with aging but the patients in their 30s and 40s also had a high number of comorbidities. Moreover, GP patients had a higher number and a wider array of documented comorbidities than pulmonology patients did. Psychological comorbidities were common in all patients, but particularly among younger patients. These findings around gender- and age-stratified comorbidities under the care of GPs and pulmonologists have implications for the choice of data provenience for decision-making analysis and treatment selection and success. |
| first_indexed | 2024-12-12T00:12:17Z |
| format | Article |
| id | doaj.art-2f729f2e33e643cdbc2448120b9d5136 |
| institution | Directory Open Access Journal |
| issn | 2055-1010 |
| language | English |
| last_indexed | 2024-12-12T00:12:17Z |
| publishDate | 2022-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Primary Care Respiratory Medicine |
| spelling | doaj.art-2f729f2e33e643cdbc2448120b9d51362022-12-22T00:44:56ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102022-05-0132111210.1038/s41533-022-00278-8Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPDSu-Jong Kim-Dorner0Torben Schmidt1Alexander Kuhlmann2Johann-Matthias Graf von der Schulenburg3Tobias Welte4Heidrun Lingner5Medical Psychology, Hannover Medical SchoolCenter for Health Economics Research Hannover (CHERH), Leibniz University HannoverCenter for Health Economics Research Hannover (CHERH), Leibniz University HannoverCenter for Health Economics Research Hannover (CHERH), Leibniz University HannoverBiomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH); Member of the German Center for Lung Research (DZL)Medical Psychology, Hannover Medical SchoolAbstract Chronic obstructive pulmonary disease (COPD) is a debilitating medical condition often accompanied by multiple chronic conditions. COPD is more frequent among older adults and affects both genders. The aim of the current cross-sectional survey was to characterize chronic comorbidities stratified by gender and age among patients with COPD under the care of general practitioners (GP) and pulmonologists, using real-world patient data. A total of 7966 COPD patients (women: 45%) with more than 5 years of the observation period in the practice were examined using 60 different Chronic comorbid conditions (CCC) and Elixhauser measures. More than 9 in 10 patients had at least one, and 51.7% had more than three comorbidities. No gender difference was found in the number of comorbidities. However, men had higher Elixhauser-van Walraven index scores than women, and the types of comorbidities differed by gender. An increasing number of comorbidities was seen with aging but the patients in their 30s and 40s also had a high number of comorbidities. Moreover, GP patients had a higher number and a wider array of documented comorbidities than pulmonology patients did. Psychological comorbidities were common in all patients, but particularly among younger patients. These findings around gender- and age-stratified comorbidities under the care of GPs and pulmonologists have implications for the choice of data provenience for decision-making analysis and treatment selection and success.https://doi.org/10.1038/s41533-022-00278-8 |
| spellingShingle | Su-Jong Kim-Dorner Torben Schmidt Alexander Kuhlmann Johann-Matthias Graf von der Schulenburg Tobias Welte Heidrun Lingner Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD npj Primary Care Respiratory Medicine |
| title | Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD |
| title_full | Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD |
| title_fullStr | Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD |
| title_full_unstemmed | Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD |
| title_short | Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD |
| title_sort | age and gender based comorbidity categories in general practitioner and pulmonology patients with copd |
| url | https://doi.org/10.1038/s41533-022-00278-8 |
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