Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs
<i>Background and Objectives</i>:The ADO (age, dyspnea, and airflow obstruction) and BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) indices are often used to evaluate the prognoses for chronic obstructive pulmonary disease(COPD); however, an index suitable fo...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-03-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/59/3/577 |
| _version_ | 1797610235534245888 |
|---|---|
| author | Chin-Ling Li Hui-Chuan Chang Ching-Wan Tseng Yuh-Chyn Tsai Jui-Fang Liu Meng-Lin Tsai Meng-Chih Lin Shih-Feng Liu |
| author_facet | Chin-Ling Li Hui-Chuan Chang Ching-Wan Tseng Yuh-Chyn Tsai Jui-Fang Liu Meng-Lin Tsai Meng-Chih Lin Shih-Feng Liu |
| author_sort | Chin-Ling Li |
| collection | DOAJ |
| description | <i>Background and Objectives</i>:The ADO (age, dyspnea, and airflow obstruction) and BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) indices are often used to evaluate the prognoses for chronic obstructive pulmonary disease(COPD); however, an index suitable for predicting medical costs has yet to be developed. <i>Materials and Methods</i>: We investigated the BODE and ADO indices to predict medical costs and compare their predictive power. A total of 396 patients with COPD were retrospectively enrolled. <i>Results</i>: For hospitalization frequencies, BODE was <i>R</i><sup>2</sup> = 0.093 (<i>p</i> < 0.001), and ADO was <i>R</i><sup>2</sup> = 0.065 (<i>p</i> < 0.001); for hospitalization days, BODE was <i>R</i><sup>2</sup> = 0.128 (<i>p</i> < 0.001), and ADO was <i>R</i><sup>2</sup> = 0.071 (<i>p</i> < 0.001); for hospitalization expenses, BODE was <i>R</i><sup>2</sup> = 0.020 (<i>p</i> = 0.047), and ADO was <i>R</i><sup>2</sup> = 0.012 (<i>p</i> = 0.179). BODE and ADO did not differ significantly in the numbers of outpatient visits (BODE, <i>R</i><sup>2</sup> = 0.012, <i>p</i> = 0.179; ADO, <i>R</i><sup>2</sup> = 0.017, <i>p</i> = 0.082); outpatient medical expenses (BODE, <i>R</i><sup>2</sup> = 0.012, <i>p</i> = 0.208; ADO, <i>R</i><sup>2</sup> = 0.008, <i>p</i> = 0.364); and total medical costs (BODE, <i>R</i><sup>2</sup> = 0.018, <i>p</i> = 0.072; ADO, <i>R</i><sup>2</sup> = 0.016, <i>p</i> = 0.098). In conclusion, BODE and ADO indices were correlated with hospitalization frequency and hospitalization days. However, the BODE index exhibits slightly better predictive accuracy than the ADO index in these items. |
| first_indexed | 2024-03-11T06:12:36Z |
| format | Article |
| id | doaj.art-bc45be5fd4514dc9ba98f9e261283df0 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T06:12:36Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-bc45be5fd4514dc9ba98f9e261283df02023-11-17T12:32:38ZengMDPI AGMedicina1010-660X1648-91442023-03-0159357710.3390/medicina59030577Comparison of BODE and ADO Indices in Predicting COPD-Related Medical CostsChin-Ling Li0Hui-Chuan Chang1Ching-Wan Tseng2Yuh-Chyn Tsai3Jui-Fang Liu4Meng-Lin Tsai5Meng-Chih Lin6Shih-Feng Liu7Department of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, TaiwanDepartment of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, TaiwanDepartment of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, TaiwanDepartment of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, TaiwanDepartment of Respiratory Care, Chang Gung University of Science and Technology, Chiayi 600, TaiwanDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, TaiwanDepartment of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, TaiwanDepartment of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan<i>Background and Objectives</i>:The ADO (age, dyspnea, and airflow obstruction) and BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) indices are often used to evaluate the prognoses for chronic obstructive pulmonary disease(COPD); however, an index suitable for predicting medical costs has yet to be developed. <i>Materials and Methods</i>: We investigated the BODE and ADO indices to predict medical costs and compare their predictive power. A total of 396 patients with COPD were retrospectively enrolled. <i>Results</i>: For hospitalization frequencies, BODE was <i>R</i><sup>2</sup> = 0.093 (<i>p</i> < 0.001), and ADO was <i>R</i><sup>2</sup> = 0.065 (<i>p</i> < 0.001); for hospitalization days, BODE was <i>R</i><sup>2</sup> = 0.128 (<i>p</i> < 0.001), and ADO was <i>R</i><sup>2</sup> = 0.071 (<i>p</i> < 0.001); for hospitalization expenses, BODE was <i>R</i><sup>2</sup> = 0.020 (<i>p</i> = 0.047), and ADO was <i>R</i><sup>2</sup> = 0.012 (<i>p</i> = 0.179). BODE and ADO did not differ significantly in the numbers of outpatient visits (BODE, <i>R</i><sup>2</sup> = 0.012, <i>p</i> = 0.179; ADO, <i>R</i><sup>2</sup> = 0.017, <i>p</i> = 0.082); outpatient medical expenses (BODE, <i>R</i><sup>2</sup> = 0.012, <i>p</i> = 0.208; ADO, <i>R</i><sup>2</sup> = 0.008, <i>p</i> = 0.364); and total medical costs (BODE, <i>R</i><sup>2</sup> = 0.018, <i>p</i> = 0.072; ADO, <i>R</i><sup>2</sup> = 0.016, <i>p</i> = 0.098). In conclusion, BODE and ADO indices were correlated with hospitalization frequency and hospitalization days. However, the BODE index exhibits slightly better predictive accuracy than the ADO index in these items.https://www.mdpi.com/1648-9144/59/3/577chronic obstructive pulmonary diseaseBODE indexADO indexmedical costprediction |
| spellingShingle | Chin-Ling Li Hui-Chuan Chang Ching-Wan Tseng Yuh-Chyn Tsai Jui-Fang Liu Meng-Lin Tsai Meng-Chih Lin Shih-Feng Liu Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs Medicina chronic obstructive pulmonary disease BODE index ADO index medical cost prediction |
| title | Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs |
| title_full | Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs |
| title_fullStr | Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs |
| title_full_unstemmed | Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs |
| title_short | Comparison of BODE and ADO Indices in Predicting COPD-Related Medical Costs |
| title_sort | comparison of bode and ado indices in predicting copd related medical costs |
| topic | chronic obstructive pulmonary disease BODE index ADO index medical cost prediction |
| url | https://www.mdpi.com/1648-9144/59/3/577 |
| work_keys_str_mv | AT chinlingli comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT huichuanchang comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT chingwantseng comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT yuhchyntsai comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT juifangliu comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT menglintsai comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT mengchihlin comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts AT shihfengliu comparisonofbodeandadoindicesinpredictingcopdrelatedmedicalcosts |