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Continuing to Confront COPD International Patient Survey: Economic Impact of COPD in 12 Countries

Author

Listed:
  • Jason Foo
  • Sarah H Landis
  • Joe Maskell
  • Yeon-Mok Oh
  • Thys van der Molen
  • MeiLan K Han
  • David M Mannino
  • Masakazu Ichinose
  • Yogesh Punekar

Abstract

Background: The Continuing to Confront COPD International Patient Survey estimated the prevalence and burden of COPD across 12 countries. Using data from this survey we evaluated the economic impact of COPD. Methods: This cross-sectional, population-based survey questioned 4,343 subjects aged 40 years and older, fulfilling a case definition of COPD based on self-reported physician diagnosis or symptomatology. Direct cost measures were based on exacerbations of COPD (treated and those requiring emergency department visits and/or hospitalisation), contacts with healthcare professionals, and COPD medications. Indirect costs were calculated from work loss values using the Work Productivity and Activity Impairment scale. Combined direct and indirect costs estimated the total societal costs per patient. Results: The annual direct costs of COPD ranged from $504 (South Korea) to $9,981 (USA), with inpatient hospitalisations (5 countries) and home oxygen therapy (3 countries) being the key drivers of direct costs. The proportion of patients completely prevented from working due to their COPD ranged from 6% (Italy) to 52% (USA and UK) with 8 countries reporting this to be ≥20%. Total societal costs per patient varied widely from $1,721 (Russia) to $30,826 (USA) but a consistent pattern across countries showed greater costs among those with increased burden of COPD (symptoms, health status and more severe disease) and a greater number of comorbidities. Conclusions: The economic burden of COPD is considerable across countries, and requires targeted resources to optimise COPD management encompassing the control of symptoms, prevention of exacerbations and effective treatment of comorbidities. Strategies to allow COPD patients to remain in work are important for addressing the substantial wider societal costs.

Suggested Citation

  • Jason Foo & Sarah H Landis & Joe Maskell & Yeon-Mok Oh & Thys van der Molen & MeiLan K Han & David M Mannino & Masakazu Ichinose & Yogesh Punekar, 2016. "Continuing to Confront COPD International Patient Survey: Economic Impact of COPD in 12 Countries," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-15, April.
  • Handle: RePEc:plo:pone00:0152618
    DOI: 10.1371/journal.pone.0152618
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    References listed on IDEAS

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    1. Koopmanschap, Marc A. & Rutten, Frans F. H. & van Ineveld, B. Martin & van Roijen, Leona, 1995. "The friction cost method for measuring indirect costs of disease," Journal of Health Economics, Elsevier, vol. 14(2), pages 171-189, June.
    2. Kunal Srivastava & Deepika Thakur & Sheetal Sharma & Yogesh Punekar, 2015. "Systematic Review of Humanistic and Economic Burden of Symptomatic Chronic Obstructive Pulmonary Disease," PharmacoEconomics, Springer, vol. 33(5), pages 467-488, May.
    3. Till Seuring & Olga Archangelidi & Marc Suhrcke, 2015. "The Economic Costs of Type 2 Diabetes: A Global Systematic Review," PharmacoEconomics, Springer, vol. 33(8), pages 811-831, August.
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    1. Faraidoun Moradi & Mia Söderberg & Fazil Moradi & Bledar Daka & Anna-Carin Olin & Mona Lärstad, 2019. "Health perspectives among Halabja’s civilian survivors of sulfur mustard exposure with respiratory symptoms—A qualitative study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-16, June.
    2. Anees ur Rehman & Mohamed Azmi Ahmad Hassali & Sohail Ayaz Muhammad & Sabariah Noor Harun & Shahid Shah & Sameen Abbas, 2020. "The economic burden of chronic obstructive pulmonary disease (COPD) in Europe: results from a systematic review of the literature," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 181-194, March.
    3. Aizhamal Tabyshova & Berik Emilov & Maarten J. Postma & Niels H. Chavannes & Talant Sooronbaev & Job F. M. van Boven, 2020. "Prevalence and Economic Burden of Respiratory Diseases in Central Asia and Russia: A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-13, October.
    4. Celia Gutiérrez Villegas & María Paz-Zulueta & Manuel Herrero-Montes & Paula Parás-Bravo & María Madrazo Pérez, 2021. "Cost analysis of chronic obstructive pulmonary disease (COPD): a systematic review," Health Economics Review, Springer, vol. 11(1), pages 1-12, December.

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