| アブストラクト | INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a leading cause of mortality in Europe; however, it is important to understand how clinical practice patterns differ between countries and how this might relate to disease outcomes, to identify ways of improving local disease management. We aimed to describe and compare the management of patients with COPD in the UK and France between 2008 and 2017. METHODS: We used data from the Clinical Practice Research Datalink GOLD and Hospital Episode Statistics in the UK and the Echantillon Generaliste des Beneficiaire in France to identify patients with COPD each year between 2008 and 2017. We compared patient characteristics, all-cause mortality and COPD exacerbations each year between 2008 and 2017 for patients in the UK and France separately. Health care utilisation and COPD exacerbations in 2017 were compared between France and the UK using t-tests and chi(2) tests. RESULTS: Patients with COPD were similar in gender and comorbidities in both countries. Incidence of COPD exacerbations remained stable in the UK and France between 2007 and 2017. In 2017, the proportion of all-cause and COPD-related hospitalisations was greater in the UK than in France (43.9% vs 32.8% and 8.3% vs 4.9%, respectively; p<0.001) as was the proportion of patients visiting accident and emergency (A&E) (39.8% vs 16.2%, respectively; p<0.001). In addition, the mean length of stay in hospital for COPD-related causes was shorter in the UK than in France (6.2 days (SD 8.4) vs 10.5 days (SD 9.1), respectively; p<0.001). DISCUSSION: Overall, UK patients were more likely to go to A&E, be hospitalised for COPD-related causes and stay in hospital for fewer days after being admitted for COPD-related reasons compared with patients in France, illustrating a difference in health-seeking behaviours and access to healthcare. |
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| ジャーナル名 | BMJ open respiratory research |
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| 投稿日 | 2022/8/10 |
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| 投稿者 | Whittaker, Hannah; Van Ganse, Eric; Dalon, Faustine; Nolin, Maeva; Marrant-Micallef, Claire; Pison, Christophe; Ryan, Dermot P; Deslee, Gaetan; Quint, Jennifer K; Belhassen, Manon |
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| 組織名 | National Heart and Lung Institute, Imperial College London, London, UK;h.whittaker@imperial.ac.uk.;PELyon, Pharmaco Epidemiologie Lyon, Lyon, France.;Respiratory Medicine, Hospital Croix-Rousse, Lyon, France.;Clinique de Pneumologie, Centre Hospitalier Universitaire de Grenoble, Service de;Pneumologie, Grenoble, France.;Allergy and Respiratory Research Group, Centre for Population Health Sciences: GP;Section, University of Edinburgh, Edinburgh, UK.;Department of Respiratory Medicine, INSERM UMRS 903, University Hospital of;Reims, Reims, France.;National Heart and Lung Institute, Imperial College London, London, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35944943/ |
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