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• W3027467623 abstract "Morbidity from asthma and chronic obstructive pulmonary disease (COPD) is increasing in the U.S.; these conditions are major drivers of health care resource utilization (HCRU). However, few data exist regarding management of asthma and COPD within “real-world” populations, hampering strategy development to improve outcomes. Accordingly, this study characterizes a cohort of patients with asthma and COPD in a large care delivery organization (CDO), including epidemiology, HCRU, exacerbation rates, and therapeutic interventions. Retrospective data on >1.7M unique patients seen in the CDO over 3 years (2016-2018) were extracted from electronic health records (EHR). Patients with asthma and/or COPD were identified using encounter primary diagnosis codes. Descriptive statistics were used to delineate the CDO patient population with these conditions, examine HCRU, quantify disease exacerbations, and assess therapies. 149,086 unique patients (8.6% of the total population with accessible EHR data) had encounters in the CDO for asthma and/or COPD. Of this group, 47,805 (32.1%) patients had at least 1 documented visit for pulmonary care with a CDO provider in an outpatient clinic. In the population with recorded CDO outpatient visits, acute care utilization (“ever/never” over the study period) was moderate for asthma (18.4% ED visits, 10.3% hospitalization) and high for COPD (25.0% ED visits, 36.6%hospitalization). Annualized exacerbation rates were 0.86 for asthma and 1.16 for COPD. Recorded use of spirometry was low (4.7% for asthma, 2.6% for COPD). The majority of patients were prescribed short-acting therapies (beta2-agonists and/or anticholinergics, asthma-77.9%, COPD-59.7%). Use of maintenance therapies [ICS, long-acting beta-agonist (LABA), long-acting anticholinergic (LAMA), or any combination of these agents] was low for asthma (38.3%) and COPD (51.7%). Analysis of an EHR-derived dataset from an integrated CDO indicates specific opportunities to improve care for patients with asthma and/or COPD. Key targets include access to outpatient follow-up, use of spirometry, and appropriate tailoring of therapies." @default.
• W3027467623 created "2020-05-29" @default.
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• W3027467623 date "2020-05-01" @default.
• W3027467623 modified "2023-09-30" @default.
• W3027467623 title "PRS52 LEVERAGING EHR DATA TO IDENTIFY CARE IMPROVEMENT OPPORTUNITIES FOR PATIENTS WITH ASTHMA AND COPD IN A LARGE, INTEGRATED HEALTH CARE DELIVERY ORGANIZATION" @default.
• W3027467623 doi "https://doi.org/10.1016/j.jval.2020.04.1371" @default.
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