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The economic burden of chronic obstructive pulmonary disease in the elderly : Results from a systematic review of the literature

Bustacchini, Silvia ; Chiatti, Carlos LU ; Furneri, Gianluca ; Lattanzio, Fabrizia and Mantovani, Lorenzo G. (2011) In Current Opinion in Pulmonary Medicine 17(SUPPL. 1). p.35-41
Abstract

Purpose of review: Chronic obstructive pulmonary disease (COPD) is a high prevalence condition with a significant clinical and economic burden. In elderly people, COPD is often associated with other chronic comorbidities (i.e. cardiovascular diseases), determining clinical complications and requiring frequent acute healthcare interventions. The aim of this article is to review the economic studies evaluating costs and healthcare resource utilization in elderly (≥65 years) COPD patients. Recent findings: Sixteen of the initial 359 articles retrieved through our research strategy were found to include relevant cost information on elderly COPD patients or to evaluate the effect of older age on healthcare expenditure. Most studies were... (More)

Purpose of review: Chronic obstructive pulmonary disease (COPD) is a high prevalence condition with a significant clinical and economic burden. In elderly people, COPD is often associated with other chronic comorbidities (i.e. cardiovascular diseases), determining clinical complications and requiring frequent acute healthcare interventions. The aim of this article is to review the economic studies evaluating costs and healthcare resource utilization in elderly (≥65 years) COPD patients. Recent findings: Sixteen of the initial 359 articles retrieved through our research strategy were found to include relevant cost information on elderly COPD patients or to evaluate the effect of older age on healthcare expenditure. Most studies were carried out in the United States and used administrative database claims to determine resource consumption and direct costs (attributable and not). Very few studies focused exclusively on elderly patients. Summary: Results showed a certain variability of cost estimations, mainly due to the different methodologies and adopted cost approach. However, we found a trend of direct cost growth in the elderly population, which can be explained by a more frequent use of acute healthcare services, especially for managing COPD exacerbations. These results cannot be considered definitive and new studies, targeting elderly people, are required in order to confirm these preliminary findings.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
chronic obstructive pulmonary disease, direct costs, elderly, exacerbations
in
Current Opinion in Pulmonary Medicine
volume
17
issue
SUPPL. 1
pages
35 - 41
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:22209929
  • scopus:84855413793
ISSN
1070-5287
DOI
10.1097/01.mcp.0000410746.82840.79
language
English
LU publication?
no
id
bf097eed-8ab8-4500-808d-58ffa961d345
date added to LUP
2018-08-07 15:10:38
date last changed
2024-01-14 23:52:30
@article{bf097eed-8ab8-4500-808d-58ffa961d345,
  abstract     = {{<p>Purpose of review: Chronic obstructive pulmonary disease (COPD) is a high prevalence condition with a significant clinical and economic burden. In elderly people, COPD is often associated with other chronic comorbidities (i.e. cardiovascular diseases), determining clinical complications and requiring frequent acute healthcare interventions. The aim of this article is to review the economic studies evaluating costs and healthcare resource utilization in elderly (≥65 years) COPD patients. Recent findings: Sixteen of the initial 359 articles retrieved through our research strategy were found to include relevant cost information on elderly COPD patients or to evaluate the effect of older age on healthcare expenditure. Most studies were carried out in the United States and used administrative database claims to determine resource consumption and direct costs (attributable and not). Very few studies focused exclusively on elderly patients. Summary: Results showed a certain variability of cost estimations, mainly due to the different methodologies and adopted cost approach. However, we found a trend of direct cost growth in the elderly population, which can be explained by a more frequent use of acute healthcare services, especially for managing COPD exacerbations. These results cannot be considered definitive and new studies, targeting elderly people, are required in order to confirm these preliminary findings.</p>}},
  author       = {{Bustacchini, Silvia and Chiatti, Carlos and Furneri, Gianluca and Lattanzio, Fabrizia and Mantovani, Lorenzo G.}},
  issn         = {{1070-5287}},
  keywords     = {{chronic obstructive pulmonary disease; direct costs; elderly; exacerbations}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{SUPPL. 1}},
  pages        = {{35--41}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Current Opinion in Pulmonary Medicine}},
  title        = {{The economic burden of chronic obstructive pulmonary disease in the elderly : Results from a systematic review of the literature}},
  url          = {{http://dx.doi.org/10.1097/01.mcp.0000410746.82840.79}},
  doi          = {{10.1097/01.mcp.0000410746.82840.79}},
  volume       = {{17}},
  year         = {{2011}},
}