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Differences in severe exacerbations rates and healthcare utilisation in COPD populations in the UK and France. | LitMetric

AI Article Synopsis

  • Chronic obstructive pulmonary disease (COPD) poses significant health challenges in Europe, prompting a study comparing management practices between the UK and France from 2008 to 2017 to improve outcomes.
  • The study analyzed patient data, COPD exacerbations, and hospitalization statistics, revealing similarities in patient demographics but notable differences in healthcare utilization between the two countries.
  • Findings showed UK patients had higher rates of all-cause and COPD-related hospitalizations and emergency visits, but shorter hospital stays, indicating variances in health-seeking behavior and healthcare access between the UK and France.

Article Abstract

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 Généraliste des Bénéficiaire 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 χ 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367183PMC
http://dx.doi.org/10.1136/bmjresp-2021-001150DOI Listing

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