Chronic obstructive pulmonary disease involves substantial health-care service and social benefit costs

Martin Bach Jensen, Morten Fenger-Grøn, Kirsten Fonager, Øyvind Omland, Anker Lund Vinding, Jens Georg Hansen

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

INTRODUCTION: The present study compared health carerelated costs and the use of social benefits and transfer payments in participants with and without chronic obstructive pulmonary disease (COPD), and related the costs to the
severity of the COPD.
MATERIAL AND METHODS: Spirometry data from a cohort study performed in Denmark during 2004-2006 were linked with national register data that identified the costs of social benefits and health-care services. The cohort comprised 546 participants with COPD (forced expiratory volume in the first sec. (FEV1)/forced vital capacity (FVC) ratio < 0.7 following bronchodilator administration] and 3,995 without COPD (in addition, 9,435 invited participants were non-responders and 331 were excluded). The costs were adjusted
for gender, age, co-morbidity and educational level.
RESULTS: Health care-related costs were 4,779 (2,404- 7,154) Danish kroner (DKK) higher for participants with COPD than for those without COPD, and 2,882 (556-5,208) DKK higher than for those for non-responders. The higher
costs were mainly due to the cost of medicines and inpatient care. The health-care costs increased with disease severity Global Initiative for Chronic Obstructive Lung Disease (GOLD grade). In participants < 65 years of age, the annual cost of social benefits and transfer payments was 15,901 (5,966-25,837) DKK higher and the total costs were 20,454 (7,559-33,350) DKK higher in those with COPD than in those without COPD; this was due mostly to the high cost of disability pensions.
CONCLUSION: Health care-related costs and costs for social benefits and transfer payments were higher for participants with COPD than for non-COPD participants and nonresponders.
FUNDING: This study was supported by The Obel Family Foundation, The Danish Lung Association and The Health Insurance Foundation.
TRIAL REGISTRATION: not relevant.
Original languageEnglish
Article numberA4557
JournalDanish Medical Journal
Volume60
Issue number1
Pages (from-to)1-6
Number of pages6
ISSN2245-1919
Publication statusPublished - 2013

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Chronic Obstructive Pulmonary Disease
Health Services
Cost-Benefit Analysis
Delivery of Health Care
Cost of Illness
Health Care Costs

Keywords

  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Denmark
  • Drug Costs
  • Female
  • Health Care Costs
  • Health Services
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Disease, Chronic Obstructive
  • Social Security
  • Spirometry

Cite this

Jensen, Martin Bach ; Fenger-Grøn, Morten ; Fonager, Kirsten ; Omland, Øyvind ; Vinding, Anker Lund ; Hansen, Jens Georg. / Chronic obstructive pulmonary disease involves substantial health-care service and social benefit costs. In: Danish Medical Journal. 2013 ; Vol. 60, No. 1. pp. 1-6.
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abstract = "INTRODUCTION: The present study compared health carerelated costs and the use of social benefits and transfer payments in participants with and without chronic obstructive pulmonary disease (COPD), and related the costs to the severity of the COPD. MATERIAL AND METHODS: Spirometry data from a cohort study performed in Denmark during 2004-2006 were linked with national register data that identified the costs of social benefits and health-care services. The cohort comprised 546 participants with COPD (forced expiratory volume in the first sec. (FEV1)/forced vital capacity (FVC) ratio < 0.7 following bronchodilator administration] and 3,995 without COPD (in addition, 9,435 invited participants were non-responders and 331 were excluded). The costs were adjusted for gender, age, co-morbidity and educational level. RESULTS: Health care-related costs were 4,779 (2,404- 7,154) Danish kroner (DKK) higher for participants with COPD than for those without COPD, and 2,882 (556-5,208) DKK higher than for those for non-responders. The higher costs were mainly due to the cost of medicines and inpatient care. The health-care costs increased with disease severity Global Initiative for Chronic Obstructive Lung Disease (GOLD grade). In participants < 65 years of age, the annual cost of social benefits and transfer payments was 15,901 (5,966-25,837) DKK higher and the total costs were 20,454 (7,559-33,350) DKK higher in those with COPD than in those without COPD; this was due mostly to the high cost of disability pensions. CONCLUSION: Health care-related costs and costs for social benefits and transfer payments were higher for participants with COPD than for non-COPD participants and nonresponders. FUNDING: This study was supported by The Obel Family Foundation, The Danish Lung Association and The Health Insurance Foundation. TRIAL REGISTRATION: not relevant.",
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Chronic obstructive pulmonary disease involves substantial health-care service and social benefit costs. / Jensen, Martin Bach; Fenger-Grøn, Morten; Fonager, Kirsten; Omland, Øyvind; Vinding, Anker Lund; Hansen, Jens Georg.

In: Danish Medical Journal, Vol. 60, No. 1, A4557, 2013, p. 1-6.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Chronic obstructive pulmonary disease involves substantial health-care service and social benefit costs

AU - Jensen, Martin Bach

AU - Fenger-Grøn, Morten

AU - Fonager, Kirsten

AU - Omland, Øyvind

AU - Vinding, Anker Lund

AU - Hansen, Jens Georg

PY - 2013

Y1 - 2013

N2 - INTRODUCTION: The present study compared health carerelated costs and the use of social benefits and transfer payments in participants with and without chronic obstructive pulmonary disease (COPD), and related the costs to the severity of the COPD. MATERIAL AND METHODS: Spirometry data from a cohort study performed in Denmark during 2004-2006 were linked with national register data that identified the costs of social benefits and health-care services. The cohort comprised 546 participants with COPD (forced expiratory volume in the first sec. (FEV1)/forced vital capacity (FVC) ratio < 0.7 following bronchodilator administration] and 3,995 without COPD (in addition, 9,435 invited participants were non-responders and 331 were excluded). The costs were adjusted for gender, age, co-morbidity and educational level. RESULTS: Health care-related costs were 4,779 (2,404- 7,154) Danish kroner (DKK) higher for participants with COPD than for those without COPD, and 2,882 (556-5,208) DKK higher than for those for non-responders. The higher costs were mainly due to the cost of medicines and inpatient care. The health-care costs increased with disease severity Global Initiative for Chronic Obstructive Lung Disease (GOLD grade). In participants < 65 years of age, the annual cost of social benefits and transfer payments was 15,901 (5,966-25,837) DKK higher and the total costs were 20,454 (7,559-33,350) DKK higher in those with COPD than in those without COPD; this was due mostly to the high cost of disability pensions. CONCLUSION: Health care-related costs and costs for social benefits and transfer payments were higher for participants with COPD than for non-COPD participants and nonresponders. FUNDING: This study was supported by The Obel Family Foundation, The Danish Lung Association and The Health Insurance Foundation. TRIAL REGISTRATION: not relevant.

AB - INTRODUCTION: The present study compared health carerelated costs and the use of social benefits and transfer payments in participants with and without chronic obstructive pulmonary disease (COPD), and related the costs to the severity of the COPD. MATERIAL AND METHODS: Spirometry data from a cohort study performed in Denmark during 2004-2006 were linked with national register data that identified the costs of social benefits and health-care services. The cohort comprised 546 participants with COPD (forced expiratory volume in the first sec. (FEV1)/forced vital capacity (FVC) ratio < 0.7 following bronchodilator administration] and 3,995 without COPD (in addition, 9,435 invited participants were non-responders and 331 were excluded). The costs were adjusted for gender, age, co-morbidity and educational level. RESULTS: Health care-related costs were 4,779 (2,404- 7,154) Danish kroner (DKK) higher for participants with COPD than for those without COPD, and 2,882 (556-5,208) DKK higher than for those for non-responders. The higher costs were mainly due to the cost of medicines and inpatient care. The health-care costs increased with disease severity Global Initiative for Chronic Obstructive Lung Disease (GOLD grade). In participants < 65 years of age, the annual cost of social benefits and transfer payments was 15,901 (5,966-25,837) DKK higher and the total costs were 20,454 (7,559-33,350) DKK higher in those with COPD than in those without COPD; this was due mostly to the high cost of disability pensions. CONCLUSION: Health care-related costs and costs for social benefits and transfer payments were higher for participants with COPD than for non-COPD participants and nonresponders. FUNDING: This study was supported by The Obel Family Foundation, The Danish Lung Association and The Health Insurance Foundation. TRIAL REGISTRATION: not relevant.

KW - Aged

KW - Aged, 80 and over

KW - Case-Control Studies

KW - Denmark

KW - Drug Costs

KW - Female

KW - Health Care Costs

KW - Health Services

KW - Hospitalization

KW - Humans

KW - Male

KW - Middle Aged

KW - Pulmonary Disease, Chronic Obstructive

KW - Social Security

KW - Spirometry

M3 - Journal article

VL - 60

SP - 1

EP - 6

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 1603-9629

IS - 1

M1 - A4557

ER -