Comparing health status between patients with COPD in primary, secondary and tertiary care.

ABSTRACT: In this study, we compare health status between COPD patients treated in three different care levels in the Netherlands and assess determinants that influence their health status. We applied the Nijmegen Clinical Screening Instrument to measure eight health status subdomains in primary (n = 289), secondary (n = 184) and tertiary care (n = 433) COPD patient cohorts. Proportions of patients with severe problems in ≥3 subdomains are 47% in primary, 71% in secondary and 94% in tertiary care. Corrected for patient characteristics, differences between the care levels are statistically significant for nearly all health status subdomains. The pooled cohort data show female sex, age, FEV₁ % predicted and BMI to be determinants of one or more subdomains. We conclude that the proportion of

SUBMITTER: de Klein MM 

PROVIDER: S-EPMC7478961 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature