{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Geyer S"],"funding":["AOK Niedersachsen (General Local Statutory Health Insurance of Lower Saxony)","Deutsche Forschungsgemeinschaft"],"pagination":["21293"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10693544"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["13(1)"],"pubmed_abstract":["Chronic obstructive pulmonary disease (COPD) is associated with smoking and work-related health hazards. Most studies have reported prevalences, and the number of studies examining incidences and social inequalities is small. We analyzed the development of social inequalities of COPD-incidences in terms of income and exacerbations in terms of hospital admissions. Findings were based on claims data from a German statutory health insurance covering 2008 to 2019. Outpatient diagnoses were used for defining COPD-cases, hospital admissions were used for detecting exacerbations. Analyses were performed using Cox-regression. Individual incomes were depicted at three levels defined according to national averages for each year. Data of 3,040,137 insured men and women were available. From 2008 to 2019 COPD-incidences in men decreased by 42% and 47% in women. After stratification by income the reduction at the lowest income level was 41% and 50% in women. Respectively, at the highest income level reductions were 28% and 41%. Disease exacerbations decreased over time, and also social inequalities between income groups emerged. COPD-rates decreased over time at all income levels, but at a faster pace in the lowest income group, thus leading to a positive development of diminishing social gradients in men as well as in women."],"journal":["Scientific reports"],"pubmed_title":["Decreasing COPD-related incidences and hospital admissions in a German health insurance population."],"pmcid":["PMC10693544"],"funding_grant_id":["No grant number assigned","GE 1167/19-1"],"pubmed_authors":["Sperlich S","Epping J","Safieddine B","Beller J","Geyer S","Eberhard S","Tetzlaff J","Stahmeyer J"],"additional_accession":[]},"is_claimable":false,"name":"Decreasing COPD-related incidences and hospital admissions in a German health insurance population.","description":"Chronic obstructive pulmonary disease (COPD) is associated with smoking and work-related health hazards. Most studies have reported prevalences, and the number of studies examining incidences and social inequalities is small. We analyzed the development of social inequalities of COPD-incidences in terms of income and exacerbations in terms of hospital admissions. Findings were based on claims data from a German statutory health insurance covering 2008 to 2019. Outpatient diagnoses were used for defining COPD-cases, hospital admissions were used for detecting exacerbations. Analyses were performed using Cox-regression. Individual incomes were depicted at three levels defined according to national averages for each year. Data of 3,040,137 insured men and women were available. From 2008 to 2019 COPD-incidences in men decreased by 42% and 47% in women. After stratification by income the reduction at the lowest income level was 41% and 50% in women. Respectively, at the highest income level reductions were 28% and 41%. Disease exacerbations decreased over time, and also social inequalities between income groups emerged. COPD-rates decreased over time at all income levels, but at a faster pace in the lowest income group, thus leading to a positive development of diminishing social gradients in men as well as in women.","dates":{"release":"2023-01-01T00:00:00Z","publication":"2023 Dec","modification":"2025-05-29T21:46:40.462Z","creation":"2025-05-29T21:46:40.462Z"},"accession":"S-EPMC10693544","cross_references":{"pubmed":["38042961"],"doi":["10.1038/s41598-023-48554-y"]}}