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Table 3 Unadjusted healthcare utilization, work absenteeism and resulting costs

From: Direct and indirect costs of COPD progression and its comorbidities in a structured disease management program: results from the LQ-DMP study

 

GOLD grade 1

GOLD grade 2

GOLD grade 3

GOLD grade 4

p-value

N

12,053 (30.7%)

18,119 (46.1%)

7383 (18.8%)

1752 (4.5%)

 

 Healthcare utilization

 Outpatient services

  % User

100.0

100.0

100.0

100.0

1.0000

  Total number of visits

15.8 (8.7)

16.0 (9.0)

15.3 (8.7)

14.1 (8.0)

< 0.0001

  General practitioner

8.2 (5.7)

8.4 (5.9)

8.2 (5.8)

7.8 (5.5)

< 0.0001

  Specialist

6.3 (5.4)

6.4 (5.6)

6.0 (5.3)

5.3 (4.6)

< 0..0001

 Inpatient services

  % User

10.9

12.7

17.5

23.0

< 0.0001

  Number of hospital days

4.3 (12.5)

4.8 (12.6)

6.6 (14.6)

8.9 (17.2)

< 0.0001

 Prescribed medication

  %User

97.6

98.3

98.8

99.1

< 0.0001

  Number of prescribed drugs

15.4 (12.1)

17.0 (12.6)

20.0 (14.5)

22.1 (14.8)

< 0.0001

 Direct costs

  Outpatient costs

€548

€600

€604

€564

0.0109

  Inpatients costs

€2034

€2271

€3042

€4192

< 0.0001

  Medication costs

€593

€716

€932

€1478

< 0.0001

  Rehabilitation

€130

€146

€176

€232

< 0.0001

  Aids and Remedies

€404

€428

€603

€1016

< 0.0001

  Travel costs

€112

€131

€203

€320

< 0.0001

  Total direct costs

€3821

€4292

€5561

€7801

< 0.0001

 

GOLD grade 1

GOLD grade 2

GOLD grade 3

GOLD grade 4

p-value

N

3705 (31.0%)

5473 (45.7%)

2160 (18.1%)

632 (5.3%)

 

 Works absenteeism (participants < 65 years)

  %retired

22.0

25.6

37.2

50.6

< 0.0001

  %employed

52.9

47.0

38.3

25.6

< 0.0001

  % with sick days

78.8

80.0

81.2

81.5

0.4724

  Number of sick days

43.3

44.9

53.0

66.1

0.0001

 Indirect costs (participants < 65 years)

  Sick days

€3069

€3148

€3138

€2737

< 0.0001

  Premature retirement

€8777

€10,188

€14,743

€20,195

< 0.0001

  Total indirect costs

€11,846

€13,336

€17,880

€22,932

< 0.0001