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Table 4 Prevalence (%) of patients experiencing ≥1 exacerbation and health services utilization among COPD patients in the commercial and Medicare datasets*

From: Identifying and characterizing COPD patients in US managed care. A retrospective, cross-sectional analysis of administrative claims data

Parameter,

Commercial dataset

(n = 42,565)

Medicare dataset

(n = 8,507)

Exacerbations

  

   Inpatient hospitalization

13.9

19.4

   ER visit exacerbation

4.5

4.5

   Ambulatory exacerbations, with qualifying diagnosis

35.6

27.6

   Ambulatory exacerbations supported by qualifying drug therapy

49.6

34.0

   Total exacerbations (any of the above types)

70.6

61.0

Health services

  

   Hospitalization (any reason)

39.2

52.9

   Office consultation/visit

98.7

96.4

   Standard chest X-rays

73.1

74.8

   Electrocardiogram

56.9

68.9

   Pulmonary function testing

40.0

33.2

   Respiratory-related equipment/supplies

26.0

35.7

   Heart echo exam

25.8

40.1

   Chest/thorax CT/MRI

23.6

26.6

   Cardiovascular stress test

19.2

19.2

   Respiratory/inhalation therapy

19.1

14.9

   Cardiac catheterization/coronary angiography

9.3

8.0

   Bone density study

7.8

7.6

   Sleep studies

5.4

2.0

   Disease management program

4.1

0

   Bronchoscopy

3.9

3.6

  1. *All of the differences comparing prevalence of comorbid conditions between commercial and Medicare populations were significant (p < 0.01), using two-tailed, chi-squared analysis, except for those indicated by italic text.