Pharmacotherapy Management of COPD Exacerbation (PCE)

Assesses chronic obstructive pulmonary disease (COPD) exacerbations for adults 40 years of age and older who had appropriate medication therapy to manage an exacerbation. A COPD exacerbation is defined as an inpatient or ED visit with a primary discharge diagnosis of COPD.

Why it Matters

Approximately 15 million adults in the United States have COPD, an irreversible disease that limits airflow to the lungs. COPD exacerbations or “flare-ups” make up a significant portion of the costs associated with the disease.¹ However, symptoms can be controlled with appropriate medication.²,³ Appropriate prescribing of medication following exacerbation can prevent future flare-ups and drastically reduce the costs of COPD.

Results

USE OF SYSTEMIC CORTICOSTEROIDS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 70.5 69.1 65.9 67.5 68.6
2015 75.9 72.6 67.1 71.9 74.6
2014 75.4 72.9 65.3 71.8 72.5
2013 75.5 72.8 65.8 70.6 71.6
2012 73.5 70.8 65.4 69.1 69.8
2011 71.3 69.5 64.1 66.8 68.8
2010 69.8 66.2 65.3 66.6 69.6
2009 66.1 64.1 61.8 60.9 64.2
2008 67.0 58.2 61.7 60.0 60.8
USE OF BRONCHODILATORS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 76.6 75.0 80.6 78.9 74.1
2015 80.1 78.2 80.0 81.1 77.0
2014 80.7 77.6 79.0 80.9 77.6
2013 80.1 78.7 80.9 80.7 76.9
2012 80.8 77.7 81.5 80.4 76.8
2011 79.9 76.8 80.4 78.4 75.9
2010 77.8 73.5 82.1 78.2 76.1
2009 78.0 75.0 80.7 76.2 74.9
2008 76.1 68.1 78.2 74.1 71.3

References

  1. Pasquale, M.K., S.X. Sun, F. Song, H.J. Hartnett, and S.A. Stemkowski. “Impact of exacerbations on health care cost and resource utilization in chronic obstructive pulmonary disease patients with chronic bronchitis from a predominantly Medicare population.” International Journal of COPD 7:757-64. doi: 10.2147/COPD.S36997.
  2. National Heart, Lung, and Blood Institute. 2012. “Morbidity and Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases.”
  3. Global Initiative for Chronic Obstructive Lung Disease. 2014. “Global Strategy for the Diagnosis, and Prevention of Chronic Obstructive Pulmonary Disease.”

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