Chronic Obstructive, Pulmonary Disease
Conditions
Keywords
COPD, Chronic Bronchitis, Pulmonary Emphysema
Brief summary
The purpose of this retrospective, non-interventional sutdy is to compare the effectiveness of ICS/LABA combination therapy in the reduction of COPD exacerbations during the 12 months after initiation of therapy between COPD patients who are adherent to the index medication and those who are non-adherent.
Detailed description
This retrospective, observational study will assess the effectiveness of ICS/LABA combination therapies among COPD patients new to the ICS/LABA combination therapies in the US, comparing those who are adherent to the index medication and those who are non-adherent. Adherence will be measured using the proportion of days covered with the index medication. Medical and pharmacy claims data will be used as the data source.
Interventions
Non-Interventional Study
Sponsors
Study design
Eligibility
Inclusion criteria
* at least one prescription fill for ICS/LABA combination during identification period. * COPD diagnosis * 40 years or older at index date * \> or = 12 months of continuous health plan enrollment prior to and following index date * 1 or more prescription for SABA, SAMA or SABA/SAMA during the pre-index period.
Exclusion criteria
* Patients with prescription claim for ICS/LABA combination therapy during the 12 month pre-index period * Patients receiving oral corticosteroid medication for more than 180 days during the 12 month pre-index period * Patients with cancer diagnosis in 12 month pre-index period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exacerbation rate | 12 months | Rate of COPD exacerbation occurring during the 12 months after therapy initiation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severe Exacerbation rate | 12 months | Severe exacerbation rate during the 12 months after therapy initiation |
Other
| Measure | Time frame | Description |
|---|---|---|
| Time to Exacerbation | 12 months | Time to first COPD exacerbation during the 12 months after therapy initiation. |
Countries
United States