Chronic Obstructive Pulmonary Disease, COPD
Conditions
Brief summary
The purpose of this study is to estimate a direct/indirect medical cost and to provide evidence establishing efficient strategies to reduce medical costs of COPD in Korea.
Detailed description
This study is a multi-center research on economic burdens of COPD for a year. It is composed of three phases detailed as follow. Phase 1: Direct Cost Estimation in COPD patients (N = 400) Direct cost determined as amount of money expended to medical institutes for treatment. Estimated costs, based on the information from Health insurance review agency(HIRA) and The National Health and Nutrition Examination Survey (NHANES) data, are collected. Phase 2: Indirect cost Estimation by Sampling Survey in COPD patient Indirect cost is extra-expanses excluding hospital fees, including cost for transportation, medical instruments, home care services and loss of labor capacity reduction. The information was collected by structured questionnaire for 12 weeks. Phase 3: Direct/Indirect cost is validated and analyzed based on the collected information from phase 1 and 2 according to severity defined by the GOLD guideline.
Interventions
OTHERDirect cost
Money spent to treat COPD in medical institute based on HIRA
OTHERIndirect cost
extra-expanses excluding hospital fees
Sponsors
GlaxoSmithKline
Konkuk University Medical Center
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Over 20 years old * COPD patients
Exclusion criteria
* Patients who disagree with participating in research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total cost of COPD | 1 year | Korean won, KRW |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The cost of alternative medication use | three months | We will add up the costs of herbal medicine, health supplement, medical equipments and respiratory rehabilitation. According to patients, the items of alternative medication use would be different. |
| Cost of productivity lost | Last 7days from filling out questionnaires | Reduction of working hour and monthly income for being late or abscence from work. |
| The number of acute exacerbations | 1 year | Number of events |
| The total number of visits | 1 year | primary clinics, emergency department and hospital admission. |
| Nursing cost | 1 year (past 1 year before filling questionnaires) | payment for nurse (Korean won, KRW) |
| EuroQol five dimension(EQ-5D) | 3 months | Measured by questionnaire based by EQ -5D ( EQ-5D essentially consists of 2 pages - the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS) . The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems ) |
Countries
South Korea
Outcome results
None listed