Asthma control is associated with economic outcomes, work productivity and health-related quality of life in patients with asthma

Autor: Lulu K Lee, Karthik Ramakrishnan, Guilherme Safioti, Rinat Ariely, Michael Schatz
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 7, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2019-000534
Popis: Background The objective of this analysis was to examine the association between asthma control (based on Asthma Control Test (ACT) responses) and healthcare resource utilisation (HRU), work productivity and health-related quality of life (HRQoL) among a nationwide sample of US adults with a self-reported diagnosis of asthma and without comorbid chronic obstructive pulmonary disease.Methods Data were obtained from the 2015 and 2016 self-administered, internet-based National Health and Wellness Surveys. Patients were grouped by ACT score (≤15: poorly controlled; 16–19: partly controlled; 20–25: well-controlled asthma). Study outcomes included HRU (patient-reported healthcare provider visits, emergency department visits and hospitalisations during the previous 6 months); work productivity, measured using the Work Productivity and Activity Impairment-General Health Scale; HRU-associated costs and work productivity loss and HRQoL, measured using EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) and the Short Form Health Survey-36V.2 (SF-36V.2). Incremental differences in outcomes between groups were assessed using generalised linear models adjusted for covariates.Results Of 7820 eligible adults, 17.4% had poorly controlled, 20.1% partly controlled and 62.5% well-controlled asthma. Well-controlled asthma was associated with significantly lower HRU (p
Databáze: Directory of Open Access Journals