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Socioeconomic impact of asthma, chronic obstructive pulmonary disease and asthma-COPD overlap syndrome

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dc.contributor.author김영삼-
dc.date.accessioned2023-08-09T02:45:08Z-
dc.date.available2023-08-09T02:45:08Z-
dc.date.issued2017-06-
dc.identifier.issn2072-1439-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/195802-
dc.description.abstractBackground: Asthma-chronic obstructive pulmonary disease (COPD) overlap syndrome (ACOS) is defined as having both features of asthma and COPD, which are airway hyper-responsiveness and incompletely reversible airway obstruction. However, socioeconomic impact of ACOS have not been well appreciated. Methods: Adults with available wheezing history and acceptable spirometry were selected from the fourth Korean National Health and Nutrition Examination Survey (KNHANES IV) in 2007-2009. Their data were merged with the Korean National Health Insurance claim data. 'Asthma group' was defined as having self-reported wheezing history and FEV1/FVC ≥0.7, 'COPD group' was defined as having FEV1/FVC <0.7 and no wheezing, 'ACOS group' was defined as having both wheezing and FEV1/FVC <0.7, and 'no airway disease (NAD) group' was defined as having no wheezing and FEV1/FVC ≥0.7. Results: Among a total of 11,656 subjects, ACOS comprise 2.2%; COPD, 8.4%; asthma, 5.8% and NAD, 83.6%. Total length of healthcare utilization and medical costs of ACOS group was the top among four groups (P<0.001), though inpatient medical cost was the highest in COPD group (P=0.025). Multiple linear regression analyses showed that ACOS group (β=12.63, P<0.001) and asthma group (β=6.14, P<0.001) were significantly associated with longer duration of healthcare utilization and ACOS group (β=350,475.88, P=0.008) and asthma group (β=386,876.81, P<0.001) were associated with higher medical costs. Conclusions: This study demonstrated that ACOS independently influences healthcare utilization after adjusting several factors. In order to utilize limited medical resources efficiently, it may be necessary to find and manage ACOS patients.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherPioneer Bioscience Pub. Co.-
dc.relation.isPartOfJOURNAL OF THORACIC DISEASE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleSocioeconomic impact of asthma, chronic obstructive pulmonary disease and asthma-COPD overlap syndrome-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorJinhee Kim-
dc.contributor.googleauthorYoung Sam Kim-
dc.contributor.googleauthorKyungjoo Kim-
dc.contributor.googleauthorYeon-Mok Oh-
dc.contributor.googleauthorKwang Ha Yoo-
dc.contributor.googleauthorChin Kook Rhee-
dc.contributor.googleauthorJin Hwa Lee-
dc.identifier.doi10.21037/jtd.2017.05.07-
dc.contributor.localIdA00707-
dc.relation.journalcodeJ01907-
dc.identifier.eissn2077-6624-
dc.identifier.pmid28740668-
dc.subject.keywordAsthma COPD overlap syndrome (ACOS)-
dc.subject.keywordasthma-
dc.subject.keywordchronic obstructive pulmonary disease (COPD)-
dc.subject.keywordepidemiology-
dc.subject.keywordmedical cost-
dc.contributor.alternativeNameKim, Young Sam-
dc.contributor.affiliatedAuthor김영삼-
dc.citation.volume9-
dc.citation.number6-
dc.citation.startPage1547-
dc.citation.endPage1556-
dc.identifier.bibliographicCitationJOURNAL OF THORACIC DISEASE, Vol.9(6) : 1547-1556, 2017-06-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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