Health expenditures of asthma-COPD overlap in Northern Jordan.

<h4>Objective</h4>To investigate the characteristics and medical expenditures of patients with Asthma- chronic obstructive pulmonary disease (COPD) overlap (ACO) compared to asthma and COPD patients.<h4>Methods</h4>This was a retrospective cohort study involving patients diag...

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Autores principales:	Shoroq M Altawalbeh, Bushra Hijazi, Lara Kufoof, Iman A Basheti
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/68ae40d0ab264824a91592dd3705db80
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spelling	oai:doaj.org-article:68ae40d0ab264824a91592dd3705db802021-12-02T20:14:26ZHealth expenditures of asthma-COPD overlap in Northern Jordan.1932-620310.1371/journal.pone.0257566https://doaj.org/article/68ae40d0ab264824a91592dd3705db802021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257566https://doaj.org/toc/1932-6203<h4>Objective</h4>To investigate the characteristics and medical expenditures of patients with Asthma- chronic obstructive pulmonary disease (COPD) overlap (ACO) compared to asthma and COPD patients.<h4>Methods</h4>This was a retrospective cohort study involving patients diagnosed with ACO, asthma or COPD as of January 2016. Medical records for patients attending King Abdullah University Hospital (KAUH), in northern Jordan, during the years 2015-2016 were used to identify eligible patients and all relevant clinical characteristics. Both respiratory and all-cause charges were extracted from KAUH billing system during the year 2016. Total, inpatient, outpatient, and pharmacy charges were described and compared across the three disease categories. Charges were measured in Jordanian Dinar (JOD, equal to 1.41 US Dollar).<h4>Results</h4>Of a total of 761, 87 ACO patients, 494 asthmatic patients and 180 COPD patients were identified and included in this study. The average total respiratory-related charges were significantly higher in patients with ACO compared to patients with asthma (601.4 versus 354.3 JODs; P value < 0.001). Average all-cause charges were higher in case of ACO and COPD compared to patients with asthma (1830.8 and 1705.4 versus 1251.7 JODs; P value < 0.001). ACO was a significant predictor of higher respiratory and all-cause related charges. Respiratory charges were also higher in older patients and those with higher disease severity.<h4>Conclusions</h4>ACO is a risk factor for incurring higher health expenditures in Jordan. Higher respiratory expenditures are also associated with older ages and higher disease severity.Shoroq M AltawalbehBushra HijaziLara KufoofIman A BashetiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257566 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shoroq M Altawalbeh Bushra Hijazi Lara Kufoof Iman A Basheti Health expenditures of asthma-COPD overlap in Northern Jordan.
description	<h4>Objective</h4>To investigate the characteristics and medical expenditures of patients with Asthma- chronic obstructive pulmonary disease (COPD) overlap (ACO) compared to asthma and COPD patients.<h4>Methods</h4>This was a retrospective cohort study involving patients diagnosed with ACO, asthma or COPD as of January 2016. Medical records for patients attending King Abdullah University Hospital (KAUH), in northern Jordan, during the years 2015-2016 were used to identify eligible patients and all relevant clinical characteristics. Both respiratory and all-cause charges were extracted from KAUH billing system during the year 2016. Total, inpatient, outpatient, and pharmacy charges were described and compared across the three disease categories. Charges were measured in Jordanian Dinar (JOD, equal to 1.41 US Dollar).<h4>Results</h4>Of a total of 761, 87 ACO patients, 494 asthmatic patients and 180 COPD patients were identified and included in this study. The average total respiratory-related charges were significantly higher in patients with ACO compared to patients with asthma (601.4 versus 354.3 JODs; P value < 0.001). Average all-cause charges were higher in case of ACO and COPD compared to patients with asthma (1830.8 and 1705.4 versus 1251.7 JODs; P value < 0.001). ACO was a significant predictor of higher respiratory and all-cause related charges. Respiratory charges were also higher in older patients and those with higher disease severity.<h4>Conclusions</h4>ACO is a risk factor for incurring higher health expenditures in Jordan. Higher respiratory expenditures are also associated with older ages and higher disease severity.
format	article
author	Shoroq M Altawalbeh Bushra Hijazi Lara Kufoof Iman A Basheti
author_facet	Shoroq M Altawalbeh Bushra Hijazi Lara Kufoof Iman A Basheti
author_sort	Shoroq M Altawalbeh
title	Health expenditures of asthma-COPD overlap in Northern Jordan.
title_short	Health expenditures of asthma-COPD overlap in Northern Jordan.
title_full	Health expenditures of asthma-COPD overlap in Northern Jordan.
title_fullStr	Health expenditures of asthma-COPD overlap in Northern Jordan.
title_full_unstemmed	Health expenditures of asthma-COPD overlap in Northern Jordan.
title_sort	health expenditures of asthma-copd overlap in northern jordan.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/68ae40d0ab264824a91592dd3705db80
work_keys_str_mv	AT shoroqmaltawalbeh healthexpendituresofasthmacopdoverlapinnorthernjordan AT bushrahijazi healthexpendituresofasthmacopdoverlapinnorthernjordan AT larakufoof healthexpendituresofasthmacopdoverlapinnorthernjordan AT imanabasheti healthexpendituresofasthmacopdoverlapinnorthernjordan
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Health expenditures of asthma-COPD overlap in Northern Jordan.

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