Chronic obstructive pulmonary disease (COPD) is a common lung condition most often caused by smoking. COPD patients are at risk of episodes of severe deterioration, which are called 'exacerbations'. Exacerbations are the second commonest cause of adult emergency medical hospital admission in the UK and are associated with a shortened life and decreased quality of life. There are several interventions that can help to improve quality of life for people with COPD and may help to reduce the occurrence of exacerbations and therefore reduce the amount of healthcare required and its associated costs. One of these interventions is called pulmonary rehabilitation. Pulmonary rehabilitation requires people with COPD to attend an exercise and education class once or twice a week over a 4 to 6 week period. While many studies have investigated the effect of pulmonary rehabilitation on individual patients, analyses of cost-effectiveness for the NHS as a whole are less common. Outputs from this study will be used to inform a tool developed in collaboration with NHS England that will help predict the geographical regions and type of people that will benefit most from prioritising pulmonary rehabilitation resources.
Chronic obstructive pulmonary disease (COPD) is a common lung condition most often caused by smoking. COPD patients are at risk of severe episodes of deterioration, termed 'exacerbations'. Exacerbations are the second commonest cause of adult emergency medical hospital admission in the UK and are associated with descresed life expectancy and decreased quality of life. There are several interventions that can help improve quality of life in people with COPD and may also help to reduce exacerbations and the healthcare utilisation and cost associated with them. One of these interventions is pulmonary rehabilitation. Using CPRD Aurum data linked with IMD and HES-APC, we will determine the proportion of the population who have COPD (incidence and prevalence) between 2009 and 2019, and the proportion of people who are eligible for, referred for or decline, commence, and complete pulmonary rehabilitation. We will explore demographics that may affect uptake and regression coefficients will be used in a model to inform an NHS England dashboard in development that will help areas to determine their capacity and referral targets going forward.
Incidence and prevalence year on year of COPD 2009-2019; In each year, proportion of people eligible for, referred for or who declined, or completed PR; Regression coefficients for referral, uptake, and completion of PR by stratifying variable (age, gender, deprivation, ethnicity, region)
Jennifer Quint - Chief Investigator - Imperial College London
Philip Stone - Corresponding Applicant - Imperial College London
HES Admitted Patient Care;Patient Level Index of Multiple Deprivation