{"id":2446,"date":"2021-06-15T00:00:00","date_gmt":"2021-06-15T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/factors-associated-with-nonreceipt-of-recommended-copd-medications-a-population-study\/"},"modified":"2023-06-14T19:33:00","modified_gmt":"2023-06-14T23:33:00","slug":"factors-associated-with-nonreceipt-of-recommended-copd-medications-a-population-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/factors-associated-with-nonreceipt-of-recommended-copd-medications-a-population-study\/","title":{"rendered":"Factors associated with nonreceipt of recommended COPD medications: a population study"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; COPD medications reduce exacerbations and improve quality of life. Despite this, some individuals do not receive medications recommended by practise guidelines.<\/p>\n<p><strong>Research Question <\/strong>&#x2014; How common is nonreceipt of recommended medications among people with COPD and what are factors associated with nonreceipt?<\/p>\n<p><span class=\"bold\">Study Design and Methods<\/span> &#x2014; This population cohort study was conducted in Ontario, Canada, a province with universal health-care insurance and medication coverage for those aged &#x2265; 65 years. Health administrative data were used to identify people aged &#x2265; 66 years with physician-diagnosed COPD as of 2018 and group them into cohorts of lower or higher risk for future COPD exacerbations. Proportions of patients in each group who did not receive medications recommended by COPD guidelines were determined. Generalized estimating equation modeling was used to determine associations between patient and physician factors and nonreceipt of recommended medications.<\/p>\n<p><strong>Results <\/strong>&#x2014; About 54% and 88% of people with COPD received sufficient recommended medications in the low and high risk of exacerbation groups, respectively. Longer duration of COPD, higher comorbidity, dementia, and older physician age were associated with nonreceipt of recommended medications in both groups. People who had a co-diagnosis of asthma and who received care by a pulmonologist and using spirometry were more likely to receive recommended medication.<\/p>\n<p><strong>Interpretation <\/strong>&#x2014; COPD medications seem underused by the COPD population, and various factors are associated with suboptimal receipt. Targeting these factors would help improve the care and health of people with COPD.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; COPD medications reduce exacerbations and improve quality of life. Despite this, some individuals do not receive medications recommended by practise guidelines. Research Question &#x2014; How common is nonreceipt of recommended medications among people with COPD and what are factors associated with nonreceipt? Study Design and Methods &#x2014; This population cohort study was conducted [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2446","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Gershon AS, Pequeno P, Alberga Machado A, Aaron SD, Kendzerska T, Luo J, Stanbrook MB, Tan WC, Porter J, To T. <em>Chest<\/em>. 2021; 160(5):1670-80. Epub 2021 Jun 15.","source_url":"https:\/\/doi.org\/10.1016\/j.chest.2021.05.067","ices_scientist":[1244,1155,1349,1111],"site":[6733],"research_program":[6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"E09DE332-6994-44FE-904D-43A0A7F18045","sitecore_item_name":"Factors-associated-with-nonreceipt-of-recommended-COPD-medications","sitecore_field_values":"{\n  \"Title\": \"Factors associated with nonreceipt of recommended COPD medications: a population study\",\n  \"Short title\": \"Factors associated with non-receipt of\",\n  \"Summary\": \"Chronic obstructive pulmonary disease (COPD) medications reduce exacerbations and improve quality of life. Despite this, some individuals do not receive medications recommended by practise guidelines.\",\n  \"Citation\": \"<p>Gershon AS, Pequeno P, Alberga Machado A, Aaron SD, Kendzerska T, Luo J, Stanbrook MB, Tan WC, Porter J, To T. <em>Chest<\/em>. 2021; 160(5):1670-80. Epub 2021 Jun 15. DOI: <a href=\"https:\/\/doi.org\/10.1016\/j.chest.2021.05.067\" title=\"Opens external link\">https:\/\/doi.org\/10.1016\/j.chest.2021.05.067<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; COPD medications reduce exacerbations and improve quality of life. Despite this, some individuals do not receive medications recommended by practise guidelines.<\/p>n<p><strong>Research Question <\/strong>&mdash; How common is nonreceipt of recommended medications among people with COPD and what are factors associated with nonreceipt?<\/p>n<p><span class=\"bold\">Study Design and Methods<\/span> &mdash; This population cohort study was conducted in Ontario, Canada, a province with universal health-care insurance and medication coverage for those aged &ge; 65 years. Health administrative data were used to identify people aged &ge; 66 years with physician-diagnosed COPD as of 2018 and group them into cohorts of lower or higher risk for future COPD exacerbations. Proportions of patients in each group who did not receive medications recommended by COPD guidelines were determined. Generalized estimating equation modeling was used to determine associations between patient and physician factors and nonreceipt of recommended medications.<\/p>n<p><strong>Results <\/strong>&mdash; About 54% and 88% of people with COPD received sufficient recommended medications in the low and high risk of exacerbation groups, respectively. Longer duration of COPD, higher comorbidity, dementia, and older physician age were associated with nonreceipt of recommended medications in both groups. People who had a co-diagnosis of asthma and who received care by a pulmonologist and using spirometry were more likely to receive recommended medication.<\/p>n<p><strong>Interpretation <\/strong>&mdash; COPD medications seem underused by the COPD population, and various factors are associated with suboptimal receipt. Targeting these factors would help improve the care and health of people with COPD.<\/p>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{BC74234B-58F2-4366-95D9-235FF40A7AE3}|{0C963FE1-9F8D-4E99-9582-FC80D511B7C5}|{73142C55-DCAD-42CC-92F6-A9E364B0EF62}|{198CB764-0CEA-499E-A508-1CAAAD283C90}\",\n  \"Posted Date\": \"20210615T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/June\/Factors-associated-with-nonreceipt-of-recommended-COPD-medications"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Factors associated with nonreceipt of recommended COPD medications: a population study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; COPD medications reduce exacerbations and improve quality of life. 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