Analyzing national administrative claims data can provide insights into patient behaviors and outcomes, which clinical teams can leverage to develop more personalized treatment plans and improve outcomes among high-risk patients.
Propeller Health and ResMed presented several abstracts at the ATS 2023 International Conference in Washington D.C. on May 19-24, many of which used asthma- and COPD-related administrative claims data to better understand trends in healthcare resource use as well as predictors of adherence and exacerbations among COPD and asthma patients. Read brief summaries of each abstract below or click the links to view them online.
Characteristics, healthcare resource use, and costs among high-risk patients with COPD in the United States
Summary: COPD exacerbations contribute to poor clinical outcomes, higher healthcare resource use (HCRU), and reduced quality of life for patients. Examining data from a national administrative claims dataset, researchers described the demographic and clinical characteristics, HCRU, and healthcare costs among patients with COPD who may be considered high-risk. The analysis found that COPD-related hospitalization costs for high-risk patients were more than six times higher than non-high-risk patients. High-risk patients were also more likely to:
- Be female and reside in the West or South regions of the U.S.
- Have one or more comorbid condition
- Use maintenance and rescue medications and oxygen therapy
- Have ongoing acute care visits
The analysis provides important insights into characteristics that can help identify high-cost, high-resource patients in claims data who are at an increased risk for poor clinical outcomes.
Predictors of adherence to asthma controller medication among pediatric, adolescent, and adult patients in the United States
Summary: Research continuously demonstrates that patients with persistent asthma tend to maintain poor medication adherence. Researchers used national administrative claims data to conduct a real-world analysis of the predictors of controller medication adherence among patients with asthma. Non-adherence at baseline was the strongest negative predictor of future adherence among all age groups. Results also showed that being covered by Medicaid — versus commercial insurance — reduced the odds of controller adherence, while older age and having comorbid conditions increased the odds of adherence, though the association between specific comorbidities and adherence varied between age groups. These results suggest predictors of adherence differ by age, and care management approaches should consider patient age as well as other clinical and contextual factors.
Predictors of exacerbations among pediatric, adolescent, and adult patients with asthma in the United States
Summary: Exacerbations are a key driver of healthcare utilization and costs in asthma care. Using administrative claims data, researchers examined the predictors of exacerbations among a large, diverse sample of U.S. patients with asthma. While exacerbations occurred among all patients, they were more frequent in patients with exacerbations in the prior 12 months, Medicaid coverage, asthma-related or other respiratory conditions, and severe asthma. While history of exacerbation and asthma-related comorbidities were predictors across all age groups, a history of COPD and hypertension increased exacerbation odds among adults. Such insights suggest that asthma management approaches may further consider the impact of patient demographics and clinical profiles.
For any questions about Propeller’s peer-reviewed clinical research, please reach out to email@example.com.