Table 4.
QOF disease categories |
QOF disease count |
Charlson disease categories |
Charlson Index score |
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Disease | % pats. | Cost ratio | 95% CI | Count | % pats. | Cost ratio | 95% CI | Disease | % pats. | Cost ratio | 95% CI | Score | % pats. | Cost ratio | 95% CI |
None | 55.06 | 1.00 | – | 0 | 55.06 | 1.00 | – | None | 68.84 | 1.00 | – | 0 | 68.84 | 1.00 | – |
Asthma | 6.52 | 1.80 | (1.74,1.86) | 1 | 24.81 | 2.41 | (2.34,2.48) | AIDS | 0.01 | 0.98 | (0.51,1.88) | 1 | 19.27 | 2.05 | (2.00,2.10) |
Atrial fibrillation | 2.11 | 1.11 | (1.06,1.17) | 2 | 11.14 | 3.80 | (3.67,3.93) | Cancer | 3.83 | 1.54 | (1.48,1.60) | 2 | 6.62 | 2.59 | (2.50,2.68) |
Cancer | 1.64 | 1.74 | (1.65,1.84) | 3 | 5.20 | 4.86 | (4.68,5.04) | Cerebrovascular | 2.31 | 1.32 | (1.25,1.39) | 3 | 2.98 | 3.16 | (3.02,3.31) |
CHD | 5.63 | 1.45 | (1.41,1.50) | 4 | 2.39 | 5.81 | (5.55,6.07) | Chronic pulmonary | 16.63 | 1.64 | (1.61,1.68) | 4 | 1.30 | 3.60 | (3.42,3.80) |
CKD | 3.84 | 1.15 | (1.10,1.20) | 5 | 0.92 | 7.27 | (6.85,7.73) | Congestive heart | 1.21 | 1.24 | (1.17,1.32) | 5 | 0.56 | 3.86 | (3.58,4.16) |
COPD | 2.09 | 1.64 | (1.56,1.72) | 6+ | 0.49 | 7.56 | (7.04,8.11) | Dementia | 0.41 | 1.29 | (1.16,1.44) | 6 | 0.23 | 4.13 | (3.70,4.62) |
Dementia | 0.48 | 1.27 | (1.15,1.41) | Diabetes | 4.28 | 1.98 | (1.92,2.05) | 7+ | 0.19 | 4.54 | (3.98,5.18) | ||||
Depression | 14.87 | 1.53 | (1.49,1.57) | Diabetes with comp. | 0.91 | 2.43 | (2.27,2.61) | ||||||||
Diabetes | 5.04 | 1.73 | (1.67,1.79) | Hemiplegia/paraplegia | 0.18 | 1.86 | (1.46,2.36) | ||||||||
Epilepsy | 0.93 | 2.32 | (2.13,2.53) | Metastatic tumour | 0.12 | 1.36 | (1.07,1.71) | ||||||||
Heart failure | 1.15 | 1.09 | (1.02,1.17) | Mild liver disease | 0.17 | 1.39 | (1.16,1.67) | ||||||||
Hypertension | 18.16 | 1.42 | (1.38,1.46) | Mod/sev liver disease | 0.04 | 2.11 | (1.32,3.38) | ||||||||
Learning | 0.37 | 1.70 | (1.41,2.05) | Myocardial infarction | 1.70 | 1.42 | (1.35,1.50) | ||||||||
Mental health | 0.91 | 2.06 | (1.88,2.26) | Peptic ulcer | 2.15 | 1.31 | (1.25,1.38) | ||||||||
Obesity | 9.92 | 1.30 | (1.26,1.34) | Periph vascular dis. | 1.43 | 1.26 | (1.20,1.33) | ||||||||
Stroke | 2.42 | 1.22 | (1.16,1.27) | Renal disease | 4.68 | 1.34 | (1.28,1.40) | ||||||||
Hyperthyroidism | 3.91 | 1.21 | (1.16,1.26) | Rheumatological dis. | 2.05 | 1.46 | (1.39,1.53) |
Notes. Estimates from GLM log Poisson model also including age/gender, deprivation and practice effects. Cost ratios for disease categories are the estimated costs for a patient with the relevant disease divided by the estimated cost for a patient without that disease. Cost ratios for counts are the estimated costs for a patient with the relevant count divided by the estimated cost for a patient with no disease (zero count). CHD: coronary heart disease; CKD: chronic kidney disease; COPD: chronic obstructive pulmonary disease; AIDS: acquired immune deficiency syndrome.