Table 4.
Summary of country-specific resource utilization in the 24 month observation period
| Patients with any use (prior 24 months) | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Canada | France | Germany | United Kingdom | ||||||
| n = 36 | n = 36 | n = 47 | n = 38 | ||||||
| Unit type | % with any use | mean units used a | % with any use | mean units used a | % with any use | mean units used a | % with any use | mean units used a | |
| Pulmonary exacerbations | |||||||||
| Exacerbations that required ER visits | Visit | 41.7 | 1.0 | 11.1 | 0.8 | 8.5 | 1.4 | 31.6 | 1.3 |
| Exacerbations that required hospitalizations | Days | 27.8 | 8.7 | 13.9 | 25.7 | 12.8 | 9.3 | 31.6 | 6.9 |
| Exacerbations that required outpatient treatment | |||||||||
| Visit in physician’s office | Visit | 19.4 | 2.5 | 16.7 | 2.5 | 2.1 | 1.4 | 13.2 | 1.2 |
| IV infusion clinic | Visit | 8.3 | 2.2 | 0.0 | – | 0.0 | – | 0.0 | – |
| Other | Visit | 0.0 | – | 0.0 | – | 0.0 | – | 0.0 | – |
| Any pulmonary exacerbation | N/A | 47.2 | – | 36.1 | – | 14.9 | – | 34.2 | – |
| Other health care visits (not related to pulmonary exacerbations) | |||||||||
| ER visits | Visit | 36.1 | 1.0 | 16.7 | 1.2 | 14.9 | 0.9 | 10.5 | 1.3 |
| Hospitalizations | |||||||||
| Hospitalization for respiratory infection or inflammation | Days | 44.4 | 5.4 | 86.1 | 12.8 | 72.3 | 6.7 | 55.3 | 7.9 |
| Hospitalization requiring surgery | Days | 0.0 | – | 11.1 | 0.7 | 0.0 | – | 2.6 | 8.0 |
| Outpatient visits | |||||||||
| Physician office visits | Visit | 91.7 | 5.8 | 61.1 | 9.5 | 51.1 | 3.8 | 52.6 | 4.0 |
| Infusion clinic visits | Visit | 2.8 | 7.5 | 0.0 | – | 6.4 | 3.5 | 0.0 | – |
| Homecare nurse | Visit | 16.0 | 70.9 | 44.2 | 27.7 | 22.8 | 60.5 | 1.3 | 0.4 |
| Physiotherapy | Visit | 30.4 | 24.3 | 59.7 | 19.4 | 33.9 | 10.1 | 25.5 | 12.3 |
| Pulmonary rehabilitation | Visit | 30.1 | 21.1 | 6.2 | 7.7 | 51.0 | 13.1 | 58.7 | 23.8 |
| Other | Visit | 10.6 | 15.4 | 7.4 | 48.8 | 5.3 | 9.7 | 2.1 | 50.4 |
| Tests | |||||||||
| Biopsy | Test | 4.7 | 9.2 | 25.0 | 1.9 | 30.7 | 10.0 | 8.6 | 2.2 |
| Sputum specimen | Test | 74.6 | 1.4 | 72.0 | 2.0 | 68.1 | 1.4 | 31.6 | 1.0 |
| Bronchial wash or lavage | Test | 23.7 | 1.8 | 66.0 | 1.0 | 47.4 | 1.3 | 76.5 | 1.6 |
| Blood test | Test | 52.7 | 6.0 | 86.7 | 6.9 | 70.6 | 6.3 | 76.6 | 6.1 |
| CT scan | Test | 74.5 | 2.3 | 75.1 | 6.7 | 54.9 | 9.7 | 65.7 | 2.4 |
| ECG | Test | 28.7 | 2.4 | 62.5 | 7.2 | 43.0 | 5.2 | 34.5 | 2.1 |
| MRI | Test | 8.3 | 5.6 | 18.5 | 6.4 | 11.1 | 4.9 | 1.3 | 1.6 |
| Angiography | Test | 0.0 | – | 0.0 | – | 4.5 | 1.1 | 0.0 | – |
| CT guided biopsy | Test | 0.0 | – | 0.0 | – | 4.5 | 3.5 | 8.6 | 1.3 |
| Pulmonary function test | Test | 24.6 | 1.6 | 14.1 | 1.2 | 46.4 | 5.0 | 28.8 | 1.6 |
| Ultrasound | Test | 1.4 | 0.8 | 19.9 | 5.9 | 39.2 | 4.6 | 2.8 | 1.5 |
| X-ray | Test | 73.9 | 3.9 | 69.5 | 7.8 | 73.1 | 3.8 | 75.0 | 3.9 |
| Other | Test | 10.6 | 1.4 | 0.0 | – | 7.9 | 7.3 | 0.0 | – |
aMean annual utilization among subjects with any utilization of that resource within the prior 24 months. Abbreviations: CT computed tomography, ECG electrocardiogram, ER emergency room, IV intravenous, MRI magnetic resonance imaging