Table 2.
Population analysis for moderate exacerbations | 2016 | 2017 | 2018 | 2019 | 2020 | 2020/2019 (%) or RR a |
---|---|---|---|---|---|---|
COPD population b | 14,128 | 15,462 | 16,376 | 17,050 | 17,489 | |
Female sex (%) | 35.5 | 36.6 | 37.5 | 38.3 | 39.2 | |
Age, years (mean ± SD) | 69.4 ± 10.0 | 69.4 ± 9.9 | 69.5 ± 9.8 | 69.5 ± 9.7 | 69.6 ± 9.6 | |
All events c (No./COPD population) | 0.85 | 0.78 | 0.80 | 0.77 | 0.51 | –33.8 |
Antibiotics | 0.62 | 0.56 | 0.58 | 0.55 | 0.34 | –38.9 |
Systemic corticosteroids | 0.13 | 0.13 | 0.13 | 0.12 | 0.12 | –6.1 |
Antibiotics and corticosteroids | 0.10 | 0.09 | 0.09 | 0.09 | 0.05 | –41.1 |
No. events/exacerbator d | 1.81 | 1.80 | 1.77 | 1.76 | 1.65 | –6.1 |
Risk of experiencing at least 1 event | 0.469 | 0.431 | 0.450 | 0.438 | 0.309 | 0.692 a |
Risk of experiencing at least 2 events | 0.215 | 0.195 | 0.202 | 0.193 | 0.115 | 0.575 a |
Specific subgroups of patients | ||||||
COPD coded in hospitalisation | ||||||
Population | 5218 | 6271 | 7080 | 7594 | 7528 | |
Events/population | 1.18 | 1.06 | 1.05 | 1.02 | 0.71 | –29.8 |
Risk of experiencing at least 1 event | 0.599 | 0.534 | 0.539 | 0.529 | 0.398 | 0.728 a |
Risk of experiencing at least 2 events | 0.312 | 0.280 | 0.280 | 0.263 | 0.174 | 0.620 a |
Patients receiving triple therapy 2018–2020 | ||||||
Population | 4510 | 4510 | 4510 | |||
Events/population e | 1.05 | 0.98 | 0.68 | –32.9 f | ||
Risk of experiencing at least 1 event | 0.550 | 0.516 | 0.380 | 0.713 a | ||
Risk of experiencing at least 2 events | 0.276 | 0.254 | 0.173 | 0.651 a | ||
Patients receiving dual bronchodilatation 2018–2020 | ||||||
Population | 2665 | 2665 | 2665 | |||
Events/population e | 0.51 | 0.50 | 0.33 | –34.4 f | ||
Risk of experiencing at least 1 event | 0.345 | 0.341 | 0.232 | 0.674 a | ||
Risk of experiencing at least 2 events | 0.119 | 0.103 | 0.650 | 0.585 a | ||
Population analysis for comparator event (UTI) | ||||||
UTI events/COPD population | 0.076 | 0.077 | 0.079 | 0.085 | 0.078 | –8.0 |
COPD, chronic obstructive pulmonary disease; SD, standard deviation; UTI, urinary tract infection.
Relative risk (risk in 2020 relative to the 2016-2019 or 2018-2019 weighted average risk).
Estimated separately for each year and based on COPD medication claims and hospitalisation events (e-Appendix 1).
Based on medication claims (antibiotics, oral corticosteroids, or both – e-Appendix 3).
Rates for patients with exacerbations.
Rates from 2018 on analysis of stable surviving subpopulation of dual/triple maintenance therapy (e-Appendix 2).
Compared to the 2018–2019 average.