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Comparison between long- and short-term participants in a Disease Management Program (DMP) Bronchial Asthma in North Rhine Westphalia in Germany

Arne Weber, Sabine Groos, Jens Kretschmann, Christine Macare, Hagen Bernd
European Respiratory Journal 2021 58: PA3712; DOI: 10.1183/13993003.congress-2021.PA3712
Arne Weber
1Central Research Institute of Ambulatory Health Care in Germany, Cologne, Germany
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  • For correspondence: aweber@zi.de
Sabine Groos
1Central Research Institute of Ambulatory Health Care in Germany, Cologne, Germany
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Jens Kretschmann
1Central Research Institute of Ambulatory Health Care in Germany, Cologne, Germany
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Christine Macare
1Central Research Institute of Ambulatory Health Care in Germany, Cologne, Germany
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Hagen Bernd
1Central Research Institute of Ambulatory Health Care in Germany, Cologne, Germany
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Abstract

Introduction: The emphasis of this study is to analyze if adult DMP participants, who take part for more than a decade, differ systematically from patients that participate for a shorter period than three years.

Methods: Medical records from general practitioners and pneumologists in the ambulatory setting from 2019 were used.

Results: In 2019 there were 62,827 adult asthma patients with a DMP participation for at least ten years whereas 52,374 patients take part for maximum three years.

Patients with a long participation interval are older than those with a recent DMP enrolment (60.1 ± 16.3 SD vs. 51.1 ± 17.1 SD). Further they are more often female (65.4 vs. 64.1%), smoke to a lesser extent (10.5 vs. 15.3%) and suffer more often from comorbidities (54.7 vs. 39.5%).

The long-term participants get to a greater extent asthma-specific medication prescribed [ICS (76.0 vs. 70.0%), LABA (65.9 vs. 62.2%), OCS (16.6 vs. 10.1%)].

There are also differences in reaching the targets in the program: e.g. long-term participants show more often an uncontrolled asthma (6.3 vs. 5.6%). There are advantages for long-term participants regarding partaking in a patient education (42.8 vs. 15.5%), receiving a written action plan (84.0 vs. 56.7%) and smoking cessation (54.8 vs. 29.9%).

Conclusion and discussion: The poorer asthma control and the higher medication among long-term participants might indicate that patients with a more severe course of disease remain in the program. The higher rates in patient education participation and smoking cessation might reveal a more compliant and highly motivated subgroup, that show consistently high values in the long-term evaluation.

  • Adults
  • Asthma
  • Asthma - management

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3712.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Comparison between long- and short-term participants in a Disease Management Program (DMP) Bronchial Asthma in North Rhine Westphalia in Germany
Arne Weber, Sabine Groos, Jens Kretschmann, Christine Macare, Hagen Bernd
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3712; DOI: 10.1183/13993003.congress-2021.PA3712

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Comparison between long- and short-term participants in a Disease Management Program (DMP) Bronchial Asthma in North Rhine Westphalia in Germany
Arne Weber, Sabine Groos, Jens Kretschmann, Christine Macare, Hagen Bernd
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3712; DOI: 10.1183/13993003.congress-2021.PA3712
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