RT Journal Article
SR Electronic
T1 Where and when: The diagnostic setting and age at diagnosis for Danish COPD-patients - a nationwide registry study
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 3720
DO 10.1183/13993003.congress-2022.3720
VO 60
IS suppl 66
A1 P Ascanius Jacobsen
A1 K Kragholm
A1 C Torp-Pedersen
A1 U Møller Weinreich
YR 2022
UL http://erj.ersjournals.com/content/60/suppl_66/3720.abstract
AB Identification of the diagnostic setting and time of diagnosis may improve our understating of health seeking behavior in COPD patients.Aim: To explore age at diagnosis, diagnostic setting and differences in patient characteristics depending on diagnostic setting.Methods: Patients with an outpatient visit or admission due to COPD (ICD-10 diagnosis DJ44) between 2010-2018 were identified using nationwide registry data. Patients with an asthma diagnosis 5 years prior to inclusion or age ≤35 years were excluded. First redeemed prescription for inhalation medication (ATC “R03A”, “R03B”) was furthermore identified. Time of COPD diagnosis was defined as first outpatient visit, admission to hospital or first prescription of inhalation medication (primary sector), whichever came first.Results: We included 105,355 COPD patients, 50% male, educational level low/medium/high in 49.9%/37.5%/12.6%. In total 78,372 (74.4%) patients were diagnosed in the primary sector, 15,449 (14.7%) at admission and 11,534 (10.9%) at an out-patient clinic. Median age at diagnosis was 65 years, interquartile range [56-74], (primary sector: 63 years [54-72]; hospital admission 74 years [65-82]; out-patient visit 68 years [60-76]). Low educational level was seen in 50.6%, 42.0% and 52.4% of patients diagnosed in primary care, outpatient clinics and admission respectively. Male sex was seen in 48.0%, 59.9% and 54.4% of patients diagnosed in primary care, outpatient clinic and admission respectively.Conclusions: Patients diagnosed at admission are older indicating a need for earlier diagnostics and treatment. Differences in health seeking behavior are seen with gender and socioeconomic status.FootnotesCite this article as Eur Respir J 2022; 60: Suppl. 66, 3720.This article was presented at the 2022 ERS International Congress, in session “-”.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).