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- Title
Does multimorbidity result in de-prioritisation of COPD in primary care?
- Authors
Smith, Carolina; Hasselgren, Mikael; Janson, Christer; Kisiel, Marta A.; Lisspers, Karin; Nager, Anna; Sandelowsky, Hanna; Ställberg, Björn; Sundh, Josefin; Montgomery, Scott
- Abstract
The aim of this study was to describe factors associated with having COPD regularly reviewed in primary care by a nurse or physician and assess whether there was de-prioritisation for COPD in multimorbid patients. We defined de-prioritisation as not having at least one check-up by a physician during a two-year period. Among 713 COPD patients in the Swedish PRAXIS study, 473 (66%) had at least one check-up during the study period (ending in 2014). Patients with check-ups were more likely to have three or more comorbid conditions (31.9% vs. 24.6%) and exacerbations (35.1% vs. 21.7%) than those without. Compared with those without comorbidity, those with three or more diagnoses had increased relative risk ratios (and 95% CI) for consultations discussing COPD with only a physician (5.63 (2.68–11.79)), COPD-nurse only (1.67 (0.83–3.37)) or both (2.11 (1.09–4.06)). COPD patients received more frequent check-ups considering COPD if they had comorbidity or a history of exacerbations. We found no evidence of de-prioritisation for COPD in multimorbid patients.
- Subjects
OBSTRUCTIVE lung diseases; COMORBIDITY; PRIMARY care; DISEASE exacerbation; MEDICAL consultation
- Publication
NPJ Primary Care Respiratory Medicine, 2023, Vol 33, Issue 1, p1
- ISSN
2055-1010
- Publication type
Article
- DOI
10.1038/s41533-023-00326-x