Table 3 Twenty most frequent comorbidities among GP patients and 10 most frequent comorbidities among pulmonology patients using chronic comorbid conditions (CCC) over the three index periods (5 years before, ±5 years during the index date, and 5 years after).
GP patients comorbidity scores, mean (SD) | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Index age group | Age < 45: n = 32 | 45 ≤ Age < 65: n = 218 | Age ≥ 65: n = 182 | |||||||||||
Chronic comorbid conditions | 15.13 (8.19) | 14.29 (9.09) | 16.12 (9.01) | |||||||||||
Elixhauser | 5.56 (3.42) | 5.96 (4.23) | 6.22 (3.84) | |||||||||||
Elixhauser-vW Index | 12.81 (10.47) | 14.69 (14.13) | 15.92 (12.72) | |||||||||||
20 most frequent comorbidities among GP patients (%) | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Disease categories | Total | Before | Index period | After | Disease categories | Total | Before | Index period | After | Disease categories | Total | Before | Index period | After |
Dorsopathies | 81.3 | 40.6 | 31.3 | 9.4 | Hypertension | 71.1 | 18.3 | 38.5 | 14.2 | Hypertension | 81.3 | 31.9 | 43.4 | 6.0 |
Peripheral neuropathy | 78.1 | 0 | 31.3 | 46.9 | Peripheral neuropathy | 66.5 | 37.6 | 23.4 | 5.5 | Peripheral neuropathy | 70.9 | 41.2 | 24.2 | 5.5 |
Neurotic, stress-related & somatoform d.a | 71.9 | 25.0 | 40.6 | 6.3 | Other musculoskeletal & joint d | 62.4 | 27.1 | 27.1 | 8.3 | Dorsopathies | 68.7 | 43.4 | 20.3 | 4.9 |
Other musculoskeletal & joint d. | 68.8 | 15.6 | 31.3 | 21.9 | Dorsopathies | 61.0 | 34.9 | 22.0 | 4.1 | Other musculoskeletal & joint d. | 68.7 | 35.7 | 28.6 | 4.4 |
Esophagus, stomach & duodenum d. | 65.6 | 6.3 | 50.0 | 9.4 | Esophagus, stomach & duodenum d. | 52.8 | 20.2 | 26.1 | 6.4 | Osteoarthritis & other degenerative joint d. | 62.6 | 24.7 | 31.3 | 6.6 |
Ear, nose, throat d. | 65.6 | 18.8 | 37.5 | 9.4 | Neurotic, stress-related & somatoform d. | 49.5 | 21.6 | 20.6 | 7.3 | Ischemic heart d. | 60.4 | 29.7 | 24.2 | 6.6 |
Depression & mood d. | 62.5 | 9.4 | 43.8 | 9.4 | Dyslipidemia | 47.7 | 19.7 | 22.0 | 6.0 | Esophagus, stomach & duodenum d | 56.0 | 19.2 | 27.5 | 9.3 |
Dyslipidemia | 59.4 | 25.0 | 21.9 | 12.5 | Ischemic heart disease | 46.3 | 17.0 | 17.9 | 11.5 | Inflammatory Arthropathies | 50.0 | 27.5 | 19.2 | 3.3 |
Thyroid d. | 53.1 | 9.4 | 28.1 | 15.6 | Osteoarthritis & other degenerative joint d. | 44.0 | 11.9 | 22.0 | 10.1 | Dyslipidemia | 50.0 | 25.8 | 22.0 | 2.2 |
Other metabolic d. | 53.1 | 21.9 | 25.0 | 6.3 | Other metabolic d. | 43.6 | 21.6 | 15.6 | 6.4 | Other metabolic d. | 48.9 | 26.9 | 20.3 | 1.6 |
Asthma | 53.1 | 18.8 | 18.8 | 15.6 | Thyroid d. | 42.7 | 11.9 | 21.6 | 9.2 | Heart failure | 44.5 | 12.6 | 25.8 | 6.0 |
Allergy | 50.0 | 18.8 | 25.0 | 6.3 | Asthma | 40.8 | 7.8 | 20.6 | 12.4 | Neurotic, stress-related & somatoform d. | 44.5 | 21.4 | 18.7 | 4.4 |
Hypertension | 50.0 | 9.4 | 21.9 | 18.8 | Diabetes | 40.8 | 15.1 | 21.1 | 4.6 | Venous & lymphatic d. | 42.9 | 17.0 | 18.1 | 7.7 |
Inflammatory Arthropathies | 46.9 | 21.9 | 21.9 | 3.1 | Inflammatory Arthropathies | 40.8 | 22.0 | 16.1 | 2.8 | Diabetes | 39.0 | 14.3 | 20.3 | 4.4 |
Anemia | 46.9 | 25.0 | 15.6 | 6.3 | Allergy | 39.4 | 13.8 | 17.4 | 8.3 | Depression & mood d. | 39.0 | 14.3 | 17.0 | 7.7 |
Blood & blood forming organ d. | 43.8 | 9.4 | 12.5 | 21.9 | Ear, nose, throat d. | 38.1 | 10.6 | 18.8 | 8.7 | Colitis & related d. | 38.5 | 13.7 | 14.8 | 9.9 |
Osteoarthritis & other degenerative joint d. | 43.8 | 6.3 | 15.6 | 21.9 | Blood & blood forming organ d. | 37.6 | 5.0 | 14.2 | 18.3 | Allergy | 37.4 | 12.1 | 22.5 | 2.7 |
Diabetes | 40.6 | 12.5 | 18.8 | 9.4 | Colitis & related d. | 36.2 | 10.1 | 15.6 | 10.6 | Cerebrovascular disease | 36.3 | 11.5 | 16.5 | 8.2 |
Colitis & related d. | 37.5 | 6.3 | 12.5 | 18.8 | Depression & mood d. | 35.8 | 12.4 | 17.0 | 6.4 | Thyroid d. | 36.3 | 10.4 | 22.5 | 3.3 |
Venous & lymphatic d. | 34.4 | 3.1 | 12.5 | 18.8 | Venous & lymphatic d. | 35.3 | 9.6 | 16.5 | 9.2 | Cataract & other lens d. | 36.3 | 6.0 | 22.0 | 8.2 |
Pulmonology patients comorbidity scores, mean (SD) | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Index age group | Age < 45: n = 49 | 45 ≤ Age < 65: n = 260 | Age ≥ 65: n = 239 | |||||||||||
Chronic comorbid conditions | 3.37 (1.40) | 3.18 (1.73) | 3.03 (1.53) | |||||||||||
Elixhauser | 1.55 (.82) | 1.67 (1.14) | 1.81 (1.08) | |||||||||||
Elixhauser-vW Index ** | 3.24 (3.43) | 3.68 (3.01) | 4.60 (3.4) | |||||||||||
10 most frequent comorbidities among pulmonology patients, % | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Disease categories | Total | Before | Index period | After | Disease categories | Total | Before | Index period | After | Disease categories | Total | Before | Index period | After |
Asthma | 51.0 | 30.6 | 16.3 | 4.1 | (COPD), emphysema, chronic bronchitis | 60.8 | 26.2 | 28.5 | 6.2 | (COPD), emphysema, chronic bronchitis | 61.5 | 37.2 | 21.3 | 2.9 |
(COPD), emphysema, chronic bronchitis b | 49.0 | 26.5 | 14.3 | 8.2 | Sleep disorders | 36.2 | 11.5 | 13.5 | 11.2 | Hypertension | 44.4 | 4.6 | 22.6 | 17.2 |
Allergy | 38.8 | 20.4 | 10.2 | 8.2 | Other respiratory d. | 33.5 | 9.2 | 8.1 | 16.2 | Other respiratory d. | 38.1 | 11.7 | 14.6 | 11.7 |
Sleep disorders | 32.7 | 10.2 | 10.2 | 12.2 | Hypertension | 32.7 | 0.8 | 15.4 | 16.5 | Sleep disorders | 27.2 | 11.3 | 10.5 | 5.4 |
Other respiratory d. | 30.6 | 22.4 | 4.10 | 4.1 | Asthma | 31.2 | 21.2 | 6.9 | 3.1 | Asthma | 26.0 | 18.0 | 5.9 | 2.1 |
Other psychiatric & behavioral d. | 24.5 | 2.0 | 14.3 | 8.2 | Allergy | 17.0 | 7.7 | 5 | 4.2 | Ischemic heart disease | 21.8 | 2.5 | 7.9 | 11.3 |
Obesity | 22.5 | 0 | 4.1 | 18.4 | Obesity | 15.0 | 1.2 | 5 | 8.8 | Allergy | 10.0 | 7.5 | 2.1 | 0.4 |
Hypertension | 20.4 | 0 | 6.1 | 14.3 | Other psychiatric & behavioral d | 13.1 | 1.5 | 9.2 | 2.3 | Diabetes | 10.0 | 0 | 4.2 | 5.9 |
Chronic infectious d. | 12.2 | 0 | 4.1 | 8.2 | Ischemic heart disease | 12.3 | 0.8 | 2.7 | 8.8 | Obesity | 7.5 | 1.7 | 3.8 | 2.1 |
Esophagus, stomach, & duodenum d. | 8.2 | 2.0 | 2.0 | 4.1 | Diabetes | 8.1 | 1.2 | 1.2 | 5.8 | Other psychiatric & behavioral d. | 7.1 | 0.4 | 5.4 | 1.3 |