The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database

Pulmonary rehabilitation is recommended for patients with COPD to improve physical function, breathlessness and quality of life. Using The Health Information Network (THIN) primary care database in UK, we compared the demographic and clinical parameters of patients with COPD in relation to coding of...

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Main Authors:	Hakamy, Ali, McKeever, Tricia M., Gibson, Jack E., Bolton, Charlotte E.
Format:	Article
Language:	English
Published:	Nature Publishing Group 2017
Online Access:	http://eprints.nottingham.ac.uk/47305/ http://eprints.nottingham.ac.uk/47305/ http://eprints.nottingham.ac.uk/47305/ http://eprints.nottingham.ac.uk/47305/1/Hakamy%202017%20Primary%20Care%20res%20Med.pdf

id	nottingham-47305
recordtype	eprints
spelling	nottingham-473052017-10-18T11:29:03Z http://eprints.nottingham.ac.uk/47305/ The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database Hakamy, Ali McKeever, Tricia M. Gibson, Jack E. Bolton, Charlotte E. Pulmonary rehabilitation is recommended for patients with COPD to improve physical function, breathlessness and quality of life. Using The Health Information Network (THIN) primary care database in UK, we compared the demographic and clinical parameters of patients with COPD in relation to coding of pulmonary rehabilitation, and to investigate whether there is a survival benefit from pulmonary rehabilitation. We identified patients with COPD, diagnosed from 2004 and extracted information on demographics, pulmonary rehabilitation and clinical parameters using the relevant Read codes. Thirty six thousand one hundred and eighty nine patients diagnosed with COPD were included with a mean (SD) age of 67 (11) years, 53% were male and only 9.8% had a code related to either being assessed, referred, or completing pulmonary rehabilitation ever. Younger age at diagnosis, better socioeconomic status, worse dyspnoea score, current smoking, and higher comorbidities level are more likely to have a record of pulmonary rehabilitation. Of those with a recorded MRC of 3 or worse, only 2057 (21%) had a code of pulmonary rehabilitation. Survival analysis revealed that patients with coding for pulmonary rehabilitation were 22% (95% CI 0.69–0.88) less likely to die than those who had no coding. In UK THIN records, a substantial proportion of eligible patients with COPD have not had a coded pulmonary rehabilitation record. Survival was improved in those with PR record but coding for other COPD treatments were also better in this group. GP practices need to improve the coding for PR to highlight any unmet need locally. Nature Publishing Group 2017-10-11 Article PeerReviewed application/pdf en cc_by http://eprints.nottingham.ac.uk/47305/1/Hakamy%202017%20Primary%20Care%20res%20Med.pdf Hakamy, Ali and McKeever, Tricia M. and Gibson, Jack E. and Bolton, Charlotte E. (2017) The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database. npj Primary Care Respiratory Medicine, 27 (1). 58/1-58/7. ISSN 2055-1010 https://www.nature.com/articles/s41533-017-0058-2 doi:10.1038/s41533-017-0058-2 doi:10.1038/s41533-017-0058-2
repository_type	Digital Repository
institution_category	Local University
institution	University of Nottingham Malaysia Campus
building	Nottingham Research Data Repository
collection	Online Access
language	English
description	Pulmonary rehabilitation is recommended for patients with COPD to improve physical function, breathlessness and quality of life. Using The Health Information Network (THIN) primary care database in UK, we compared the demographic and clinical parameters of patients with COPD in relation to coding of pulmonary rehabilitation, and to investigate whether there is a survival benefit from pulmonary rehabilitation. We identified patients with COPD, diagnosed from 2004 and extracted information on demographics, pulmonary rehabilitation and clinical parameters using the relevant Read codes. Thirty six thousand one hundred and eighty nine patients diagnosed with COPD were included with a mean (SD) age of 67 (11) years, 53% were male and only 9.8% had a code related to either being assessed, referred, or completing pulmonary rehabilitation ever. Younger age at diagnosis, better socioeconomic status, worse dyspnoea score, current smoking, and higher comorbidities level are more likely to have a record of pulmonary rehabilitation. Of those with a recorded MRC of 3 or worse, only 2057 (21%) had a code of pulmonary rehabilitation. Survival analysis revealed that patients with coding for pulmonary rehabilitation were 22% (95% CI 0.69–0.88) less likely to die than those who had no coding. In UK THIN records, a substantial proportion of eligible patients with COPD have not had a coded pulmonary rehabilitation record. Survival was improved in those with PR record but coding for other COPD treatments were also better in this group. GP practices need to improve the coding for PR to highlight any unmet need locally.
format	Article
author	Hakamy, Ali McKeever, Tricia M. Gibson, Jack E. Bolton, Charlotte E.
spellingShingle	Hakamy, Ali McKeever, Tricia M. Gibson, Jack E. Bolton, Charlotte E. The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database
author_facet	Hakamy, Ali McKeever, Tricia M. Gibson, Jack E. Bolton, Charlotte E.
author_sort	Hakamy, Ali
title	The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database
title_short	The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database
title_full	The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database
title_fullStr	The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database
title_full_unstemmed	The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database
title_sort	recording and characteristics of pulmonary rehabilitation in patients with copd using the health information network (thin) primary care database
publisher	Nature Publishing Group
publishDate	2017
url	http://eprints.nottingham.ac.uk/47305/ http://eprints.nottingham.ac.uk/47305/ http://eprints.nottingham.ac.uk/47305/ http://eprints.nottingham.ac.uk/47305/1/Hakamy%202017%20Primary%20Care%20res%20Med.pdf
first_indexed	2018-09-06T13:52:22Z
last_indexed	2018-09-06T13:52:22Z
_version_	1610866431023382528

The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database

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