The financial burden of treating patients presenting with acute and chronic cough

Birring, Surinder S.; Currie, Craig John; Holden, Sarah E.; Jenkins‐Jones, Sara; Berni, Ellen; Jones, Bethan; Berni, Thomas R; Langerman, Haya

doi:10.1080/03007995.2021.1982685

Cited by 11 publications

(12 citation statements)

References 23 publications

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“…The observed patterns were similar between two countries, despite their differences in demographics, cough seasonality, and healthcare system. To our knowledge, this is the first description of community-based CC patients’ cough characteristics and healthcare journeys in South Korea and Taiwan and is also one of the very few reported globally [ 26 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

Cough Characteristics and Healthcare Journeys of Chronic Cough Patients in Community-Based Populations in South Korea and Taiwan

Song

Yu²,

Kang³

2022

Lung

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Purpose This study aimed to understand the cough characteristics and health journeys among community-based chronic cough (CC) patients, and their characteristics associated with healthcare visits. Methods A population-based cross-sectional study was conducted in 2020, using the South Korea and Taiwan National Health and Wellness Survey (NHWS) and CC surveys. Patients with current CC were defined by daily coughing for > 8 weeks in the past 12 months and currently coughing at the time of survey. The survey items pertained to CC patients’ treatment journey and cough characteristics. Results Patients with current CC in South Korea and Taiwan, respectively, had cough duration for 3.45 ± 5.13 years and 5.75 ± 7.28 years and cough severity visual analogue scale (VAS) scores of 4.50 ± 2.15 and 4.46 ± 1.92 out of 0–10 scale, with 70.3% and 57.9% having spoken with a physician about cough. Compared to CC patients who had not visited healthcare professionals for cough, those who visited reported more severe cough (VAS: 3.89 ± 1.71 vs. 4.6 ± 2.02; p = 0.009), worse cough-specific quality of life (Leicester Cough Questionnaire: 16.20 ± 3.23 vs.13.45 ± 2.68, p < 0.001), greater symptom severity (Hull Airway Reflux Questionnaire: 16.73 ± 15.16 vs. 24.57 ± 13.38; p < 0.001), and more urinary incontinence (13.6 vs. 26.5%, p = 0.027). More than 50% of patients perceived cough medication(s) as not or a little useful and 25% felt their physicians did not well understand how CC impacts their life. Conclusion Cough is frequently severe and persistent among community-based CC patients. They experience several issues in their health journey, including treatment ineffectiveness and physician’s understanding. Further efforts are warranted to reduce CC burden in the community.

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Section: Discussionmentioning

confidence: 99%

Cough Characteristics and Healthcare Journeys of Chronic Cough Patients in Community-Based Populations in South Korea and Taiwan

Song

Yu²,

Kang³

2022

Lung

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“…Furthermore, RCC can be undiagnosed/undetected for many years thus an individual with potential RCC identified from our algorithm may not necessarily have been picked up in clinical care and recorded in a physician's notes. It is also noteworthy that previous publication around this topic have focused on algorithms for chronic cough rather than RCC, 11 , 20 , 22 , 32 which is unsurprising due to the difficulties in its identification. As no single ICD code (or groups of ICD codes) exists to conclusively identify RCC, we built an algorithm based on multiple types of cough that could be mild, chronic, seasonal, chronic or caused by underlying conditions, and this proved to be a challenging endeavour.…”

Section: Discussionmentioning

confidence: 99%

“… 5 – 10 It also results in a considerable economic burden due to a large number of associated healthcare visits from multiple investigations and often referral to secondary care specialists. 11 , 12 Refractory chronic cough is a cough that persists despite appropriate treatment of the underlying comorbid condition(s), and idiopathic or unexplained chronic cough is a cough where the underlying cause is unidentified. 13 , 14 These definitions have been used to identify participants in clinical trials, 1 and together they constitute refractory/unexplained chronic cough, hereafter referred to as RCC.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of adults with potential refractory chronic cough identified using an algorithm designed for administrative claims databases: A descriptive study

van Boemmel-Wegmann,

Altman,

Herrera

et al. 2024

Science Progress

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Objective As population-based studies describing the characteristics of patients with refractory chronic cough (RCC) are sparse, the objective of this descriptive study was to identify and describe such patients using an algorithm developed for administrative claims databases and requiring validation in future. Methods We identified adults with chronic cough (N = 782,121) from Optum Clinformatics™ Data Mart as individuals with a ‘cough event’ (primary cough event; based on ICD codes/relevant prescriptions) and ≥2 cough events in the 56–180 preceding days. We applied several exclusion criteria to identify potential RCC cases and stratified them into probable, possible, and unlikely RCC cohorts by the number of cough events during 1-year follow up (≥3, 1–2 or 0 events, respectively). Patient characteristics were described during the year before the primary cough event and follow up. Results 16.8% (n = 131,772) of patients with chronic cough were potential RCC cases: 25.8% probable, 35.9% possible and 38.3% unlikely. The majority were female (66.4–70.5%); median age was 53–60 years. The most common comorbidities and cough-associated complications at baseline were: allergic rhinitis (30.7–39.1%), hypertension (37.3–47.7%), gastro-oesophageal reflux disease (23.7–34.3%), asthma (18.1–27.3%), insomnia (6.3–8.3%) and stress incontinence (2.5–3.9%). Among probable RCC cases, use of several medications was higher during follow up versus baseline: 52.7% versus 49.0% (cough treatments), 73.3% versus 69.0% (respiratory drugs), 40.5% versus 34.2% (gastrointestinal drugs) and 58.8% versus 56.1% (psychotherapeutics). Conclusion Our algorithm requires validation but provides a starting point to identify patients with RCC in claims databases in future studies.

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“…Likely because of this burden from chronic cough and difficulties in treatment, patients with chronic cough may have numerous consultations to different healthcare workers. This can amount to significant healthcare costs especially as the prevalence of cough is high in the general population [23,24].…”

Section: Burden Of Chronic Coughmentioning

confidence: 99%

The burden and impact of chronic cough in severe disease

Emilsson

2022

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewChronic cough is common in severe diseases, such as COPD, interstitial lung disease, lung cancer and heart failure, and has a negative effect on quality of life. In spite of this, patients with cough sometimes feel their cough is neglected by healthcare workers. This review aims to briefly describe cough mechanisms, highlight the burden chronic cough can be for the individual, and the clinical impact of chronic cough. Recent findingsChronic cough is likely caused by different mechanisms in different diseases, which may have therapeutic implications. Chronic cough, in general, has a significant negative effect on quality of life, both with and without a severe comorbid disease. It can lead to social isolation, recurrent depressive episodes, lower work ability, and even conditions such as urinary incontinence. Cough may also be predictive of more frequent exacerbations among patients with COPD, and more rapid lung function decline in idiopathic pulmonary fibrosis. Cough is sometimes reported by patients to be underappreciated by healthcare. SummaryChronic cough has a significant negative impact on quality of life, irrespective of diagnosis. Some differences are seen between patients with and without severe disease. Healthcare workers need to pay specific attention to cough, especially patients with severe disease.

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The financial burden of treating patients presenting with acute and chronic cough

Cited by 11 publications

References 23 publications

Cough Characteristics and Healthcare Journeys of Chronic Cough Patients in Community-Based Populations in South Korea and Taiwan

Cough Characteristics and Healthcare Journeys of Chronic Cough Patients in Community-Based Populations in South Korea and Taiwan

Characteristics of adults with potential refractory chronic cough identified using an algorithm designed for administrative claims databases: A descriptive study

The burden and impact of chronic cough in severe disease

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