Quality of care for older adults with chronic obstructive pulmonary disease and asthma based on comparisons to practice guidelines and smoking status
2008

Quality of Care for Older Adults with COPD and Asthma

Sample size: 29902 publication Evidence: moderate

Author Information

Author(s): Craig Benjamin M, Kraus Connie K, Chewning Betty A, Davis James E

Primary Institution: Moffitt Cancer Center

Hypothesis

What is the prevalence of respiratory diseases in older adults and how does smoking status affect their healthcare?

Conclusion

There are significant disparities between recommended and actual care for older adults with chronic lung disease.

Supporting Evidence

  • 26% to 30% of older adults were diagnosed with chronic respiratory diseases.
  • 69% received no pharmacological treatment for their conditions.
  • Current smokers received significantly less care for respiratory diseases compared to non-smokers.

Takeaway

Many older adults with breathing problems aren't getting the right medicines or check-ups, especially if they smoke.

Methodology

The study used data from the Medicare Current Beneficiary Survey (1992–2002) to analyze healthcare utilization among older adults with COPD or asthma.

Potential Biases

Self-reported measures may be subject to recall bias and social desirability bias.

Limitations

The study relies on self-reported and claims-based data, which may under-represent or over-represent the prevalence of diseases.

Participant Demographics

Older adults, primarily those aged 67 and above, with a significant portion having low income and education levels.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-8-144

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