- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02750189
The Economic Burden of Chronic Obstructive Pulmonary Disease(COPD) in South Korea (BOC)
The Economic Burden of Patients With COPD in South Korea
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study is a multi-center research on economic burdens of COPD for a year. It is composed of three phases detailed as follow.
Phase 1: Direct Cost Estimation in COPD patients (N = 400) Direct cost determined as amount of money expended to medical institutes for treatment. Estimated costs, based on the information from Health insurance review agency(HIRA) and The National Health and Nutrition Examination Survey (NHANES) data, are collected.
Phase 2: Indirect cost Estimation by Sampling Survey in COPD patient Indirect cost is extra-expanses excluding hospital fees, including cost for transportation, medical instruments, home care services and loss of labor capacity reduction. The information was collected by structured questionnaire for 12 weeks.
Phase 3: Direct/Indirect cost is validated and analyzed based on the collected information from phase 1 and 2 according to severity defined by the GOLD guideline.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Seoul
-
Gwangjin gu, Seoul, Korea, Republic of, 05030
- Konkuk University Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Over 20 years old
- COPD patients
Exclusion Criteria:
- Patients who disagree with participating in research
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Mild Group
FEV₁/FVC <70% and FEV₁≥80% direct/indirect cost
|
Money spent to treat COPD in medical institute based on HIRA
extra-expanses excluding hospital fees
|
Moderate Group
FEV₁/FVC <70% and 50%≤FEV₁≤80% direct/indirect cost
|
Money spent to treat COPD in medical institute based on HIRA
extra-expanses excluding hospital fees
|
Severe Group
FEV₁/FVC <70% and 30%≤FEV₁≤50% direct/indirect cost
|
Money spent to treat COPD in medical institute based on HIRA
extra-expanses excluding hospital fees
|
Very Severe Group
FEV₁/FVC <70% and FEV₁<30% direct/indirect cost
|
Money spent to treat COPD in medical institute based on HIRA
extra-expanses excluding hospital fees
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Total cost of COPD
Time Frame: 1 year
|
Korean won, KRW
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The number of acute exacerbations
Time Frame: 1 year
|
Number of events
|
1 year
|
The cost of alternative medication use
Time Frame: three months
|
We will add up the costs of herbal medicine, health supplement, medical equipments and respiratory rehabilitation.
According to patients, the items of alternative medication use would be different.
|
three months
|
Cost of productivity lost
Time Frame: Last 7days from filling out questionnaires
|
Reduction of working hour and monthly income for being late or abscence from work.
|
Last 7days from filling out questionnaires
|
EuroQol five dimension(EQ-5D)
Time Frame: 3 months
|
Measured by questionnaire based by EQ -5D ( EQ-5D essentially consists of 2 pages - the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS) .
The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems )
|
3 months
|
The total number of visits
Time Frame: 1 year
|
primary clinics, emergency department and hospital admission.
|
1 year
|
Nursing cost
Time Frame: 1 year (past 1 year before filling questionnaires)
|
payment for nurse (Korean won, KRW)
|
1 year (past 1 year before filling questionnaires)
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Kwang-Ha NA Yoo, Doctor, Konkuk University Hospial
Publications and helpful links
General Publications
- Sullivan SD, Ramsey SD, Lee TA. The economic burden of COPD. Chest. 2000 Feb;117(2 Suppl):5S-9S. doi: 10.1378/chest.117.2_suppl.5s.
- Guarascio AJ, Ray SM, Finch CK, Self TH. The clinical and economic burden of chronic obstructive pulmonary disease in the USA. Clinicoecon Outcomes Res. 2013 Jun 17;5:235-45. doi: 10.2147/CEOR.S34321. Print 2013.
- Dang-Tan T, Ismaila A, Zhang S, Zarotsky V, Bernauer M. Clinical, humanistic, and economic burden of chronic obstructive pulmonary disease (COPD) in Canada: a systematic review. BMC Res Notes. 2015 Sep 21;8:464. doi: 10.1186/s13104-015-1427-y.
- Lokke A, Hilberg O, Tonnesen P, Ibsen R, Kjellberg J, Jennum P. Direct and indirect economic and health consequences of COPD in Denmark: a national register-based study: 1998-2010. BMJ Open. 2014 Jan 6;4(1):e004069. doi: 10.1136/bmjopen-2013-004069.
- Mannino DM, Higuchi K, Yu TC, Zhou H, Li Y, Tian H, Suh K. Economic Burden of COPD in the Presence of Comorbidities. Chest. 2015 Jul;148(1):138-150. doi: 10.1378/chest.14-2434.
- Teo WS, Tan WS, Chong WF, Abisheganaden J, Lew YJ, Lim TK, Heng BH. Economic burden of chronic obstructive pulmonary disease. Respirology. 2012 Jan;17(1):120-6. doi: 10.1111/j.1440-1843.2011.02073.x.
- Halbert RJ, Natoli JL, Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: systematic review and meta-analysis. Eur Respir J. 2006 Sep;28(3):523-32. doi: 10.1183/09031936.06.00124605. Epub 2006 Apr 12.
- Kim J, Lee TJ, Kim S, Lee E. The economic burden of chronic obstructive pulmonary disease from 2004 to 2013. J Med Econ. 2016;19(2):103-10. doi: 10.3111/13696998.2015.1100114. Epub 2015 Oct 19.
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KUH1010636
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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