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An internal medicine teaching service can reduce resource use in patients with acute exacerbation of chronic obstructive pulmonary disease in a community teaching hospital

Teaching Service Cuts Resource Use in COPD Exacerbations

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Significantly lower risk-adjusted cost and length of stay in teaching group versus nonteaching group
Implementation of the Medicare Bundled Payments for Care Improvement initiative has failed to cut readmission rates following hospitalization for acute exacerbation of chronic obstructive pulmonary disease

Bundled Payment Initiative Had No Effect on COPD Readmissions

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Multidisciplinary care/transition intervention didn't reduce readmissions or achieve substantial savings
A five-item questionnaire plus peak expiratory flow can identify undiagnosed chronic obstructive pulmonary disease

Questionnaire, Peak Flow Can ID Undiagnosed COPD

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CAPTURE with peak flow can identify patients who would benefit from currently available therapy
Oxygen therapy may not help patients in the less severe stages of chronic obstructive pulmonary disease

Negligible Benefit for Oxygen in Patients With Mild COPD

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Researchers find oxygen therapy does not improve quality of life, forestall hospitalization, lengthen lives
The number of chronic obstructive pulmonary disease cases is expected to increase through 2030

Number of COPD Cases Expected to Increase Through 2030

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Expected increase of >150 percent; anticipated increase of 185 percent in burden of inpatient care
Fewer Americans are dying from chronic obstructive pulmonary disease

CDC: COPD-Related Mortality Mostly Down in the United States

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However, rates are up for black women and middle-aged patients
A combination of fluticasone furoate and vilanterol reduces the rate of moderate or severe exacerbations among patients with chronic obstructive pulmonary disease

Fluticasone Furoate/Vilanterol Cuts Exacerbations in COPD

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Drop in rate of moderate or severe exacerbations among patients with exacerbation in year before trial
The overall health system burden of exacerbations in patients with undiagnosed chronic obstructive pulmonary disease is considerable

Considerable Health Care System Burden for Undiagnosed COPD

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Despite fewer symptoms than diagnosed patients, they use similar health services for exacerbations