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Research ArticleOriginal Research

Improving Chronic Obstructive Pulmonary Disease (COPD) Symptoms Using a Team-Based Approach

Shaylee Peckens, Megan M. Adelman, Amie M. Ashcraft, Jun Xiang, Brittany Sheppard and Dana E. King
The Journal of the American Board of Family Medicine November 2020, 33 (6) 978-985; DOI: https://doi.org/10.3122/jabfm.2020.06.200176
Shaylee Peckens
From the Department of Family Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (SP, MMA, AMA, JX, DEK); School of Pharmacy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (MMA, BS)
MD
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Megan M. Adelman
From the Department of Family Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (SP, MMA, AMA, JX, DEK); School of Pharmacy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (MMA, BS)
PharmD
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Amie M. Ashcraft
From the Department of Family Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (SP, MMA, AMA, JX, DEK); School of Pharmacy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (MMA, BS)
PhD, MPH
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Jun Xiang
From the Department of Family Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (SP, MMA, AMA, JX, DEK); School of Pharmacy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (MMA, BS)
MS
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Brittany Sheppard
From the Department of Family Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (SP, MMA, AMA, JX, DEK); School of Pharmacy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (MMA, BS)
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Dana E. King
From the Department of Family Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (SP, MMA, AMA, JX, DEK); School of Pharmacy, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown (MMA, BS)
MD, MS
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  • Article
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Article Figures & Data

Tables

    • View popup
    Table 1.

    Patient Demographic and Clinical Characteristics at First Chronic Obstructive Pulmonary Disease (COPD) Specialty Clinic Visit (n = 149)

    Patient CharacteristicsMean (SD)
    Age60.2 (10.3)
    Cigarettes per day17.3 (11.2)
    CAT score23.3 (8.4)
    Nicotine dependence score5.1 (2.3)
    n (%)
    Sex
     Male83 (56.1)
     Female65 (43.9)
    Insurance
     Yes83 (55.7)
     No66 (44.3)
    COPD grade
     A8 (6.1)
     B81 (62.3)
     C1 (0.8)
     D40 (30.8)
    Gold stage
     126 (23.6)
     252 (47.3)
     326 (23.6)
     46 (5.5)
    Smoking
     Yes93 (62.4)
     No56 (37.6)
    Smokeless tobacco use
     Current user5 (3.5)
     Former user14 (9.7)
     Never used125 (86.8)
    • Unequal numbers of patients in some categories due to missing values.

    • SD, standard deviation; CAT, common admission test.

    • View popup
    Table 2.

    Comparisons of the Difference in Total Hospital Admissions, Emergency Department (ED) Visits, and Urgent Care Visits before and after the First Chronic Obstructive Pulmonary Disease (COPD) Specialty Clinic Visit

    Mean (SD)t (df)P-Value*
    BeforeAfter
    6 month
     Hospital admissions0.3 (0.6)0.09 (0.4)5.0 (147)< .0001‡
     ED visits0.4 (0.7)0.1 (0.4)5.5 (148)< .0001‡
     Urgent care visits†————
    1 year
     Hospital admissions0.4 (0.8)0.2 (0.7)4.1 (148)< .0001‡
     ED visits0.5 (0.9)0.2 (0.7)4.3 (148)< .0001‡
     Urgent care visits0.05 (0.3)01.8 (148).07
    • ↵*P-value from paired sample t-test, ‡P < .001.

    • ↵† There were not enough available data to compare urgent care visits six months before and after the first specialty clinic visit.

    • df, degrees of freedom.

    • View popup
    Table 3.

    Comparison of Mean Difference Nicotine Dependency Scores, Common Admission Test (CAT) Scores, and Cigarette Use/Day before and after the Most Recent Chronic Obstructive Pulmonary Disease (COPD) Clinic Visit

    Mean (SD)t (df)P-Value
    BeforeAfter
    Nicotine dependency scores4.7 (2.1)4.2 (2.1)1.0 (22)0.32
    CAT scores23.7 (7.5)20.5 (8.1)3.3 (55)0.002‡
    Cigarette use/day17.3 (11.2)13.8 (11.0)2.3 (50)0.03†
    • ↵*P-value from paired sample t-test, †P < .05, ‡P < .01.

    • SD, standard deviation; df, degrees of freedom.

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The Journal of the American Board of Family     Medicine: 33 (6)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 6
November-December 2020
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Improving Chronic Obstructive Pulmonary Disease (COPD) Symptoms Using a Team-Based Approach
Shaylee Peckens, Megan M. Adelman, Amie M. Ashcraft, Jun Xiang, Brittany Sheppard, Dana E. King
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 978-985; DOI: 10.3122/jabfm.2020.06.200176

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Improving Chronic Obstructive Pulmonary Disease (COPD) Symptoms Using a Team-Based Approach
Shaylee Peckens, Megan M. Adelman, Amie M. Ashcraft, Jun Xiang, Brittany Sheppard, Dana E. King
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 978-985; DOI: 10.3122/jabfm.2020.06.200176
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