Skip to content

Research at St Andrews

Agreement between hospital and primary care on diagnostic labeling for COPD and heart failure in Toronto, Canada: a cross-sectional observational study

Research output: Contribution to journalArticle

Author(s)

Michelle Griever, Frank Sullivan, Sumeet Kalia, Babak Aliarzadeh, Deepak Sharma, Steven Bernard, Christopher Meaney, Rahim Moineddin, David Eisen, Navid Rahman, Tony D'Urzo

School/Research organisations

Abstract

Patients with chronic obstructive pulmonary disease (COPD) or heart failure (HF) are frequently cared for in hospital and in primary care settings. We studied labeling agreement for COPD and HF for patients seen in both settings in Toronto, Canada. This was a retrospective observational study using linked hospital-primary care electronic data from 70 family physicians. Patients were 20 years of age or more and had at least one visit in both settings between 1 January 2012 and 31 December 2014. We recorded labeling concordance and associations with clinical factors. We used capture-recapture models to estimate the size of the populations. COPD concordance was 34%; the odds ratios (ORs) of concordance increased with aging (OR 1.84 for age 75+ vs. <65, 95% CI 0.92–3.69) and more inpatient admissions (OR 2.89 for 3+ visits vs. 0 visits, 95% CI 1.59–5.26). HF concordance was 33%; the ORs of concordance decreased with aging (OR 0.39 for 75+ vs. <65, 95% CI 0.18–0.86) and increased with more admissions (OR = 2.39; 95% CI 1.33–4.30 for 3+ visits vs. 0 visits). Based on capture-recapture models, 21–24% additional patients with COPD and18–20% additional patients with HF did not have a label in either setting. The primary care prevalence was estimated as 748 COPD patients and 834 HF patients per 100,000 enrolled adult patients. Agreement levels for COPD and HF were low and labeling was incomplete. Further research is needed to improve labeling for these conditions.
Close

Details

Original languageEnglish
Article number9
Number of pages8
Journalnpj Primary Care Respiratory Medicine
Volume28
DOIs
Publication statusPublished - 9 Mar 2018

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Do statins have an effect on depressive symptoms? A systematic review and meta-analysis

    Yatham, M. S., Yatham, K. S., Ravindran, A. V. & Sullivan, F., 2 Jul 2019, In : Journal of Affective Disorders. 257, p. 55-63 9 p.

    Research output: Contribution to journalArticle

  2. Unconditional and conditional monetary incentives to increase response to mailed questionnaires: a randomized controlled study within a trial (SWAT)

    Young, B., Bedford, L., das Nair, R., Gallant, S., Littleford, R., Robertson, J. F. R., Schembri, S., Sullivan, F. M., Vedhara, K., Kendrick, D. & ECLS study team, 22 Jul 2019, In : Journal of Evaluation in Clinical Practice. Early View

    Research output: Contribution to journalArticle

  3. Effects of antiplatelet therapy after stroke due to intracerebral haemorrhage (RESTART): a randomised, open-label trial

    RESTART Collaboration & Sullivan, F., 29 Jun 2019, In : Lancet. 393, 10191, p. 2613-2623 11 p.

    Research output: Contribution to journalArticle

  4. The impact of treatment adherence for patients with diabetes and hypertension on cardiovascular disease risk: a protocol for a retrospective cohort study, 2008-2018

    Su, M., Haldane, V., Upshur, R., Sullivan, F., Garda, F. L. A., Greiver, M. & Wei, X., 31 May 2019, In : JMIR Research Protocols. 8, 5, 11 p., e13571.

    Research output: Contribution to journalArticle

  5. Factors associated with recruitment to randomised controlled trials in general practice: protocol for a systematic review

    Moffat, K. R., Cannon, P., Shi, W. & Sullivan, F., 10 May 2019, In : Trials. 20, 4 p., 66.

    Research output: Contribution to journalArticle

ID: 252522281