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CompletedNCT02750189BOCUpdated Jul 21, 2017

The Economic Burden of Chronic Obstructive Pulmonary Disease(COPD) in South Korea

An observational study in COPD and Chronic Obstructive Pulmonary Disease, sponsored by Konkuk University Medical Center. Completed at 1 site in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2017-07-21.

Sponsored by Konkuk University Medical Center · Observational

Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
390
Ages
20 Years and older
Sex
All
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Study summary

The purpose of this study is to estimate a direct/indirect medical cost and to provide evidence establishing efficient strategies to reduce medical costs of COPD in Korea.

Read the 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.

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Conditions studied

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In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's enrollment of 390 is above the median of 157 across 929 observational studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

Konkuk University Medical Center is the lead sponsor of 93 studies on the registry; 16 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Chronic Obstructive Pulmonary Disease (COPD)

Inclusion criteria

  • Over 20 years old
  • COPD patients

Exclusion criteria

Exclusion Criteria:

  • Patients who disagree with participating in research
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
390 participants (actual)
Patient registry
No

Groups and cohorts

  • Mild Group

    FEV₁/FVC \<70% and FEV₁≥80% direct/indirect cost

    Other: Direct cost · Other: Indirect cost

  • Moderate Group

    FEV₁/FVC \<70% and 50%≤FEV₁≤80% direct/indirect cost

    Other: Direct cost · Other: Indirect cost

  • Severe Group

    FEV₁/FVC \<70% and 30%≤FEV₁≤50% direct/indirect cost

    Other: Direct cost · Other: Indirect cost

  • Very Severe Group

    FEV₁/FVC \<70% and FEV₁\<30% direct/indirect cost

    Other: Direct cost · Other: Indirect cost

Interventions

  • OtherDirect cost

    Money spent to treat COPD in medical institute based on HIRA

  • OtherIndirect cost

    extra-expanses excluding hospital fees

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What researchers measure

Primary outcomes

  1. Total cost of COPD

    Korean won, KRW

    Time frame: 1 year

Secondary outcomes

  1. The number of acute exacerbations

    Number of events

    Time frame: 1 year

  2. The cost of alternative medication use

    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.

    Time frame: three months

  3. Cost of productivity lost

    Reduction of working hour and monthly income for being late or abscence from work.

    Time frame: Last 7days from filling out questionnaires

  4. EuroQol five dimension(EQ-5D)

    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 )

    Time frame: 3 months

  5. The total number of visits

    primary clinics, emergency department and hospital admission.

    Time frame: 1 year

  6. Nursing cost

    payment for nurse (Korean won, KRW)

    Time frame: 1 year (past 1 year before filling questionnaires)

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Study locations

1 site
  • Konkuk University Hospital
    Gwangjin gu, Seoul 05030, Korea, Republic of
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References and documents

Publications

  • 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. PubMed 23818799 ↗
  • 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. PubMed 26391471 ↗
  • 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. PubMed 24394800 ↗
  • 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. PubMed 10673466 ↗
  • 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. PubMed 25675282 ↗
  • 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. PubMed 21954985 ↗
  • 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. PubMed 16611654 ↗
  • 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. PubMed 26414920 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02750189
Lead sponsor
Konkuk University Medical Center
Collaborators
GlaxoSmithKline
Responsible party
Kwang-Ha Yoo (Professor, Konkuk University Medical Center) — Principal investigator
First posted
Apr 25, 2016
Start date
Sep 2015
Primary completion
Jan 2017
Completion
Jan 2017
Last update
Jul 21, 2017

Study contacts

Kwang-Ha NA Yoo, Doctor
principal investigator · Konkuk University Hospial

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.

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