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      • Review Article
        Open Access

        Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life

        European Journal of Internal Medicine
        Vol. 73p1–6Published online: January 16, 2020
        • John R. Hurst
        • Neil Skolnik
        • Gerald J. Hansen
        • Antonio Anzueto
        • Gavin C. Donaldson
        • Mark T. Dransfield
        • and others
        Cited in Scopus: 30
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          Chronic obstructive pulmonary disease (COPD) was the third leading cause of mortality in 2016 and was responsible for an estimated 3 million deaths worldwide that year, representing a vast global problem [1]. COPD exacerbations are responsible for the majority of the substantial burden that COPD places on healthcare systems [2,3]. In the USA, the annual cost of COPD management has been shown to increase proportionally with the number of COPD exacerbations, with COPD-related costs, including pharmacy claims for COPD treatments, more than six times higher in patients experiencing frequent (≥2/year) exacerbations ($4361) compared with those who had none ($644) [4].
          Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life
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