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Original Research

Treatment burden, clinical outcomes, and comorbidities in COPD: an examination of the utility of medication regimen complexity index in COPD

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Pages 2929-2942 | Published online: 06 Oct 2017

Figures & data

Table 1 Demographics and clinical characteristics of cohort

Figure 1 Prevalence of comorbidities by disease categories.

Abbreviation: ENT, ear, nose and throat.
Figure 1 Prevalence of comorbidities by disease categories.

Table 2 Summary of MRCI and medication count for study population

Figure 2 Donut chart showing the percentage contributions of dosage form, dosing frequency, and additional instructions to the total MRCI scores of COPD, non-COPD, and all medications.

Abbreviation: MRCI, medication regimen complexity index.
Figure 2 Donut chart showing the percentage contributions of dosage form, dosing frequency, and additional instructions to the total MRCI scores of COPD, non-COPD, and all medications.

Figure 3 Summary of medication counts and MRCI scores of COPD, non-COPD, and all medications for study population based on GOLD quadrants.

Notes: *P=0.004 versus patients in GOLD A. φP=0.0001 versus patients in GOLD A. ΨP<0.0001 versus patients in GOLD B. Data presented as median (q1, q3).
Abbreviations: GOLD, Global Initiative for Chronic Obstructive Lung Disease; med, medication; MRCI, medication regimen complexity index.
Figure 3 Summary of medication counts and MRCI scores of COPD, non-COPD, and all medications for study population based on GOLD quadrants.

Table 3 Correlations between clinical outcomes and medication burden

Table 4 Total medication counts and MRCI scores for all medications in patients with and without comorbidities

Figure 4 Medication regimen complexity in relation to class of comorbidities for non-COPD medications (A) and COPD medications (B).

Notes: Comorbid musculoskeletal diseases, skin disorders, and cancer are not included in the figure as they did not contribute to complex medication regimens. *P<0.05.
Abbreviation: MRCI, medication regimen complexity index.
Figure 4 Medication regimen complexity in relation to class of comorbidities for non-COPD medications (A) and COPD medications (B).

Table 5 Results of multiple regression analysis for comorbidities that contributed to higher medication count

Table 6 Results of multiple regression analysis for comorbidities that contributed to greater complexity of medication regimen

Table 7 Association of medication burden with comorbidity specific and multidimensional indices in COPD

Table S1 Prevalence of self-reported diagnosed comorbidities

Table S2 Use of nebulizer or oxygen in participants in different GOLD quadrants

Table S3 Medication counts and MRCI scores of COPD, non-COPD, and all medications in GOLD quadrants