https://orcid.org/0000-0003-1111-5746
Figures & data
Figure 1 Survey process overview.
Abbreviations: COPD, chronic obstructive pulmonary disease; IRB, Institutional Review Board.
Figure 2 Barriers considered in treatment and intervention decisions.
Abbreviations: ICS, inhaled corticosteroid; LABA, long-acting β2-agonist; LAMA, long-acting muscarinic antagonist.
Figure 3 Likelihood of changing a patient’s COPD treatment by circumstance.
Abbreviations: CAT, COPD Assessment Test; COPD, chronic obstructive pulmonary disease; LABA, long-acting β2-agonist; LAMA, long-acting muscarinic antagonist; mMRC, modified Medical Research Council.
Table 1 Vignette by Treatment Choice
Table 2 Physician Characteristics by Treatment Choice
Table 3 Treatment Preferences by Treatment Choice
Figure 4 Forest plot of multivariable results demonstrating triple therapy maintenance inhaler prescription patterns.
Notes: Observations read = 1000, Observations used = 748. Likelihood ratio: chi-square = 194.751, DF = 30, p-value=<0.001. Hosmer and Lemeshow: chi-square = 10.112, DF = 8, p-value=0.257. c statistic = 0.781. Robust standard errors. Removed from final model for lack of contribution: patient age, smoking history, and medication adherence as most important detail(s); cost of alternative treatments; single- vs multispecialty group as practice setting; and provider’s current age in years. Removed from the forest plot due to lack of space: which of the following best describes your practice setting? (urban, suburban, or rural); medical records system provides prompts to assist in diagnosing/treating patients with COPD? (Yes vs No); and geographic location (Northeast, Midwest, South, or West). Removed for collinearity: years since training.
Abbreviations: CI, confidence interval; COPD, chronic obstructive pulmonary disease; GOLD, Global Initiative for Chronic Obstructive Lung Disease; ref., reference.
Data Sharing Statement
The datasets supporting the results in this manuscript are not publicly available and will not be provided upon request due to pre-existing data use agreements.