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CDC Reports Annual Financial Cost of COPD to be $36 Billion in the United States

The American College of Chest Physicians (CHEST) announced the Online First publication of Total and State-Specific Medical and Absenteeism Costs of Chronic Obstructive Pulmonary Disease Among Adults Aged 18 Years in the United States for 2010 and Projections Through 2020 in the journal CHEST.

The report, presented by researchers at the Centers for Disease Control and Prevention (CDC), finds:

  • In 2010, the total national medical costs attributable to COPD were estimated at $32.1 billion dollars annually.
  • Absenteeism costs were $3.9 billion for a total burden of $36 billion in COPD-attributable costs.
  • An estimated 16.4 million days of work were lost due to COPD each year.
  • Of the medical cost, 18% was paid for by private insurance, 51% by Medicare, and 25% by Medicaid.
  • The study also projects a rise in medical costs from $32.1 billion in 2010 to $49 billion by 2020.

Chronic lower respiratory diseases, including COPD, are the third-leading cause of death in the United States. COPD claimed the lives of 134,676 people in 2010. In 2011, 12.7 million US adults were estimated to have COPD.
However, close to 24 million US adults have evidence of impaired lung function, indicating an under-diagnosis of COPD. Smoking is a primary risk factor of COPD, and approximately 80% of COPD deaths can be attributed to smoking.

"Evidence-based interventions that prevent and reduce tobacco use and reduce clinical complications of COPD may result in potential decreased COPD-attributable costs," said Earl Ford, MD, MPH, Division of Population Health, Centers for Disease Control and Prevention.

The report also offers state-by-state data. 

"For the first time, our analyses provide state-specific costs for COPD, which provide state public health practitioners with estimates of the economic burden of COPD within their borders and illustrates the potential medical and absenteeism costs savings to states through implementing state level programs that are designed to prevent the onset of COPD," says Earl Ford, MD, researcher with the Division of Population Health, CDC.

The full study can be found in the Online First section of CHEST.

80% of COPD deaths can be attributed to smoking?  It’s time to get your patients to stop smoking if they haven’t already.  As an aid to smoking cessation, a Breath CO monitor can be used as a motivational and educational tool. Self-reported smoking status has been shown to be unreliable and a CO monitor replaces...

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Yoga and COPD

In a recent publication of The Journal of Thoracic Disease, researchers performed a systematic review and meta-analysis to investigate the efficacy of yoga training in COPD patients.

Five randomized controlled trials involving 233 patients with COPD were studied.  The researchers found that yoga training lasting 3-9 months significantly improved the FEV1 and exercise capacity but had no effect on blood oxygenation or carbon dioxide levels.

Yoga originated in ancient India.  The idea is that the body’s organs and systems are cleansed through asanas (postures) and pranayama (controlling the breath).  Postures are taught to heal an illness, reduce stress or to look better.  Not only do yogic exercises have a positive effect on COPD patients but they also help those with asthma, cardiac diseases, diabetes, depressive disorders and more.

Yoga training can provide a complementary strategy for patients with COPD.  Apart from relaxing tense muscles, yoga can also alleviate mental pressure.

The conclusion of the study was that yoga seemed to improve lung function and exercise capacity and therefore might be used as part of a pulmonary rehabilitation program for COPD patients.

Help guide your patients to live a healthier lifestyle and to incorporate healing exercise like yoga into their daily lives.  This guidance will only support your treatment plan for your patients with COPD and asthma. The incorporation of spirometry into your practice continues to be the gold standard in diagnosing and properly treating your patients easily in your office.  Join us in creating a better diagnosed and treated patient today.

For more information about our Gold Standard Pulmonary Function Test—Spirometry, visit us at www.mdspiro.com.

References:
http://mdspiro.com/spirometry
http://mdspiro.com/for-your-practice
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073384/
J Thorac Dis. Jun 2014; 6(6): 795–802. doi:  10.3978/j.issn.2072-1439.2014.06.05
Manocha R, Marks GB, Kenchington P, et al. Sahaja yoga in the management of moderate to severe asthma: a randomised controlled trial. Thorax 2002;57:110-5 [PMC free article] [PubMed]
Sabina AB, Williams AL, Wall HK, et al. Yoga intervention for adults with mild-to-moderate asthma: a pilot study. Ann Allergy Asthma Immunol 2005;94:543-8 [PubMed]
 Jayasinghe SR. Yoga in cardiac health (a review). Eur J Cardiovasc Prev Rehabil 2004;11:369-75 [PubMed]
Malhotra V, Singh S, Tandon OP, et al. The beneficial effect of yoga in...

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6 Surprising Asthma Triggers

Chances are, you know someone with asthma -- after all, about one in 12 people in the U.S. has the condition. Having asthma means to have airways that are inflamed, which makes them particularly sensitive to substances ranging from pollution to dust. Exposure to an asthma trigger can cause the narrowing and swelling of the airways, as well as increased production of mucus, making it very difficult to breathe. When these asthma symptoms are particularly intense, that’s called an asthma attack — and knowing what exactly triggers these attacks is vital for people with the respiratory condition.

Some asthma triggers are more commonly known than others. Secondhand smoke is an obvious one, as is mold. 

Mice
While it is common knowledge in the asthma world that pets can trigger an asthma attack, other animals can be culprits, too -- such as mice. It is a rather common allergen, especially in the cities.

Stinkbugs
It's hard to say many people find stinkbugs to be generally appealing to begin with. They really penetrate homes when the weather cools down.  Stinkbugs can be found in most states, including New York, Pennsylvania, New Jersey, the Carolinas, Virginia, West Virginia and Ohio. Plus, dead stinkbugs in the home could even attract mice, a distressing double-whammy for people with asthma.

Ladybugs
Ladybugs are certainly cuter than stinkbugs, but they can be just as harmful to people with asthma. Asian lady beetles in particular, penetrate homes in the fall and their body parts decompose. That allergen, the dust from their body parts, is pretty strong. 

The Highway
Sure, cars and highways are pretty hard to avoid in this day and age. But unfortunately for people with asthma, close proximity to a highway can spell trouble. The emissions of cars can not only increase the risk of asthma, but also increase the severity of asthma. Running along a highway is a bad idea too.  It is probably not a good idea for anybody, but that’s especially true for people with asthma.

Rhinovirus
Getting a cold is an annoyance for anyone, but for people with asthma, it can be life-threatening. That's because rhinoviruses -- the main cause of the common cold -- can also induce asthma attacks.  Allergens can trigger asthma attacks, but usually it is not as severe as that associated with the rhinovirus.

The flu can also pose a danger to people with asthma, which is why people with asthma should make sure they get their flu vaccine because the flu can...

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Obesity Increases the Risk of COPD Even for Non-Smokers

Obesity increases the risk and progression of chronic obstructive pulmonary disease (COPD), even for people who’ve never smoked before. A team of American and German researchers measured the waists, hips, body mass index (BMI), and physical activity of newly diagnosed COPD cases in the U.S., and published the clear link they found in the Canadian Medical Association Journal.

"We observed a stronger positive relation with abdominal body fat than with total body fat and COPD," Dr. Gundula Behrens, of the Department of Epidemiology and Preventive Medicine at the University of Regensburg in Germany, wrote. "In particular, overweight as measured by BMI emerged as a significant predictor of increased risk of COPD only among those with a large waist circumference."

Study:

The 113,279 men and women they looked at, all of whom were between the ages of 50 and 70, did not have COPD, heart disease, or cancer at the beginning of the study. The 10-year follow-up revealed that COPD had developed in 3,648 people. Women who had a waist circumference of 110 centimeters (43.3 inches) and men with a circumference of 118 centimeters (46.4 inches) had a 72 percent increased risk of COPD.

COPD is a lung disease caused by either chronic bronchitis or emphysema, making it very difficult for people to breathe over time. It is the third leading cause of death in America, according to the American Lung Association. There are 6.8 million women diagnosed with chronic bronchitis, which makes them twice as likely to be diagnosed as men, who make up 3.3 million of the affected population.

"Increased local, abdominal, and overall fat depots increase local and systemic inflammation, thus potentially stimulating COPD-related processes in the lung," the authors wrote, according to a press release earlier this month.

Obesity is a common and serious condition that's present in more than one-third of U.S. citizens — their BMIs are 30 or higher, according to the Centers for Disease Control and Prevention as they define obesity. BMI is not a direct measure of body fat, and knowing this, the researchers also looked at other factors including their amount of physical activity. In addition to waist circumference, other causes of COPD are pollution, smoking, and toxic particles or dust in the work place, which trigger chronic inflammation and difficult-to-heal injury in the lungs.

Those with large hip circumferences, who were also physically active at least five times a...

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Kids and Exercise-induced Asthma

Kids who have exercise-induced asthma (EIA) develop asthma symptoms after vigorous activity, such as running, swimming, or biking. Some develop symptoms only after physical exertion, while others have additional asthma triggers. With the proper medications, most kids with EIA can play sports like any other child. In fact, asthma affects more than 20% of elite athletes, and one in every six Olympic athletes, according to the American Academy of Allergy, Asthma, and Immunology.

As a doctor you can properly and accurately diagnose EIA after performing an exercise challenge with a pulmonary function test in your practice. You might want to target a child's tolerance for a particular exercise, as not every type or intensity of exercise affects kids with EIA the same way.

If exercise is the only asthma trigger, you may prescribe a medication for the child to take before exercising to prevent airways from tightening up. Of course, even after taking a preventive medication, asthma flare-ups can still occur and it is extremely important to monitor the child on an ongoing basis through spirometry tests and the utilization of peak flow meters during the course of treatment.

Parents or older kids should carry the proper rescue medication to all games and activities. Rescue medications work immediately to relieve asthma symptoms when they occur. The school nurse, coaches, club leaders (Boy Scouts, Girl Scouts, etc.), and teachers must be informed of a child's asthma plan of care so that kids take their medication as needed when away from home.

Additionally, asthma can be triggered by allergies.  An estimated 75% to 85% of people with asthma have some type of allergy. Even if the primary triggers are colds or exercise, allergies can sometimes play a role in aggravating the condition.

Work with your patient’s parents to create an asthma action plan today.  Take that next step in further caring for your patients and bring spirometry into your practice.  Your patients will be correctly diagnosed so you can treat them more accurately and conveniently.  Help children with asthma breathe easier and play a part in keeping them active and healthy.

For more information about our Gold Standard Pulmonary Function Test—Spirometry, visit us at www.mdspiro.com.

References:
http://mdspiro.com/spirometry 
http://www.aaaai.org/home.aspx
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The Third Leading Cause of Death in the US

The Centers for Disease Control and Prevention state that COPD is the THIRD leading cause of death in America. The third.  With heart disease and cancer taking the lead.  Approximately 15 million U.S. adults are estimated to have COPD.  When combining COPD with other health issues, this can be a serious problem in the lives of your patients and loved ones.

COPD is diagnosed in four stages, each of which are characterized by a measure of lung function and measured by the breathing test spirometry.  This important test shows how much air your patients’ lungs can hold and how fast they can release the air from the lungs.

Stage one is mild COPD.  A spirometry test will show some restriction.  A mild cough may be in play.

Stage two is moderate COPD.  Air flow begins to worsen at this stage.  Your patient may begin to notice a shortness of breath in activities like climbing stairs.  A cough may begin increasing and mucus production begins. They often will have prolonged symptoms of the flu or cough.  Typically this is the stage patients start to seek treatment.

Stage three is severe COPD.  Your patient will become short of breath after very little activity and will quickly become fatigued.  Their cough will become more frequent and airflow is severely limited, with times requiring hospitalization.

Stage four is very severe COPD.  At this point, quality of life for your patient is greatly impaired and symptoms have become life-threatening.  Lung function can be dropped to 30% or less and your patient usually requires oxygen therapy on a daily basis.  Complications can arise such as weight loss, fluid build-up in the legs and feet, chronic respiratory failure and heart disease (the number ONE killer of Americans).

Catching COPD early can make all of the difference in your patients’ lives so they can live a longer, happier, and healthy life.  

Take the step in caring for your patients and bring spirometry into your practice today.  Your patients will be correctly diagnosed so you can treat them more accurately and conveniently in your practice.

For more information about our Gold Standard Pulmonary Function Test—Spirometry, visit us at www.mdspiro.com.

References:
http://mdspiro.com/spirometry 
http://www.lung.org/lung-disease/copd/resources/facts-figures/COPD-Fact-Sheet.html
http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf

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The Silent Killer: CO Poisoning

First responders to a fire are trained to understand the dangers of carbon monoxide (CO) poisoning and are also trained to recognize potential signs and symptoms.  CO poisoning can go unrecognized and untreated, which can lead to long-term health problems.

Know the Facts about CO poisoning:
•    CO poisoning can be difficult to detect.

  • CO poisoning can present with flu-like symptoms, but it is also possible to be poisoned without having any symptoms at all.

•    CO poisoning puts firefighters at significant risk at the scene of a fire.

  • Even mild CO poisoning causes mental confusion, which can lead to poor decision making, putting both the exposed firefighter and others on the fire scene at risk.
  • Mild CO poisoning can also rob the heart and brain of oxygen – nearly 50% of line of duty firefighter deaths are attributed to heart disease or stroke.  That’s why new NFPA 1584 rehab standards support the use of on-scene CO testing.

•    CO poisoning significantly increases long-term health risks.

  • Just one severe CO poisoning almost doubles the risk of premature death.
  • Consistent exposure to CO poisoning may cause long term heart and brain damage.

Do you have firefighters in your life and in your practice?  If so, it is critical to test your patients for CO poisoning. It’s a matter of life and death.  They risk their lives to save ours.  We should be properly diagnosing and treating them for CO poisoning and save their lives right back.

Implementing CO poisoning detection into your practice can help to quickly and inexpensively diagnose CO poisoning enabling you to properly provide triage and rehabilitation to firefighters and other emergency providers.
For more information about our Breath CO Monitors, visit us at www.mdspiro.com.

References:
http://www.fireengineering.com/articles/print/volume-159/issue-6/departments/technology-today/chronic-co-poisoning-in-firefighters.html
http://www.thesilentkiller.net/docs/CO_Fact_Sheet.pdf 
http://mdspiro.com/index.php?route=product/category&path=70
http://mdspiro.com/breath-co 
 Hampson NB et al. American Journal of Emergency Medicine. 2008; 26:665-669. 
 Jakubowski G. FireRescue Magazine. 2004; 22(11):52-55. 
 Bledsoe BE. FireRescue Magazine. 2005. 
NFPA 1584: Standards on the Rehabilitation Process for Members During Emergency Operations and Training Exercises. Annex A section A.6.2.6.4(1). 
 Hampson NB et al. Crit Care Med. 2009; 37(6): 1941-47. 
 Bledsoe BE....

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Getting Your Patients to Go Tobacco Free

Every year in the U.S. over 392,000 people die from tobacco-caused disease, making it the leading cause of preventable death. Another 50,000 people die from exposure to secondhand smoke. Tragically, each day thousands of kids still pick up a cigarette for the first time. The cycle of addiction, illness and death continues. What can be done to stop smoking?

It starts with you.  Bringing Smoking Cessation into your practice as a key element to the treatment of your patients that smoke will help to drop these numbers of people that suffer and die from tobacco.  Our Breath CO monitor is a simple test that can help to diagnose just how high their CO is elevated and how the disease is progressing.  This is an aid to smoking cessation that can be used as a motivational and educational tool.  “Self-reported” smoking status amongst patients has been shown to be quite unreliable.  That’s where our monitor steps into play.

Not only do tobacco products kill us, but tobacco products negatively impact and damage our environment. Cigarette butts are not just a nuisance, they are toxic waste. They contain chemicals that contaminate our waterways and ground soil and harm our wildlife.  Discarded lit cigarettes can cause fires, which can damage homes and land.  It is also very costly to clean up cigarette waste - a problem that continues to grow every year.

To properly treat your patients, it’s time to implement a solid Smoking Cessation program in your practice.  It  is a key component to caring for your patients.  Encouraging them to stop smoking and to take better care of themselves along with their treatment plan will help their lung function and overall well-being.

For more information about Breath CO Monitors and Smoking Cessation, visit us at www.mdspiro.com.

References:
http://www.tobaccofreeca.com/smoking-problem/impact/
http://www.webmd.com/smoking-cessation/ 
http://www.lung.org/stop-smoking/ 
http://mdspiro.com/index.php?route=product/category&path=70
http://mdspiro.com/breath-co 
Novotny, Lum, Smith, Wang, & Barnes, "Cigarettes Butts and the Case for an Environmental Policy on Hazardous Cigarette Waste." International Journal of Environmental Research and Public Health. 2009 May; 6(5): 1691-1705.
Register, Kathleen. "Cigarette Butts as Litter - Toxic as Well as Ugly." Underwater Naturalist Bulletin of the American Littoral Society. 25(20), August 2000.
American for Nonsmokers' Rights, "Tobacco Environmental Toll." ANR Update,...

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