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3/30/2015 1 Discharge and Transitional Care of Patients with COPD: Improving Practice to Reduce Readmissions Practitioners Edge is a registered service mark of Integrity Continuing Education, Inc. © 2015 Integrity Continuing Education, Inc. Sponsored by Integrity Continuing Education, Inc. Supported by an educational grant from Sunovion Pharmaceuticals, Inc. Faculty Panel Sidney Braman, MD Professor of Medicine Pulmonary, Critical Care, and Sleep Medicine Icahn School of Medicine New York, New York Joshua LaBrin, MD, FACP, SFHM Assistant Professor of Medicine University of Utah School of Medicine Salt Lake City, Utah 2

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Page 1: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

3/30/2015

1

Discharge and Transitional Care of Patients with COPD: Improving Practice to Reduce Readmissions

Practitioner’s Edge is a registered service mark of Integrity Continuing Education, Inc.© 2015 Integrity Continuing Education, Inc.

Sponsored by Integrity Continuing Education, Inc.

Supported by an educational grant from Sunovion Pharmaceuticals, Inc.

Faculty Panel

Sidney Braman, MD

Professor of MedicinePulmonary, Critical Care, and Sleep MedicineIcahn School of MedicineNew York, New York

Joshua LaBrin, MD, FACP, SFHM

Assistant Professor of MedicineUniversity of Utah School of MedicineSalt Lake City, Utah

2

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2

Sidney Braman, MD– Royalties: AP Press, Guilford Press

Joshua LaBrin, MD, FACP, SFHM– No real or apparent conflicts of interest to disclose

Faculty Disclosures

3

Assess future risk for worsening disease and exacerbations in patients with chronic obstructive pulmonary disease (COPD) to prevent hospital readmission

Provide individualized discharge and transitional care plans for patients at high risk who were recently hospitalized for COPD

Learning Objectives

4

Page 3: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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COPD in the hospital setting

Assessment and treatment of COPD exacerbations

Assessing COPD severity & future risk

Considerations for maintenance therapyin the hospital setting

Device selection

Discharge & transitional care planning

Additional strategies to prevent hospital readmissions

Overview of Topics Covered

5

COPD in the Hospital Setting

6

Page 4: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Vestbo J, et al. MMWR Morb Mortal Wkly Rep. 2012;61(46):938-943.

Estimated 15 million people in the US diagnosed with COPD

However, lung function tests show that up to twice as many people may have COPD, but are undiagnosed

Many patients who present with an exacerbation for the first time and are treated in the hospital were previously undiagnosed

Underdiagnosed COPD Is Commonin the Hospital Setting

7

Perera PN, et al. J COPD. 2012;9:131-141.Ford ES, et al. Chest. 2013;144(1):284-305.

1.5 million emergency department (ED) visits

699,000 hospital discharges

Over $13 billion in hospital care costs

In-hospital mortality 2.5% for all hospital admissions from acute exacerbations of COPD, and up to 28% for patients requiring mechanical ventilation

In-hospital Burden of COPD

8

Page 5: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Rates of Repeat ED Visits and Readmissions

10.3 10.6

13.9

17.8

10.8 10.7

12.6

15.3

10.5 10.7

12.4

15.7

0

4

8

12

16

20

2005 2006 2007 2008

ED visitsSimple inpatient admissionsComplex inpatient admissions

A substantial proportion of patients discharged for COPDare readmitted or have repeat ED visits within 30 days.

Dalal AA, et al. Respir Med. 2011;105(3):454-460.

Per

cen

t (%

)

Patients ≥40 years of age

Medicare accounted for 66.4% of all encounters.

9

Patients hospitalized for COPD exacerbations received only about 50% of the care recommended by guidelines1

Specific gaps related to instruction on respiratory inhalers and scheduling a follow-up appointment2

Majority of readmissions within first 30 days are related to comorbidities including cardiac, renal, gastrointestinal, and infectious conditions3

Quality of Care and Unstable Comorbidities Contribute to Readmissions

1. Mularski RA, et al. Chest. 2006;130:1844-1850.2. Mularski RA, et al. J Comp Eff Res. 2012;1:71-82.3. Elixhauser A. Statistical Brief #121. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs.

Rockville, MD: Agency for Health Care Policy and Research; 2006. 10

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Goals of the Healthy People 2020 Program (US DHHS)– Increase diagnosis of COPD

– Improve activity level in patients with COPD

– Reduce ED visits, hospitalizations, and deaths

Updates to CMS Readmissions Reduction Program– CMS will reduce payments to hospitals for COPD readmissions

within 30 days

– Maximum penalty at 3% of a hospital's Medicare reimbursement

Policies on Hospitalizations/ Readmissions for COPD

11

DHHS, Department of Health and Human Services; CMS, Centers for Medicaid & Medicare Services.

Available at: www.healthypeople.gov/2020; Available at :http://www.cms.gov/Medicare/ Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html.

Goals for In-hospital Managementof COPD

12

Assess & treat exacerbation to stabilize patient

Implement individualized

inpatient treatment plan

Assess risk for future

exacerbations

• Evaluate COPD severity

• Evaluate patient comorbidities

Evaluate current medical

management and home care

environment

Implement individualized discharge and

transitional care plans to prevent readmission to include long-

acting maintenance therapies and

follow-up

Page 7: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Assessment and Treatmentof COPD Exacerbations

13

Exacerbation of COPD

14

An exacerbation of COPD is an acute event characterized by a worsening of

the patient’s respiratory symptoms that is beyond normal day-to-day variations

and leads to a change in medication.

Vestbo J, et al. GOLD 2015 update.

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Qureshi H, et al. Ther Adv Chronic Dis. 2014;5(5):212-227.

Impact of Frequent COPD Exacerbations

15

Patients with frequent exacerbations

Lower qualityof life

Increased inflammation

Faster disease progression

Increasedmorality rate

Increased riskof recurrent

exacerbations

Increased likelihood of hospitalization

70% to 80% of COPD exacerbations are triggered by viral or bacterial respiratory infections

20% to 30% are associated with exposureto environmental pollution or have anunknown etiology

Most Frequent Causes of an Exacerbation

16Sethi S, Murphy TF. N Engl J Med. 2008;359(22):2355-2365.Sapey E, Stockley RA. Thorax. 2006;61(3):250-258.

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Case Study #1: 62-year-old Female

17

62-year-old female History

– Current smoker with 35 pack-year history– Current diagnosis of COPD by primary care physician

Current medications– LAMA maintenance therapy and SABA prn– Forgets to take her second inhaler sometimes

Presentation– Cough and dyspnea while walking over the last several

hours– Used rescue inhaler 4 times in last 2 hours

Case Study #1: Background and Presentation

18LAMA, long-acting anticholinergic; SABA, short-acting beta2-agonist; prn, as needed.

Page 10: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Persistent productive cough with clear, white sputum

Physical exam– Wheezing and decreased breath sounds on lung exam

– Temperature: 99.7

– HR: 82

– BP: 143/91

SpO2: 79% on room air

Imaging and laboratory testing negative forbacterial pneumonia

Poor response to first dose of SABA

Case Study #1: Exam and Test Results

19HR, heart rate; BP, blood pressure; SpO2, oxygen saturation.

Hospital Care Pathway for COPD:Initial Presentation in the ED

20

Point of EntryED

(self-admitted or clinician referral)

Assess Severity of

Exacerbation

Implement/Modify Therapy to Treat Acute Symptoms

Diagnostic Options

Arterial blood gases, pulse

oximetry

Chest X ray, ECG

OtherModify

bronchodilatortherapy

Systemic steroids

Antibiotic therapy?

Consider NIV Other

Therapeutic Options

Consider admission

criteria

Slide courtesy of: Stanley B. Fiel, MD.

ECG, electrocardiogram; NIV, noninvasive ventilation.

Page 11: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Confirm the Diagnosis of COPD Exacerbation

21

History Physical Exam Diagnostic Testing

Diagnosis of COPD

Cigarette smoking

Dyspnea on ordinary exertion, shortness of breath at rest

Cough, phlegm

Wheezing on lung exam

Decreased breath sounds

Use of accessory muscles

Pursed-lip breathing

Hyperinflation

SpO2 <88% on room air

Abnormal chest X ray

Hyperinflation on chest imaging

Courtesy of Dr. Robert Wise, MD, Johns Hopkins Medicine, Johns Hopkins Bayview Medical Center.

Perera PN, et al. J COPD. 2012;9:131-141.

Risk Factors for In-hospital Mortality

22

Characteristics indicative of exacerbation severity (eg,

abnormal blood gas values)

Case severity (complications, organ system dysfunction,

severe COPD)

Older ageComorbid conditions

(number and type)

Page 12: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Corticosteroids Given in the Hospital

23Niewoehner DE, et al. N Engl J Med. 1999;340:1941-1947.

TF: Death from any cause or the need for intubation and mechanical ventilation, readmission because of COPD, or intensification of pharmacologic therapy

Readmissions for COPD were similaracross all groups at 30 days.

TF, treatment failure.

30 days

Rat

e o

f T

reat

men

t F

ailu

re (

%)

0 1 2 3 4 5 6

Month

60

50

40

30

20

10

0

Glucocorticoids, 8 wkGlucocorticoids, 2 wkPlacebo

5-day Course of Corticosteroids Preferred for COPD Exacerbations

GOLD Stage 3-4

FEV1 ~31% predicted

Randomized to 5 or 14 days of prednisone(40 mg)

5-day regimen non inferior to 14-day regimen

Hospital stays averaged1 day shorter with 5-day regimen

24Leuppi JD, et al. JAMA. 2013;309(21):2223-2231.

14 days

5 days

Pat

ien

ts W

ith

ou

t E

xace

rbat

ion

(%

)

0 50 100 150 200

Time From Inclusion, d

100

75

50

25

0

Conventional group

Short-term group

GOLD, Global Initiative for Chronic Obstructive Lung Disease; FEV1. forced expiratory volume in 1 second.

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Retrospective study of patients >40 years old hospitalized for a COPD exacerbation and treated with systemic corticosteroids (N=53,900)

Addition of antibiotics was associated with:

– 40% reduction in in-hospital mortality

– 13% reduction in 30-day readmission for COPD

Antibiotic Therapy Recommended for Patients with Infectious Exacerbation

25Stefan MS, et al. Chest. 2013;143(1):82-90.Vestbo J, et al. GOLD 2015 update.

Summary of Exacerbation Management

Assess severity of symptoms, chest radiograph, blood gases, and/or O2 saturation to guide management

Provide O2 as indicated

Consider NIV/IMV and criteria for admission if necessary

Provide bronchodilator therapy

– Increase doses/frequency of SABA therapy

– Combine SABAs with anticholinergics

– Use spacers or air-driven nebulizers

5-day course of oral corticosteroids preferred

Consider antibiotics for infectious exacerbations

Consider adjunctive therapies as necessary

Vestbo J, et al. GOLD 2015 update. 26

IMV, invasive mechanical ventilation.

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Assessing COPD Severity & Future Risk

27

COPD severity is underestimated in ~50% of patients when measured clinically compared with severity derived by spirometry

Spirometry resulted in a change in treatmentin ~33% of patients

Estimation of COPD Severity Not Always Aligned with Objective Measures

28Mapel DW, et al. Am J Med. 2015. [Epub ahead of print]

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Category Severity Spirometry (% predicted)

GOLD 1 MildFEV1 ≥80%

FEV1/FVC <0.70

GOLD 2 Moderate50%≤ FEV1 <80%

FEV1/FVC <0.70

GOLD 3 Severe30%≤ FEV1 <50%

FEV1/FVC <0.70

GOLD 4 Very severeFEV1 <30%

FEV1/FVC <0.70

Severity of COPD Symptoms: Classification Using Spirometry

29

FVC, forced vital capacity.

Vestbo J, et al. Am J Respir Crit Care Med. 2013;187(4):347-365.

Association of Disease Severity with Frequency of COPD Exacerbations

30Hurst JR, et al. N Engl J Med. 2010;363(12):1128-1138.

ECLIPSE STUDY

7

18

33

22

33

47

0

10

20

30

40

50

GOLD 2(N=945)

GOLD 3(N=900)

GOLD 4(N=293)

Pat

ien

ts (

%)

Hospitalized for exacerbation in year 1 Frequent exacerbations

ECLIPSE, Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints.

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CategoryExacerbations

Per YearHospitalizations

Per Year3-year

Mortality

GOLD 1 ? ? ?

GOLD 2 0.7 - 0.9 0.11 - 0.2 11%

GOLD 3 1.1 - 1.3 0.25 - 0.3 15%

GOLD 4 1.2 - 2.0 0.4 - 0.54 24%

Risk Evaluation in COPD: Potential for Serious Events by Disease Severity

31Vestbo J, et al. GOLD 2015 update.

Exacerbation history

Modified Medical Research Council Dyspnea Scale– Assesses severity of patient breathlessness

– 5 grades: 0 no breathlessness to 4 very severe

COPD Assessment Test (CAT)– 8-question assessment that assigns a score of 1 to 5 to each

question

– Measures frequency of symptoms

– Higher scores denote a more severe impact of COPD on a patient’s life

Assessment of COPD Severity and Risk: Exacerbation History and Symptoms

32

Bestal SC, et al. Thorax. 1999;54(7):581-586.COPD Assessment Test is a trademark of the GlaxoSmithKline group of companies.© 2009 GlaxoSmithKline group of companies. All rights reserved. Last updated: February 24, 2012.

mMRC and CAT have been validated and relate well to other measures of health status and predict future mortality risk.

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Risk Assessment of COPD: Updated GOLD Guidelines

Risk

GOLD Classification

of Airflow Limitation

Risk

Exacerbation History

mMRC 0-1CAT < 10

330%-50%

1≥80%

≥ 2

1

0

(C) (D)

(A) (B)

4<30%

mMRC ≥ 2CAT ≥ 10

Symptoms(mMRC or CAT score)

250%-80%

Vestbo J, et al. Am J Respir Crit Care Med. 2013;187(4):347-365. 33

Best Predictor of Future Exacerbation: Exacerbations in Past Year

34Hurst JR, et al. N Engl J Med. 2010;363(12):1128-1138.

Odds Ratio(≥2 vs 0) P value

Odds Ratio(1 vs 0) P value

Exacerbations during the past year

5.72 <.001 2.24 <.001

ECLIPSE STUDY

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Continued exposure to:– Cigarette smoke– Industrial particulates– Indoor/outdoor pollution

Worsening symptoms (dyspnea, cough, and secretions)

Declining lung function

Viral upper respiratory infections

Increase in rescue medication use

Maintenance medication nonadherence

Poor device technique and inadequate medication administration

Previous exacerbation/hospitalization

Risk Factors for COPD Exacerbations

35Vestbo J, et al. GOLD 2015 update.

0 1 2 3 4

CHF 3.26 (2.37-4.49)

Osteoporosis 1.66 (1.43-1.94)

Stroke 1.54 (1.20-1.97)

PVD 1.45 (1.02-2.06)

GERD 1.41 (1.25-1.58)

CHD 1.34 (1.14-1.57)

Hypertension 1.32 (1.20-1.47)

Sleep apnea 1.35 (1.17-1.56)

Stomach ulcers 1.26 (1.06-1.51)

Hay fever 1.14 (1.02-1.28)

Obesity 0.87 (0.79-0.97)

High cholesterol 0.84 (0.75-0.93)

Risk for Comorbidity (Adjusted Odds Ratio)

COPD-associated Risk for Comorbidity

36Putcha N et al. Chronic Obstr Pulm Dis. 2014;1(1):105-114.

CHD, congenital heart disease; GERD, gastroesophageal reflux disease; PVD, peripheral vascular disease; CHF, congestive heart failure.

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The majority of patients with COPD exhibit ≥3 comorbidities

A subset of these have been associatedwith ↑ likelihood of disease progressionand readmission for exacerbation

– CHF

– Lung cancer

– Anxiety

– Depression

– Skeletal muscle weakness– Osteoporosis

Impact of Comorbidities on Disease Progression and Future Exacerbations

Vestbo J, et al. Am J Respir Crit Care Med. 2013;187(4):347-365. 37

6.1

4.3

3.8

2.3

1.8 1.7 1.61.4

1.2

0

1

2

3

4

5

6

7

Septicemia AspirationPneumonia

AcuteRespiratory

Failure

Acute RenalFailure

MyocardialInfarction

Pneumonia C. difficile PulmonaryHeart

Disease

CongestiveHeart

Failure

Mortality Risk Within the First 30 Days Following Initial Discharge for COPD

Duffy S, et al. J COPD F. 2015;2(1): 17-22.

Comorbid Condition All P<.0001

Od

ds

Rat

ios

38

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Considerations for Maintenance Therapyin the Hospital Setting

39

In post discharge setting, patients with delayed maintenance therapy had a 43% (P<.001) higher riskof future hospitalization/ED visit1

– Every 30-day delay associated with 9% increasein risk (P=.002)

Patients with COPD with higher adherence to prescribed maintenance regimens experienced fewer hospitalizations and lower Medicare costs2

Should we consider advancing the initiation of maintenance therapies to the hospital setting?

Delays in Maintenance TherapyAre Costly

1. Dalal AA, et al. Am J Manag Care. 2012;18(9):e338-e345.2. Simoni-Wastila L, et al. Am J Geriatr Pharmacother. 2012;10(3):201-210. 40

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Hospital Stays for Exacerbationsof COPD Following Initiation of LAMA

0

2

4

6

8

10

12

14

January February March Jan-MarCombined

Early addition of maintenance LAMA (tiotropium) to a respiratory-therapist-directed bronchodilator protocol for patients hospitalized for COPD exacerbation reduced:

– Hospital stays

– Hospital costs

No safety concerns

41Drescher GS, et al. Respir Care. 2008;53(12):1678-1684.

P<.05

Ho

spit

al S

tay

(±S

D d

)

2004 2006 2004 2006 2004 2006 2004 2006

*

SD, standard deviation.

Odds of Readmission 31% Lower When Nebulized LABA Initiated in Hospital

42

5.8

8.9

12.6

17.5

7.39.3

8.19.9

0

5

10

15

20

Minor Moderate Major Extreme

Neb-SABAArformoterol

Bollu V, et al. Int J Chron Obstruct Pulmon Dis. 2013;8:631-639.

Rea

dm

issi

on

Rat

e (%

)

Severity of Illness

P=.696P=.867

P=.031

P=.028

Overall, significantly lower (8.7% vs 11.9%)30-day readmissions with arformoterol

LABA, long-acting beta-agonists.

Page 22: Discharge and Transitional Care of Patients with COPD ...practitionersedge.com/download/COPD CME Symposium.pdf · of Patients with COPD: Improving Practice to Reduce Readmissions

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Initiating LABA Therapy in Outpatient Setting Lowers Risk of All-cause Hospitalization

43Bollu V, et al. J Med Econ. 2013;16(8):1082-1088.

26% reduction in hospitalizationswith LABA vs SABA in 6-monthfollow-up period

Pro

po

rtio

n o

f P

atie

nts

0 20 40 60 80 100 120 140 160 180Time (days)

1.0

0.8

0.6

0.4

0.2

0.0

Long Acting Beta AgonistShort Acting Beta Agonist

Combined Assessment of COPD: Updated GOLD Guidelines

44

Risk

GOLD Classification

of Airflow Limitation

Risk

Exacerbation History

mMRC 0-1CAT < 10

330%-50%

1≥80%

≥ 2

1

0

(C) (D)

(A) (B)

4<30%

mMRC ≥ 2CAT ≥ 10

Symptoms(mMRC or CAT score)

250%-80%

Vestbo J, et al. Am J Respir Crit Care Med. 2013;187(4):347-365.

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GOLD Recommendations for Initial Pharmacotherapy

PatientGroup

RecommendedFirst Choice

AlternativeChoice

Other Possible Treatments

A SAMA prn or SABA prnLABA or LAMA or

SABA + SAMATheophylline

B LAMA or LABA LAMA + LABASABA and/or SAMA

Theophylline

C ICS + LABA or LAMA

LAMA + LABA or

LAMA + PDE4 or

LABA + PDE4

SABA and/or SAMA

Theophylline

D ICS + LABA and/or LAMA

ICS + LABA + LAMA or

ICS + LABA + PDE4 or

LABA + LAMA or

LAMA + PDE4

Carbocysteine

SABA and/or SAMA

Theophylline

Vestbo J, et al. GOLD 2015 update. 45

SAMA, short-acting muscarinic antagonist; ICS, inhaled corticosteroid; PDE4, phosphodiesterase type 4 inhibitor.

Available Long-acting Bronchodilator Monotherapies

Agent Delivery Manufacturer

LABA

Arformoterol Nebulizer Sunovion

FormoterolNebulizer Mylan

DPI Merck

Indacaterol DPI Novartis

Olodaterol SMI Boehringer Ingelheim

Salmeterol DPI GlaxoSmithKline

LAMA

Aclidinium DPI Forest

Ipratropium IA Boehringer Ingelheim

Tiotropium DPI, IS Pfizer/Boehringer Ingelheim

Umeclidinium DPI GlaxoSmithKline

DPI, dry powder inhaler; SMI, soft mist inhaler; IS, inhalation spray; IA inhalation aerosol.

Vestbo J, et al. GOLD 2015 update. 46

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Reduction in Exacerbations with LAMA Therapy (UPLIFT Study)

Tashkin DP, et al. N Engl J Med. 2008;359:1543-1554.

14% reduction in exacerbations and significant delay in the time to the first exacerbation (16.7 months vs 12.5 months)

47

CI, cardiac output; SAE, serious adverse event.

80

60

40

20

0

Hazard ratio, 0.86(95% CI, 0.81-0.91)P<0.001

Pro

bab

ility

of

Exa

cerb

atio

n (

%)

0 6 12 18 24 30 36 42 48

Month

Placebo Tiotropium

Pooled safety data from 35 placebo-controlled trials of tiotropium for COPD

24,555 patients and 14,909 patient-years of exposure to tiotropium

Regardless of device, tiotropium does not increase the overall risks of AEs, SAEs, FAEs, or CV events

Pooled Long-term Safety Data for Tiotropium for COPD

48Halpin DMG, et al. Int J Chron Obstruct Pulmon Dis. 2015;10 239-259.

AE, adverse event; SAE, serious adverse event; FAE, fatal adverse event; CV, cardiovascular.

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Nebulized LABA Results in Greater Lung Function vs Placebo (12 Weeks)

Ch

ang

e in

FE

V1

(mL

)(W

eek

12)

0 2 4 6 8 10 12 22 24

Time After Study Drug Administration (hr)

400

350

300

250

200

150

100

50

0

-50

-100

x

xxx x x

x x x

xxx

Arformoterol 15 µg bidArformoterol 25 µg bidArformoterol 50 µg qdSalmeterol 42 µg bidPlacebo

x

Baumgartner RA, et al. Clinical Therapeutics. 2007;29:261-278.

Drug administered

49

bid, twice daily; qd, once daily.

x

x

x

Patients were ≥ 40 years of age

Baseline

– FEV1 ≤ 65% predicted, FEV1 > 0.50 L, FEV1/FVC ≤ 70%,and ≥ 15 pack-year smoking history

COPD exacerbation-related hospitalizations were9.0% (arformoterol) vs 14.3% (placebo)

Risk for first respiratory SAE was50% lower with arformoterol with placebo (P=.003)

Overall, arformoterol had an approximately 40% lower riskof respiratory death or COPD exacerbation-related hospitalization over 1 year vs placebo

1-year Safety of Nebulized LABA Therapy (Arformoterol) vs Placebo

50Donohue JF, et al. Chest. 2014;146(6):1531-1542.

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Available Long-acting Bronchodilator LABA/LAMA Combination Therapies

AGENT DELIVERY MANUFACTURER

Vilanterol + umeclidinium DPI GlaxoSmithKline/Theravance

Olodaterol + tiotropium SMI Boehringer Ingelheim

Vestbo J, et al. GOLD 2015 update. 51

LABA/LAMA Combination Associated with Reduced Risk for Exacerbations

52Donohue JF et al. Respir Res. 2014;15:78.

~50% reduction in exacerbations overall and exacerbations resulting in hospitalizations

Per

cen

tag

e o

f P

atie

nts

Wit

h

an E

xace

rbat

ion

0 31 62 93 124 155 186 217 248 279 310 341 372Time to Event (days)

30

25

20

15

10

5

0

Placebo UMEC 125 UMEC/VI 125/25

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Available Long-acting Bronchodilator Therapies in Combination with ICS

Agent Delivery Manufacturer

Formoterol + budesonide MDI AstraZeneca

Salmeterol + fluticasone DPI GlaxoSmithKline

Vilanterol + fluticasone DPI GlaxoSmithKline

Formoterol + mometasone* MDI Merck

*Off-label use. Not indicated for the treatment of patients with COPD. MDI, Metered dose inhaler

Vestbo J, et al. GOLD 2015 update. 53

Lung Function with ICS/LABA Combination Therapy (TORCH Study)

54

Primary endpoint of mortalitynot reached in this study.

↓ annual rate of exacerbationsfrom 1.13 to 0.85 (P<.001)

Calverley P, et al. N Engl J Med. 2007;356:775-789.

Ad

just

ed M

ean

Ch

ang

e in

FE

V1

(mL

)

0 24 48 72 96 120 156Weeks

100

50

0

–50

–100

–150

Combinationtherapy

FluticasoneSalmeterol

Placebo

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May inhibit fibroblast-mediated contraction and formation of fibrotic tissues, which can disrupt lung function

Roflumilast– Oral, selective, long-acting inhibitor of an enzyme

called PDE4

– Indicated for treatment to reduce the risk of exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations

PDE4 Inhibition

55

Fabbri LM, et al. Lancet. 2009;374(9691):695-703; Calverley PM, et al. Lancet. 2009;374(9691):685-694; Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, managementand prevention of chronic obstructive pulmonary disease. 2010 update. Available at: www.goldcopd.com.

Therapies on the Horizon

Type Agent Delivery Manufacturer

LAMAGlycopyrronium bromide

Nebulizer Sunovion

DPI Vectura, Sosei/Novartis

MDI Pearl

LABA /LAMA

Indacaterol + glycopyrronium bromide

DPI Vextura, Sosei/Novartis

Aclidinium +formoterol

DPI Almirall/Forest

56

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Device Selection

57

COPD patient population is diverse with various levels of functioning

Handheld devices assume patient is ableto use correctly

Adapted from: Press VG, et al. J Gen Intern Med. 2011;26(6):635-642.Fromer L, et al. Postgrad Med. 2010;122(2):83-93.

85%

81%

50%

55%

60%

65%

70%

75%

80%

85%

MDI FP/SAL

Misuse Rate for Hospitalized Patients with COPD (N=40)

Misuse of Handheld Devices in Hospitalized COPD Patients is Common

MDI DPI

58

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~1 of 5 patients with advanced COPD and ≥ 60 yearsof age exhibited a suboptimal peak inspiratory flow rate (PIFR) against DPI resistance (<60 L/min)1

– 80% were female, had shorter height, and lower FVC and inspiratory capacity (IC)

A study of DPI vs nebulized LABA in patients with suboptimal PIFR (53 ± 5 L/min) found that improvements in FEV1, FVC, and IC were significantly higher with arformoterol than with salmeterol at 15 minutes2

Patients with suboptimal PIFR may have difficulty actuating a DPI, which may reduce medication delivery

Inspiratory Flow Rates in Patientswith COPD

1. Mahler DA, et al. J Aerosol Med Pulm Drug Deliv. 2013;26(3):174-179.2. Mahler DA, et al. J Aerosol Med Pulm Drug Deliv. 2014;27(2):103-109. 59

Sharafkhaneh A, et al. J COPD. 2013;10(4):482-492.

Patients were “Highly satisfied with their current nebulized treatment” (89%) and had “Easierbreathing” (68%)

Patients agreed that nebulization provided “Better control of symptoms” (85%) and “Greater confidence that the right amount of medication was being delivered” (84%)

Caregivers stated that nebulization “Made it easierto care for their friend/family member” (86%)

Patient/Caregiver Experienceswith Nebulized Therapy

60

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Clinical Scenarios Where Nebulized Therapy May Be Preferred

61Dhand R et al. J COPD. 2012;9(1):58-72.

Cannot generate adequate inspiratory flow required by DPIs

Cannot use pMDIs or DPIs appropriately despite adequate education and training

Debilitated after hospitalization and cannot coordinate breathing with device requirements

Inadequate symptom relief with appropriate use of pMDIs or DPIs

Nonadherence with pMDIs or DPIs

Preference for nebulization

Cognitive impairment (eg, Alzheimer’s, altered consciousness)

Impaired manual dexterity (eg, arthritis, Parkinsonism, or stroke)

Pain or weakness from neuromuscular disease (eg, multiple sclerosis)

Need for higher bronchodilator or corticosteroid doses to control diseases

Cannot afford therapy with pMDIs or DPIspMDI, pressurized metered dose inhaler.

QOL improvements seen more with nebulized therapy compared with DPI1

An effective regimen for improving QOL is the combination of nebulizer in the morning and night, with an inhaler in the afternoon and evening2

Quality of Life (QOL) Improvements with Nebulized Therapy

621. Gross NJ, et al. Respir Med. 2008;102(2):189-197.2. Tashkin DP, et al. Am J Med. 2007;120(5):435-441.

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Discharge & TransitionalCare Planning

63

Case Study #2: 72-year-old Male

64

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72-year-old male

History– Former smoker with 45 pack-year history

– Current diagnosis of GOLD Group C

– Arthritis

– Poor vision

Current medications– Nebulized SABA

– LAMA DPI (has trouble coordinating breathing with device)

Presents to ED experiencing an exacerbationfor the second time in <3 weeks

Case Study #2: Background

65

Productive cough upon taking deep breaths Dyspnea: trouble walking across the room Chest tightness No significant edema Physical exam

– Wheezing and decreased breath sounds – Temperature: 100.2– HR: 70, regular rate, no murmurs– BP: 130/72

SpO2: 86%

Case Study #2: Presentation and Exam

66

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Administered oxygen

Administered SABA/SAMA combination

Admitted to the hospital following reassessment

Prescribed oral corticosteroids and antibiotics

Initiated on a nebulized LABA therapy to be continued in home setting

No family present

Case Study #2: Management

67SAMA, short-acting anticholinergic.

Follow up and Other Key Items to Consider at Discharge

Vestbo J, et al. GOLD 2015 update.

Items

Schedule follow-up visit within 1 week (preferably within 72 hours)

Maintenance treatment and importance of adherence

Technique instruction

Assess home care

Assess need for oxygen and/or home nebulizer

Smoking cessation

Vaccinations

Pulmonary rehabilitation

Provide plan for comorbidities

68

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An outpatient visit during the month after admission for an exacerbation resulted in fewer ED visits (14%) and 30-day readmissions (9%)1

30-day readmission was 10 times more likely for patients not attending a primary care follow-up within 4 weeks of discharge2

Reported Patient Outcomes Associated with Scheduled Follow up

69

1. Sharma G, et al. Arch Intern Med. 2010;170(18):1664-1670.2. Misky GJ, et al. J Hosp Med. 2010;5(7):392-397.

At discharge:– 55% of patients not prescribed maintenance

bronchodilators

– 23% of patients not prescribed an inhaled therapy

Recommendations at Discharge Not Carried Through Despite Guidelines

70Yip NH, et al. COPD. 2010;7(2):85-92.

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Additional Strategies to PreventHospital Readmissions

71

Collaborative Care Team:1- to 2-week

post-dischargefollow-up

COPD Patient Care Pathway:Identifying Additional Strategies

Slide courtesy of: Stanley B. Fiel, MD.

Transition Management

Home Care• Update referral tracking and care information• Communicate with specific providers• Assess for barriers to care and refer to

community/social services/other HCPs, if needed• Provide patient education/counseling• Refer to pulmonary rehab, if applicable

PharmacyMedication reconciliation

Medication Management• Assess patient tolerability• Assess patient response to medications• Assess for medication nonadherence• Reconcile any new medications

Reassess with spirometry if patient shows improvement

Evaluate patient health literacy

Consider including therapy known to reduce exacerbation risk (long-acting inhaled bronchodilators, with or without inhaled steroids, and possible PDE4 inhibitors)

Post-discharge

Setting

Consider 72-hour postdischarge follow-up call

Patient Education/Counseling• Cultural competency• Health literacy

72

HCP, healthcare provider.

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Outpatient providers must provide 3 key services:– Make contact with patients within 2 days of discharge

– Have a face-to-face visit with moderate-complexity or high-complexity patients within 7-14 days of discharge

• CPT Code 99495 – Transitional care management services with moderate medical decision complexity (face-to-face visit within 14 days of discharge)

• CPT Code 99496 – Transitional care management services with high medical decision complexity (face-to-face visit within 7 days of discharge)

– Provide care coordination services within 30 days of discharge

Provides financial incentive to assess patients 1 to 2 weeks following discharge

Changes in Post discharge Care Policy (2013)

73

Kangovi S, et al. Chest. 2014;145(1):149-155.http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Transitional-Care-Management-Services-Fact-Sheet-ICN908628.pdf

Identify patients at high risk forrehospitalization and target specificinterventions to mitigate potentialadverse events

Reduce 30-day readmission rates

Improve patient satisfaction scores and HCAHPS scores related to discharge

Improve flow of information between hospital and outpatient physicians and providers

Improve communication between providers and patients

Optimize discharge processes

SHM’s Project BOOST: Goals

74SHM, Society of Hospital Medicine; HCAHPS, Hospital Consumer Assessment of Healthcare Providers.

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Pulmonary Rehabilitation:Program Essentials

Smoking Cessation

Considered to be the most important therapeutic intervention in patients with COPD

Has been shown to reduce COPD risk and mitigate the decline in pulmonary function

Brief clinical interventions are clinically effective and cost effective

Smoking cessation aids– Nicotine replacement

gum, patch, inhaler

– Bupropion

– Varenicline

Vestbo J, et al. Am J Respir Crit Care Med. 2013;187(4):347-365;Fiore MC, at al. Am J Prev Med. 2008;35(2):158-176. 75

Exercise training

Nutrition counseling

Education

Pulmonary Rehabilitation:Program Essentials (cont’d)

76Vestbo J, et al. Am J Respir Crit Care Med. 2013;187(4):347-365.

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Pulmonary Rehabilitation Reduces COPD Exacerbation Frequency

77

Mean number of exacerbations (total), hospitalizations, and exacerbations out of hospital 1 year before and 1 year after pulmonary rehabilitation (PR).van Ranst D, et al. Int J Chron Obstruct Pulmon Dis. 2014;9:1059-1067.

*P<.0005

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

Exacerbations Hospitalizations Exacerbations Outof Hospital

Mea

n N

um

ber

of

Exa

cerb

atio

ns

Pre-PR

Post-PR

*

*

*

Influenza vaccines– ↓ respiratory tract infections that result in hospitalization and

death in patients with COPD

Pneumococcal vaccines– ↓ rate of community-acquired pneumonia in COPD patients

– Pneumococcal infections result in a significant percentage of acute exacerbations of COPD

Vaccinations remain highly underused – 38.4% of patients with COPD admitted to a university medical

center had a prior influenza vaccine

– Only half of eligible patients presenting with an exacerbation to a set of urban hospitals had influenza and pneumococcal vaccines

Vaccinations to Prevent Future COPD Exacerbations

78Yip NH, et al. COPD. 2010;7(2):85-92.Nantsupawat T, et al. Chron Respir Dis. 2012;9(2):93-98.

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Exacerbations of COPD impose a significant health and economic burden in the hospital setting

Appropriate inpatient management should include confirmation of diagnosis by objective measures and risk assessment

Individual patient characteristics, in particular comorbid conditions, influence the potential for readmission and should be addressed at the point of care

Maintenance therapy matters and should be taken into account as part of the inpatient treatment and discharge plans

Provision for individualized discharge and transitional care plans may help prevent hospital readmissions

Summary

79

SHM Project BOOST– www.hospitalmedicine.org/boost

Project RED (Re-Engineered Discharge)– www.bu.edu/fammed/projectred/

COPD Foundation– www.copdfoundation.org

Additional Resources

80Krishnan JA, et al. J COPD F. 2015;2(1):70-80.