This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. OBJECTIVE: Assemble a South Texas cohort of patients with severe chronic obstructive pulmonary disease (COPD) to access a variety of factors (by interview and questionnaire) to describe the extent of the ethnic differences in individual self-management practices and in the current medical care ('usual care') between Hispanics/Mexican Americans (MAs) and Whites/European Americans (EAs). RESEARCH PLAN: Assemble a cohort of MA and EA patients from the San Antonio area with high-risk COPD. Conduct retrospective chart reviews and primary data collection from participants (~300 subjects) in order to access medical care delivery system design, decision support, clinical information systems, or prepared proactive practice team elements of the chronic disease management model. METHODS: Subjects will be recruited from the University Health System and Audie L. Murphy VA Hospital. They will have a single study visit at the GCRC where they will be consented, interviewed, fill out questionnaires, and have blood drawn to measure prealbumin (nutritional status). Their medical records will be reviewed going back two years from the date of enrollment into the study. Statistical analysis will then try to identify various risk factors for each group and access their significance. CLINICAL
COPD affects 20 million Americans and is the fourth leading cause of death, costing $30 billion annually. Comprehensive disease management models for diseases such as diabetes or congestive heart failure have resulted in improved care. The components specifically related to patients with COPD need to be studied and identified.
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