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Allergy and Airway: Asthma and Allergy |

Outcomes After Bronchial Thermoplasty: County vs Private Hospital Settings

Ching-Fei Chang, MD; Edward Hu, MD; Courtney Kwan, BA; Leticia Montano; Richard Barbers, MD
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University of Southern California, Los Angeles, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A1. doi:10.1016/j.chest.2016.02.003
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SESSION TITLE: Asthma and Allergy

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Sunday, April 17, 2016 at 02:15 PM - 03:45 PM

PURPOSE: Disparities in health care access and outcomes are clearly seen in asthma. Lower socioeconomic status, educational deprivation, and ethnic minority status are linked to noncompliance and poorer disease control; thus a large majority of asthmatic county hospital patients present with severe refractory disease. Bronchial thermoplasty (BT) shows great promise in the treatment of advanced asthma, but is very expensive upfront and thus rarely offered to indigent patients. However, Cangelosi et al recently published a study in commercially-insured patients which suggests that BT is actually quite cost-effective in the long run1. We therefore hypothesize that BT would be equally cost-effective in county hospital settings if the beneficial outcomes can be proven to be similar in these two disparate patient populations.

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