Table 2

Association between attending an annual review and other aspects of Chronic Obstructive Pulmonary Disease (COPD) care

Annual review yes (n=48 344)Annual review no (n=26 483)AOR (95% CI)
Q1: My diagnosis of COPD was confirmed with a breathing test called spirometry.Yes: 40 409 (69.4%)
No: 17 807 (30.6%)
Yes: 7935 (47.8%)
No: 8676 (52.2%)
2.37 (2.29 to 2.46)
Q2: I understand my COPD. My doctor or nurse has explained where to find information and advice on COPD, and where I can get emotional support (if I need it).Yes: 25 935 (82.5%)
No: 5485 (17.5%)
Yes: 22 409 (51.6%)
No: 20 998 (48.4%)
4.61 (4.45 to 4.78)
Q3: I get support to manage my care and have agreed a written plan with my doctor or nurse about how I will manage my COPD.Yes: 15 827 (89.6%)
No: 1830 (10.4%)
No: 32 517 (56.9%)
Yes: 24 653 (43.1%)
6.68 (6.35 to 7.05)
Q4: I contact my GP, nurse or pharmacist to get a free flu vaccination each year. I am up to date with my coronavirus vaccines, and I have had the one-off pneumonia vaccine.Yes: 40 419 (71.9%)
No: 15 799 (28.1%)
Yes: 7925 (42.6%)
No: 10 684 (57.4%)
3.55 (3.43 to 3.68)
Q5: If I smoke, I am offered support and treatment to stop every time I meet my doctor or nurse. (n=26 019 after the removal of non-smokers)Yes: 12 393 (71.0%)
No: 5065 (29.0%)
Yes: 3408 (39.8%)
No: 5153 (60.2%)
3.67 (3.48 to 3.88)
Q6: I know the importance of keeping active and eating well.Yes: 42 882 (68.9%)
No: 19 380 (31.1%)
Yes: 5462 (43.5%)
No: 7103 (56.5%)
3.07 (2.95 to 3.20)
Q7: I have discussed the benefits of pulmonary rehabilitation and if I can be referred.Yes: 20 554 (80.6%)
No: 4938 (19.4%)
Yes: 27 790 (56.3%)
No: 21 545 (43.7%)
3.33 (3.21 to 3.45)
Q8: I have received advice about ongoing exercise and nutrition.Yes: 22 979 (84.0%)
No: 4393 (16.0%)
Yes: 25 365 (53.5%)
No: 22 090 (46.5%)
4.58 (4.41 to 4.75)
Q9: I know what all my medicines and inhalers are for and when to take them. I ask my doctor, nurse or pharmacist if I’m not sure.Yes: 43 203 (72.6%)
No: 16 313 (27.4%)
Yes: 5141 (33.6%)
No: 10 170 (66.4%)
5.73 (5.51 to 5.96)
Q10: I have been trained in how to use my inhalers. My doctor or nurse checks how I use my inhaler at least once a year, and when I get a new type of inhaler. I ask my pharmacist if I have questions.Yes: 37 352 (80.8%)
No: 8861 (19.2%)
Yes:10 997 (38.4%)
No: 17 617 (61.6%)
8.18 (7.89 to 8.47)
Q11: I have a flare-up (exacerbation) plan, so I know what to do and who to contact if my symptoms get worse suddenly.Yes: 28 328 (81.6%)
No: 6815 (18.4%)
Yes: 19 680 (49.6%)
No: 20 004 (50.4%)
4.36 (4.21 to 4.50)
Q12: I have discussed keeping a rescue pack of medicines for a flare-up at home with my doctor or nurse. If I have a rescue pack at home, I understand when to use itYes: 28 035 (83.2%)
No: 5679 (16.8%)
Yes: 20 309 (49.4%)
No: 20 804 (50.6%)
5.00 (4.83 to 5.18)
  • AOR, adjusted OR; AR, annual review.