{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:58:41Z","timestamp":1784141921400,"version":"3.55.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100013506","name":"Kuopion Seudun Hengityss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013506","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008309","name":"Hengityssairauksien Tutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008309","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008368","name":"Suomen Tuberkuloosin Vastustamisyhdistyksen S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008368","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008493","name":"V\u00e4in\u00f6 ja Laina Kiven S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008493","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]},{"name":"KYS:n tutkimusss\u00e4\u00e4ti\u00f6"},{"name":"University of Eastern Finland (UEF) including Kuopio University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Lung"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Cough-related healthcare-seeking has not been studied specifically in the elderly, although chronic cough is most prevalent among them. We studied the frequencies and predictors of any (\u2265\u20091) and repeated (\u2265\u20093) doctor\u2019s visits due to any cough episode during the past year, and due to the current cough episode.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a cross-sectional email survey among a Finnish community-based elderly population. Participants with current cough and age\u2009\u2265\u200964\u00a0years were included in the analyses (<jats:italic>n<\/jats:italic>\u2009=\u20091109).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The proportions of participants with\u2009\u2265\u20091 and\u2009\u2265\u20093 cough-related doctor\u2019s visits during the past year were 25.9% and 7.1%, respectively. Repeated visitors accounted for 55.9% of the visits during the past year. These visits first increased with cough duration but decreased after 5\u00a0years. In the multivariate analysis, bronchiectasis [aOR 3.22 (CI95% 1.08\u20139.58)], asthma [2.62 (1.56\u20134.40)], chronic sputum production [1.61 (0.94\u20132.76)], low self-assessed health status [1.40 (1.04\u20131.88)] and Leicester Cough Questionnaire total score [1.34 per tertile (1.10\u20131.62)] predicted repeated cough-related doctor\u2019s visits during the past year. The proportions of\u2009\u2265\u20091 and\u2009\u2265\u20093 doctor\u2019s visits due to current cough were 31.8% and 15.5%, respectively. Among participants with current chronic cough, 60.1% had not visited a doctor.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>A minority of participants accounted for most of the cough-related doctor\u2019s visits during the past year, whereas most participants with chronic cough had never sought medical help for it. The heavy healthcare users were not those with the longest cough episodes. Repeated visitors due to cough were characterised by chronic phlegmy respiratory conditions, and quality-of-life impairment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00408-023-00595-w","type":"journal-article","created":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T12:02:45Z","timestamp":1674734565000},"page":"37-46","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little"],"prefix":"10.1007","volume":"201","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0728-9903","authenticated-orcid":false,"given":"Johanna Tuulikki","family":"Kaulamo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Marika","family":"L\u00e4tti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heikki Olavi","family":"Koskela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,1,26]]},"reference":[{"key":"595_CR1","first-page":"832","volume":"64","author":"CR Finley","year":"2018","unstructured":"Finley CR, Chan DS, Garrison S et al (2018) What are the most common conditions in primary care? 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Anne M L\u00e4tti has received funding for the present study from Kuopion Seudun Hengityss\u00e4\u00e4ti\u00f6, Hengityssairauksien Tutkimuss\u00e4\u00e4ti\u00f6, KYS:n Tutkimuss\u00e4\u00e4ti\u00f6, Suomen Tuberkuloosin Vastustamisyhdistyksen S\u00e4\u00e4ti\u00f6, and V\u00e4in\u00f6 ja Laina Kiven S\u00e4\u00e4ti\u00f6 Foundations, travel support from Orion, Boehringer Ingelheim and Roche for attending a scientific meeting, and payment for lectures and Advisory Board participations from Farmasian oppimiskeskus, MSD and GlaxoSmithKline. Heikki O Koskela has received funding for the present study from Kuopion Seudun Hengityss\u00e4\u00e4ti\u00f6 and Hengityssairauksien Tutkimuss\u00e4\u00e4ti\u00f6 Foundations, payments for lectures from Boehringer Ingelheim and MSD, and owns shares of a medical company Orion. The authors have no other financial or non-financial competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the Ethics Committee of Kuopio University Hospital (289\/2015).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"The decision to respond to the questionnaire was considered as an informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}