{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:40:00Z","timestamp":1790016000473,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T00:00:00Z","timestamp":1418083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The incidence of pneumonia among elderly people is increasing in aged countries, and both pulmonologists and non\u2010pulmonologists treat such patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to assess prognostic differences between elderly patients treated by pulmonologists and those treated by non\u2010pulmonologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was a retrospective cohort using a propensity score analysis. Patients 65 years of age or over with pneumonia were consecutively included. The propensity score was estimated based on the patient's background and severity of pneumonia. The difference in 30\u2010day and 90\u2010day mortality depending on the attending physician's specialty was analyzed after adjusting for other variables, including the propensity score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We assessed 68 and 182 patients treated by pulmonologists and non\u2010pulmonologists, respectively. The pulmonologists tended to be in charge of patients with hypoxemia, chronic obstructive pulmonary disease or dementia without aspiration pneumonia or renal dysfunction (area under receiver operating characteristic curve to predict treatment by a pulmonologist according to the propensity score\u2009=\u20090.737, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). In the multivariate analysis, white blood count cell (adjusted hazard ratio, 1.000, <jats:italic>P<\/jats:italic>\u2009=\u20090.030) and the serum albumin level (0.382, <jats:italic>P<\/jats:italic>\u2009=\u20090.001) were associated with 30\u2010day mortality, and a bedridden status (3.000, <jats:italic>P<\/jats:italic>\u2009=\u20090.013) and the serum albumin level (0.382, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) were associated with 90\u2010day mortality; however, the attending physician's specialty was not associated with these prognoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The overall prognosis of pneumonia in elderly patients may not necessarily improve, irrespective of treatment by pulmonologists, and host factors seemed to be associated with mortality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.12245","type":"journal-article","created":{"date-parts":[[2014,11,17]],"date-time":"2014-11-17T08:54:56Z","timestamp":1416214496000},"page":"462-468","source":"Crossref","is-referenced-by-count":9,"title":["Evaluation of prognostic differences in elderly patients with pneumonia treated by between pulmonologists and non\u2010pulmonologists: a propensity score analysis"],"prefix":"10.1111","volume":"10","author":[{"given":"Kosaku","family":"Komiya","sequence":"first","affiliation":[{"name":"Respiratory Medicine and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"},{"name":"Respiratory Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Oka","sequence":"additional","affiliation":[{"name":"Respiratory Medicine and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"},{"name":"Respiratory Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Ohama","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Uchida","sequence":"additional","affiliation":[{"name":"Gastrointestinal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Miyajima","sequence":"additional","affiliation":[{"name":"Gastrointestinal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiko","family":"Iwashita","sequence":"additional","affiliation":[{"name":"Nephrology Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Okabe","sequence":"additional","affiliation":[{"name":"Nephrology Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Shuto","sequence":"additional","affiliation":[{"name":"Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taisuke","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Ishii","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Fukuoka University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010ichi","family":"Kadota","sequence":"additional","affiliation":[{"name":"Respiratory Medicine and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp035232"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01597.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2012.08.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2013.06.009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2012.00941.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0584"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0007"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2012.00912.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-1-200901060-00005"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12029"},{"key":"e_1_2_6_12_1","unstructured":"World Health Organization.International Statistical Classification of Disease and Related Health Problems 10th Revision. 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