Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities
Aims:This study aimed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in Spain and identify the level of undiagnosed disease and its impact on health-related quality of life (HRQL) and activities of daily living (ADL).Methods:A population-based sample of 4274 adults aged...
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| Veröffentlicht in: | Thorax 2009-10, Vol.64 (10), p.863-868 |
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| creator | Miravitlles, M Soriano, J B García-Río, F Muñoz, L Duran-Tauleria, E Sanchez, G Sobradillo, V Ancochea, J |
| description | Aims:This study aimed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in Spain and identify the level of undiagnosed disease and its impact on health-related quality of life (HRQL) and activities of daily living (ADL).Methods:A population-based sample of 4274 adults aged 40–80 years was surveyed. They were invited to answer a questionnaire and undergo prebrochodilator and postbronchodilator spirometry. COPD was defined as a postbronchodilator FEV1/FVC (forced expiratory volume in 1 s/forced vital capacity) ratio of |
| doi_str_mv | 10.1136/thx.2009.115725 |
| format | Article |
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They were invited to answer a questionnaire and undergo prebrochodilator and postbronchodilator spirometry. COPD was defined as a postbronchodilator FEV1/FVC (forced expiratory volume in 1 s/forced vital capacity) ratio of <0.70.Results:For 3802 participants with good-quality postbronchodilator spirometry, the overall prevalence of COPD was 10.2% (95% CI 9.2% to 11.1%) and was higher in men (15.1%) than in women (5.6%). The prevalence of COPD stage II or higher was 4.4% (95%CI; 3.8%–5.1%). The prevalence of COPD increased with age and with cigarette smoking and was higher in those with a low educational level. A previous diagnosis of COPD was reported by only 27% of those with COPD. Diagnosed patients had more severe disease, higher cumulative tobacco consumption and more severely impaired HRQL compared with undiagnosed subjects. However, even patients with undiagnosed COPD stage I+ already showed impairment in HRQL and in some aspects of ADL compared with participants without COPD.Conclusions:The prevalence of COPD in individuals between 40 and 80 years of age in Spain is 10.2% and increases with age, tobacco consumption and lower educational levels. The rate of diagnosised COPD is very high and undiagnosed individuals with COPD already have a significant impairment in HRQL and ADL.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thx.2009.115725</identifier><identifier>PMID: 19553233</identifier><identifier>CODEN: THORA7</identifier><language>eng</language><publisher>London: BMJ Publishing Group</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiology. Vascular system ; Chronic obstructive pulmonary disease ; Chronic obstructive pulmonary disease, asthma ; Cost of Illness ; Cross-Sectional Studies ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Pneumology ; Population ; Prevalence ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary Disease, Chronic Obstructive - psychology ; Quality of Life ; Questionnaires ; Risk Factors ; Spain - epidemiology ; Spirometry</subject><ispartof>Thorax, 2009-10, Vol.64 (10), p.863-868</ispartof><rights>BMJ Publishing Group Ltd and British Thoracic Society. All rights reserved.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright: 2009 BMJ Publishing Group Ltd and British Thoracic Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b495t-2a8bdb898ae2db0169d45fb6ad8abab371682be5deba9590b8def1884cda65b43</citedby><cites>FETCH-LOGICAL-b495t-2a8bdb898ae2db0169d45fb6ad8abab371682be5deba9590b8def1884cda65b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://thorax.bmj.com/content/64/10/863.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://thorax.bmj.com/content/64/10/863.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77569,77600</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21959192$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19553233$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miravitlles, M</creatorcontrib><creatorcontrib>Soriano, J B</creatorcontrib><creatorcontrib>García-Río, F</creatorcontrib><creatorcontrib>Muñoz, L</creatorcontrib><creatorcontrib>Duran-Tauleria, E</creatorcontrib><creatorcontrib>Sanchez, G</creatorcontrib><creatorcontrib>Sobradillo, V</creatorcontrib><creatorcontrib>Ancochea, J</creatorcontrib><title>Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities</title><title>Thorax</title><addtitle>Thorax</addtitle><description>Aims:This study aimed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in Spain and identify the level of undiagnosed disease and its impact on health-related quality of life (HRQL) and activities of daily living (ADL).Methods:A population-based sample of 4274 adults aged 40–80 years was surveyed. They were invited to answer a questionnaire and undergo prebrochodilator and postbronchodilator spirometry. COPD was defined as a postbronchodilator FEV1/FVC (forced expiratory volume in 1 s/forced vital capacity) ratio of <0.70.Results:For 3802 participants with good-quality postbronchodilator spirometry, the overall prevalence of COPD was 10.2% (95% CI 9.2% to 11.1%) and was higher in men (15.1%) than in women (5.6%). The prevalence of COPD stage II or higher was 4.4% (95%CI; 3.8%–5.1%). The prevalence of COPD increased with age and with cigarette smoking and was higher in those with a low educational level. A previous diagnosis of COPD was reported by only 27% of those with COPD. Diagnosed patients had more severe disease, higher cumulative tobacco consumption and more severely impaired HRQL compared with undiagnosed subjects. However, even patients with undiagnosed COPD stage I+ already showed impairment in HRQL and in some aspects of ADL compared with participants without COPD.Conclusions:The prevalence of COPD in individuals between 40 and 80 years of age in Spain is 10.2% and increases with age, tobacco consumption and lower educational levels. The rate of diagnosised COPD is very high and undiagnosed individuals with COPD already have a significant impairment in HRQL and ADL.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumology</subject><subject>Population</subject><subject>Prevalence</subject><subject>Pulmonary Disease, Chronic Obstructive - epidemiology</subject><subject>Pulmonary Disease, Chronic Obstructive - psychology</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><subject>Spirometry</subject><issn>0040-6376</issn><issn>1468-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0N9L3TAUB_AgG3p1Pvs2CmM-CNX8aNLEN7n-2EBQUJ_DSZNuubTptWll979fSosDXwaBcDifnBO-CJ0QfE4IExfD7z_nFGOVKl5SvodWpBAyZ1SJT2iFcYFzwUpxgA5j3GCMJSHlPjoginNGGVsh-9i7N2hcqFzW1dn64fE68yF72oIPl5lvt1ANU2MM1sOv0EVnZ9SF7HWExg-7qd342mUQbGbBN7ulrAb_5gfv4hf0uYYmuuPlPkIvtzfP6x_5_cPdz_XVfW4KxYecgjTWSCXBUWswEcoWvDYCrAQDhpVESGoct86A4gobaV1NpCwqC4Kbgh2h03nutu9eRxcH3fpYuaaB4LoxalGKksiCJfjtA9x0Yx_S3zQpZTqCljSpi1lVfRdj72q97X0L_U4TrKf4dYpfT_HrOf704usydzSts__8kncC3xcAsYKm7iFUPr47mqAialp9NjvTbv679S9YPJo1</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Miravitlles, M</creator><creator>Soriano, J B</creator><creator>García-Río, F</creator><creator>Muñoz, L</creator><creator>Duran-Tauleria, E</creator><creator>Sanchez, G</creator><creator>Sobradillo, V</creator><creator>Ancochea, J</creator><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20091001</creationdate><title>Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities</title><author>Miravitlles, M ; Soriano, J B ; García-Río, F ; Muñoz, L ; Duran-Tauleria, E ; Sanchez, G ; Sobradillo, V ; Ancochea, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b495t-2a8bdb898ae2db0169d45fb6ad8abab371682be5deba9590b8def1884cda65b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Population</topic><topic>Prevalence</topic><topic>Pulmonary Disease, Chronic Obstructive - epidemiology</topic><topic>Pulmonary Disease, Chronic Obstructive - psychology</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><topic>Spirometry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miravitlles, M</creatorcontrib><creatorcontrib>Soriano, J B</creatorcontrib><creatorcontrib>García-Río, F</creatorcontrib><creatorcontrib>Muñoz, L</creatorcontrib><creatorcontrib>Duran-Tauleria, E</creatorcontrib><creatorcontrib>Sanchez, G</creatorcontrib><creatorcontrib>Sobradillo, V</creatorcontrib><creatorcontrib>Ancochea, J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miravitlles, M</au><au>Soriano, J B</au><au>García-Río, F</au><au>Muñoz, L</au><au>Duran-Tauleria, E</au><au>Sanchez, G</au><au>Sobradillo, V</au><au>Ancochea, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities</atitle><jtitle>Thorax</jtitle><addtitle>Thorax</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>64</volume><issue>10</issue><spage>863</spage><epage>868</epage><pages>863-868</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><coden>THORA7</coden><abstract>Aims:This study aimed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in Spain and identify the level of undiagnosed disease and its impact on health-related quality of life (HRQL) and activities of daily living (ADL).Methods:A population-based sample of 4274 adults aged 40–80 years was surveyed. They were invited to answer a questionnaire and undergo prebrochodilator and postbronchodilator spirometry. COPD was defined as a postbronchodilator FEV1/FVC (forced expiratory volume in 1 s/forced vital capacity) ratio of <0.70.Results:For 3802 participants with good-quality postbronchodilator spirometry, the overall prevalence of COPD was 10.2% (95% CI 9.2% to 11.1%) and was higher in men (15.1%) than in women (5.6%). The prevalence of COPD stage II or higher was 4.4% (95%CI; 3.8%–5.1%). The prevalence of COPD increased with age and with cigarette smoking and was higher in those with a low educational level. A previous diagnosis of COPD was reported by only 27% of those with COPD. Diagnosed patients had more severe disease, higher cumulative tobacco consumption and more severely impaired HRQL compared with undiagnosed subjects. However, even patients with undiagnosed COPD stage I+ already showed impairment in HRQL and in some aspects of ADL compared with participants without COPD.Conclusions:The prevalence of COPD in individuals between 40 and 80 years of age in Spain is 10.2% and increases with age, tobacco consumption and lower educational levels. The rate of diagnosised COPD is very high and undiagnosed individuals with COPD already have a significant impairment in HRQL and ADL.</abstract><cop>London</cop><pub>BMJ Publishing Group</pub><pmid>19553233</pmid><doi>10.1136/thx.2009.115725</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Adult Aged Aged, 80 and over Biological and medical sciences Cardiology. Vascular system Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease, asthma Cost of Illness Cross-Sectional Studies Female Humans Male Medical sciences Middle Aged Pneumology Population Prevalence Pulmonary Disease, Chronic Obstructive - epidemiology Pulmonary Disease, Chronic Obstructive - psychology Quality of Life Questionnaires Risk Factors Spain - epidemiology Spirometry |
| title | Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities |
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