Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study.

IF 3.1 3区 医学 Q2 RESPIRATORY SYSTEM
Prashant Jarhyan, Anastasia Hutchinson, Rajesh Khatkar, Dorairaj Prabhakaran, Sailesh Mohan
{"title":"Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study.","authors":"Prashant Jarhyan, Anastasia Hutchinson, Rajesh Khatkar, Dorairaj Prabhakaran, Sailesh Mohan","doi":"10.2147/COPD.S499792","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>Despite the second most common cause of disease burden, there are few studies reporting the prevalence, awareness, and treatment rates of COPD in India.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among people aged ≥40 years residing in rural and urban areas of Sonipat district in North India using a multistage random sampling technique. COPD was defined as self-reported physician diagnosed COPD, emphysema, chronic bronchitis or being on treatment for COPD. Additional cases were detected using a validated sequential screening strategy, ie, administering the Lung Function Questionnaire (LFQ) followed by the pocket spirometry and confirmation by post-bronchodilation spirometry. Awareness was defined as self-reported diagnosed cases of COPD or self-reported treatment. Treatment was defined as self-reported intake of oral or inhalational corticosteroids and/or bronchodilators. Trained Community Health Workers interviewed the study participants using a paper-based validated questionnaire, screened for COPD with the LFQ and conducted the pocket spirometry. Confirmation of COPD using post-bronchodilation gold standard spirometry was conducted by trained physician researchers. Age-standardized estimates were calculated for the prevalence, awareness, and treatment of COPD.</p><p><strong>Results: </strong>The overall age-standardised prevalence of COPD in our study was 8.6% (95% CI: 7.5-9.8) with higher prevalence in men and rural population. The overall awareness of COPD was 75.1% (95% CI: 68.5-80.7) with lower awareness among people who ever-smoked [33.9% (32.0-35.8)], currently smoked [29.6% (27.8-31.5)] and among those with post-bronchodilator confirmed diagnosis of mild COPD (4.8%). Less than half (45.7%) of participants with COPD reported taking bronchodilators and/or corticosteroids.</p><p><strong>Conclusion: </strong>The awareness-treatment gap in COPD was high in the study population. There is a need to strengthen the public health system along with systematic training of health care providers to provide appropriate treatment to people with COPD.</p>","PeriodicalId":48818,"journal":{"name":"International Journal of Chronic Obstructive Pulmonary Disease","volume":"20 ","pages":"2131-2142"},"PeriodicalIF":3.1000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227001/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Chronic Obstructive Pulmonary Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/COPD.S499792","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0

Abstract

Background and objective: Despite the second most common cause of disease burden, there are few studies reporting the prevalence, awareness, and treatment rates of COPD in India.

Methods: A community-based cross-sectional study was conducted among people aged ≥40 years residing in rural and urban areas of Sonipat district in North India using a multistage random sampling technique. COPD was defined as self-reported physician diagnosed COPD, emphysema, chronic bronchitis or being on treatment for COPD. Additional cases were detected using a validated sequential screening strategy, ie, administering the Lung Function Questionnaire (LFQ) followed by the pocket spirometry and confirmation by post-bronchodilation spirometry. Awareness was defined as self-reported diagnosed cases of COPD or self-reported treatment. Treatment was defined as self-reported intake of oral or inhalational corticosteroids and/or bronchodilators. Trained Community Health Workers interviewed the study participants using a paper-based validated questionnaire, screened for COPD with the LFQ and conducted the pocket spirometry. Confirmation of COPD using post-bronchodilation gold standard spirometry was conducted by trained physician researchers. Age-standardized estimates were calculated for the prevalence, awareness, and treatment of COPD.

Results: The overall age-standardised prevalence of COPD in our study was 8.6% (95% CI: 7.5-9.8) with higher prevalence in men and rural population. The overall awareness of COPD was 75.1% (95% CI: 68.5-80.7) with lower awareness among people who ever-smoked [33.9% (32.0-35.8)], currently smoked [29.6% (27.8-31.5)] and among those with post-bronchodilator confirmed diagnosis of mild COPD (4.8%). Less than half (45.7%) of participants with COPD reported taking bronchodilators and/or corticosteroids.

Conclusion: The awareness-treatment gap in COPD was high in the study population. There is a need to strengthen the public health system along with systematic training of health care providers to provide appropriate treatment to people with COPD.

印度次优慢性阻塞性肺疾病(COPD)管理:一项基于社区的研究结果
背景和目的:尽管慢性阻塞性肺病是造成疾病负担的第二大常见原因,但很少有研究报告慢性阻塞性肺病在印度的患病率、认知度和治疗率。方法:采用多阶段随机抽样技术,对印度北部Sonipat地区农村和城市地区年龄≥40岁的人群进行社区横断面研究。COPD被定义为自我报告的医师诊断的COPD、肺气肿、慢性支气管炎或正在接受COPD治疗。其他病例采用经过验证的顺序筛查策略进行检测,即进行肺功能问卷(LFQ),随后进行口袋肺活量测定,并通过支气管扩张后肺活量测定进行确认。意识被定义为自我报告的COPD诊断病例或自我报告的治疗。治疗定义为自我报告摄入口服或吸入皮质类固醇和/或支气管扩张剂。训练有素的社区卫生工作者使用纸质有效问卷采访了研究参与者,用LFQ筛查COPD并进行袖珍肺活量测定。经训练的医师研究人员使用支气管扩张后金标准肺活量测定法确诊COPD。计算COPD患病率、认知和治疗的年龄标准化估计值。结果:在我们的研究中,COPD的总体年龄标准化患病率为8.6% (95% CI: 7.5-9.8),其中男性和农村人口的患病率更高。COPD的总体知晓率为75.1% (95% CI: 68.5-80.7),其中曾经吸烟的人群[33.9%(32.0-35.8)]、目前吸烟的人群[29.6%(27.8-31.5)]和使用支气管扩张剂后确诊为轻度COPD的人群(4.8%)知晓率较低。不到一半(45.7%)的COPD患者报告服用了支气管扩张剂和/或皮质类固醇。结论:研究人群COPD认知与治疗差距较大。有必要加强公共卫生系统,同时对卫生保健提供者进行系统培训,以便为慢性阻塞性肺病患者提供适当的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信