Evidence map›Paper›PMID 17897444›Full record

ArticlePopulation health metrics2007

Model for estimating the population prevalence of chronic obstructive pulmonary disease: cross sectional data from the Health Survey for England.

Luis C Nacul, Michael Soljak, Tom Meade

Open access · goldAbstract read
In one paragraph

Article in Population health metrics, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Article
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  7. Article
  8. Prevalence of Chronic Obstructive Pulmonary Disease in England from 2000 to 2019.International journal of chronic obstructive pulmonary disease · 2023
    Article
  9. Review
  10. Article
  11. The spatial structure of chronic morbidity: evidence from UK census returns.International journal of health geographics · 2016
    Article
  12. Does COPD risk vary by ethnicity? A retrospective cross-sectional study.International journal of chronic obstructive pulmonary disease · 2016
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Effect of ethnicity on the prevalence, severity, and management of COPD in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  19. Epidemiology of chronic obstructive pulmonary disease: a literature review.International journal of chronic obstructive pulmonary disease · 2012
    Review
  20. Trends in the epidemiology of chronic obstructive pulmonary disease in England: a national study of 51 804 patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Luis C NaculHealth Protection Agency, 7th Floor Holborn Gate, 330 High Holborn, WC1V 7PP London, UK. Luis.nacul@hpa.org.uk.
Michael Soljak
Tom Meade
London School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council G0701113
6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is a major but neglected public health problem. Currently 1.4% of the England population has a clinical diagnosis of COPD, but the true burden of the disease has not been known with certainty, as many cases remain undiagnosed.

methodsA mathematical model based on cross sectional data from a representative sample of the population in England (the Heath Survey for England 2001, n = 10,750) was developed allowing estimates on the prevalence of COPD (defined based on the presence of airflow obstruction) to be obtained. Logistic regression analysis was used to investigate and choose risk factors for inclusion in the model and to derive the prevalence estimates based on the strength of association between selected risk factors and the outcome COPD. The model allows the prevalence to be estimated in populations at national level and also at regional and large local areas, based on their compositions according to age, sex, smoking and ethnicity, and on area degrees of urbanisation and deprivation. We applied the model to measure the prevalence of COPD in England and in some sub-groups of the population within the country.

resultsThe prevalence of COPD in England is estimated as 3.1% (3.9% in men and 2.4% in women) in the population over 15 years of age, and 5.3% (6.8% in men and 3.9% in women) in 45 year-olds and over. There was a 7-fold variation in the prevalence across subgroups of the population, with lowest values in Asian women from wealthy rural areas (1.7%), and highest in black men from deprived urban areas (12.5%).

conclusionThe model can be used to estimate population prevalence of COPD from large general practices to national level, and as a tool to identify areas of high levels of unmet needs for COPD priority health actions. The results from the model highlight the importance of including variables other than age, sex and smoking, i.e. levels of deprivation, urbanisation and ethnicity, when estimating population prevalence of COPD. The model should be validated at local level and incorporated into case-finding strategies.

Identifiers

PMID17897444
PMCPMC2099421
OpenAlexW2054713831

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.