ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Trends in COPD prevalence and exacerbation rates in Dutch primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Development and validation of a model to predict the 10-year risk of general practitioner-recorded COPD.NPJ primary care respiratory medicine · 2014Trial
- Sex-specific and age-specific incidence of ischaemic heart disease, atrial fibrillation and heart failure in community patients with chronic obstructive pulmonary disease.BMJ open respiratory research · 2022Article
- Characteristics and treatable traits of patients with chronic obstructive pulmonary disease (COPD) with and without paid employment.Respiratory research · 2021Observational
- More to Explore: Further Definition of Risk Factors for COPD - Differential Gender Difference, Modest Elevation in PMFrontiers in physiology · 2021Review
- Is the Disease Burden from COPD in Norway Falling off? A Study of Time Trends in Three Different Data Sources.International journal of chronic obstructive pulmonary disease · 2020Article
- Clinical Characteristics of Chronic Obstructive Pulmonary Disease in Female Patients: Findings from a KOCOSS Cohort.International journal of chronic obstructive pulmonary disease · 2020Article
- Chronic Obstructive Pulmonary Disease in Women: A Biologically Focused Review with a Systematic Search Strategy.International journal of chronic obstructive pulmonary disease · 2020Review
- Gender differences among Swedish COPD patients: results from the ARCTIC, a real-world retrospective cohort study.NPJ primary care respiratory medicine · 2019Article
- Women and COPD: do we need more evidence?European respiratory review : an official journal of the European Respiratory Society · 2019Review
- Association of Medication Intensity and Stages of Airflow Limitation With the Risk of Hospitalization or Death in Patients With Heart Failure and Chronic Obstructive Pulmonary Disease.JAMA network open · 2018Article
- 2017 Global Initiative for Chronic Obstructive Lung Disease reclassifies half of COPD subjects to lower risk group.International journal of chronic obstructive pulmonary disease · 2018Article
- Chronic obstructive pulmonary disease is not a risk factor for polyneuropathy: A prospective controlled study.Chronic respiratory disease · 2017Article
- Call to action: improving primary care for women with COPD.NPJ primary care respiratory medicine · 2017Review
- Gender differences in partners of patients with COPD and their perceptions about the patients.International journal of chronic obstructive pulmonary disease · 2017Article
- Prevalence and incidence of COPD in smokers and non-smokers: the Rotterdam Study.European journal of epidemiology · 2016Article
- Changes in initial COPD treatment choice over time and factors influencing prescribing decisions in UK primary care: in UK primary care: a real-world, retrospective, observational.NPJ primary care respiratory medicine · 2016Observational
- General practitioners' perceptions of COPD treatment: thematic analysis of qualitative interviews.International journal of chronic obstructive pulmonary disease · 2016Article
- Exploring the impact of chronic obstructive pulmonary disease (COPD) on diabetes control in diabetes patients: a prospective observational study in general practice.NPJ primary care respiratory medicine · 2015Observational
- Influence of sex on chronic obstructive pulmonary disease risk and treatment outcomes.International journal of chronic obstructive pulmonary disease · 2014Review
- Barriers to, and facilitators for, referral to pulmonary rehabilitation in COPD patients from the perspective of Australian general practitioners: a qualitative study.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
backgroundChanges in the burden of chronic obstructive pulmonary disease (COPD) and its exacerbations on primary health care are not well studied.
aimTo identify trends in the prevalence of physician-diagnosed COPD and exacerbation rates by age, sex, and socioeconomic status in a general practice population. DESIGN OF STUDY: Trend analysis of COPD data from a 27-year prospective cohort of a dynamic general practice population.
settingData were taken from the Continuous Morbidity Registration Nijmegen.
methodFor the period 1980-2006, COPD and COPD exacerbation data were extracted for patients aged ≥40 years. Data were standardised for the composition of the Continuous Morbidity Registration population in the year 2000. Regression coefficients for trends were estimated by sex, age, and socioeconomic status. Rate ratios were calculated for prevalence differences in different demographic subgroups.
resultsDuring the study period, the overall COPD prevalence decreased from 72.7 to 54.5 per 1000 patients per year. The exacerbation rate decreased from 44.1 to 31.5 per 100 patients, and the percentage of patients with COPD who had exacerbations declined from 27.6% to 21.0%. The prevalence of COPD increased significantly in women, in particular those aged ≥65 years with low socioeconomic status. Decreases in exacerbation rates and percentages of patients with exacerbations were independent of sex, age, and socioeconomic status.
conclusionThe decline in COPD prevalence and exacerbation rates suggests a reduction of the burden on Dutch primary care. The increase of the prevalence in women indicates a need to focus on this particular subgroup in COPD management and research.
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