ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Trends in the epidemiology of chronic obstructive pulmonary disease in England: a national study of 51 804 patients.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Single Combination Inhaler versus Multiple Inhalers to Deliver the Same Medications for Patients with Asthma or COPD: A Systematic Literature Review.International journal of chronic obstructive pulmonary disease · 2020Pooled it
- Post-war (1946-2017) population health change in the United Kingdom: A systematic review.PloS one · 2019Pooled it
- Bisoprolol for patients with chronic obstructive pulmonary disease at high risk of exacerbation: the BICS RCT.Health technology assessment (Winchester, England) · 2025Trial
- TargetCOPD: a pragmatic randomised controlled trial of targeted case finding for COPD versus routine practice in primary care: protocol.BMC pulmonary medicine · 2014Trial
- Development and validation of a model to predict the 10-year risk of general practitioner-recorded COPD.NPJ primary care respiratory medicine · 2014Trial
- Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial.BMJ (Clinical research ed.) · 2012Trial
- Beyond Conventional Treatment: Herbal Medicine and Nutraceuticals as Complementary Therapies for COPD and Asthma.The open respiratory medicine journal · 2026Review
- Socioeconomic inequalities in disease prevalence by age and sex for 17 common long-term conditions in England: retrospective, observational study of electronic primary care records from Clinical Practice Research Datalink (CPRD) Aurum.Journal of epidemiology and community health · 2025Observational
- Article
- Trends in hospital admissions and prescribing due to chronic obstructive pulmonary disease and asthma in England and Wales between 1999 and 2020: an ecological study.BMC pulmonary medicine · 2023Article
- Observational
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- Multimorbidity and emergency department visits by a homeless population: a database study in specialist general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Greater Access to Long Acting BetaLung · 2018Article
- Epidemiology of nontuberculous mycobacterial infections in the U.S. Veterans Health Administration.PloS one · 2018Article
- Article
- Evolution of the "fourth stage" of epidemiologic transition in people aged 80 years and over: population-based cohort study using electronic health records.Population health metrics · 2017Article
- Call to action: improving primary care for women with COPD.NPJ primary care respiratory medicine · 2017Review
- Evidences of Herbal Medicine-Derived Natural Products Effects in Inflammatory Lung Diseases.Mediators of inflammation · 2016Review
- No change in prevalence of symptoms of COPD between 1996 and 2006 in Finnish adults - a report from the FinEsS Helsinki Study.European clinical respiratory journal · 2016Article
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Abstract
backgroundPatients with chronic obstructive pulmonary disease (COPD) constitute a substantial burden to healthcare services. Analysis of national healthcare datasets offers the possibility to advance understanding about the changing epidemiology of COPD.
aimTo investigate the epidemiology of physician-diagnosed COPD in general practice. DESIGN OF STUDY: Cross-sectional study. SETTINGS: A total of 422 general practices in England contributing to the QRESEARCH database.
methodData were extracted on 2.8 million patients, including age, sex, socioeconomic status, and geographical area. Trends over time for recorded physician diagnosis of COPD were analysed (2001-2005).
resultsThere was little change over time in the incidence rate of COPD (2005: 2.0 per 1000 patient-years, 95% confidence interval [CI] = 2.0 to 2.1), but a significant increase in lifetime prevalence rate (2001: 13.5 per 1000 patients [95% CI = 13.4 to 13.7]; 2005: 16.8 [95% CI = 16.7 to 17.0]; P<0.001). In 2005, 51 804 individuals or one in 59 people in England were recorded with physician-diagnosed COPD. The most deprived people (31.1 per 1000 patients; 95% CI = 30.6 to 31.7) and those living in the north east of England (29.2 per 1000 patients; 95% CI = 28.4 to 30.1) had the highest prevalence. The observed reduction in the rate of smoking by patients with COPD (overall decrease: 2.5%; P<0.001) varied according to socioeconomic group (most affluent: 6.5% decrease, most deprived: 1.3% decrease).
conclusionGiven the peak in the incidence rate of COPD, we may be approaching the summit of COPD incidence and prevalence in England. However, the number of people affected remains high and poses a major challenge for health services, particularly those in the north east of the country and in the most deprived communities in England. The very limited decrease in smoking rates among the more deprived groups of patients with COPD is also a cause for concern.
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