ReviewEuropean respiratory review : an official journal of the European Respiratory Society2018
Impact of the financial crisis on COPD burden: Greece as a case study.
Review in European respiratory review : an official journal of the European Respiratory Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed.
- Diagnosed and underdiagnosed cases of COPD in the primary care setting: Differences and similarities.Journal of family medicine and primary care · 2025Article
- Article
- The Alonissos Study: Cross-Sectional Study of the Community Respiratory Health Status in a Greek Healthcare Access Underprivileged Island.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study.Frontiers in public health · 2022Article
- Underestimation of respiratory symptoms by smokers: a thorn in chronic obstructive pulmonary disease diagnosis.NPJ primary care respiratory medicine · 2021Article
- Time trends for pulmonary embolism incidence in Greece.Thrombosis journal · 2020Article
- Emergency inguinal hernioplasties in a tertiary public Hospital in Athens Greece, during the economic crisis.BMC surgery · 2019Article
- Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca.International journal of environmental research and public health · 2018Review
- The Emergency Medical System in Greece: Opening Aeolus' Bag of Winds.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Poverty and low socioeconomic status have been associated with chronic obstructive pulmonary disease (COPD). The current financial crisis has forced millions back into poverty. Greece is one of the countries hit the hardest, and is in the middle of a deep ongoing collapse. There have been early reports stating the apparent effects of the Greek downturn on respiratory health. This review summarises the overall impact of the financial crisis on COPD burden throughout the period of economic downturn by analysing the case study of Greece. In all levels of the healthcare system, current economic restrictions have reduced the capacity to prevent, diagnose and treat COPD in parallel with current higher detection rates of COPD. Remarkably, expenditure on healthcare has been reduced by >25%, resulting in major healthcare equipment shortages. Lower wages (by up to 20%) and higher co-payments of up to 25% of a drug's purchase price have led to patients struggling to afford inhaled medications. Treatment nonadherence has been reported, resulting in 11.5% more exacerbations and 14.1% more hospitalisations annually, while the mean cost per severe COPD exacerbation has been approximated as €2600. Greece is a noteworthy example illustrating how COPD burden, quality of care and patients' outcome can be affected by economic crisis.
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Registered trials
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.