Evidence map›Paper›PMID 40254152›Full record

ArticleChest2025

Forecasting the Global Economic and Health Burden of COPD From 2025 Through 2050.

Elroy Boers, Angier Allen, Meredith Barrett, Adam V Benjafield, Mary B Rice, Jadwiga A Wedzicha, Leanne Kaye, Heather J Zar, Sanjeev Sinha, Obianuju Ozoh and 2 more

Abstract read
In one paragraph

Article in Chest, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

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  8. Implementing acute exacerbations of COPD care bundles: evidence, effectiveness and future directions.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
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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

12 authors.

Elroy BoersResmed Science Center, Halifax, NS, Canada. Electronic address: Elroy.Boers@Resmed.com.
Angier AllenResmed Science Center, San Diego, CA.
Meredith BarrettResmed Science Center, San Diego, CA.
Adam V BenjafieldResmed Science Center, Sydney, NSW, Australia.
Mary B RiceDivision of Pulmonary, Sleep and Critical Care Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Jadwiga A WedzichaNational Heart and Lung Institute, Imperial College, London, England.
Leanne KayeResmed Science Center, San Diego, CA.
Heather J ZarDepartment of Paediatrics & Child Health and SA-MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
Sanjeev SinhaAll India Institute of Medical Sciences, New Delhi, India.
Obianuju OzohCollege of Medicine, University of Lagos, Lagos, Nigeria.
Laura E Crotty AlexanderUniversity of California, San Diego, CA; VA San Diego, La Jolla, CA.
Atul MalhotraUniversity of California, San Diego, CA.

Funding

Is Obstructive Sleep Apnea Important in the Development of Alzheimer's DiseaseR01AG063925 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2020 to 2024
$3.7M
Underlying mechanisms of obesity-induced obstructive sleep apneaR01HL148436 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Atul Malhotra · 2020 to 2026
$3.4M
Sleep Apnea Endophenotypes: One Size Does Not Fit AllR01HL154926 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2021 to 2025
$3.3M
The cardiovascular consequences of sleep apnea plus COPD (Overlap syndrome)R01HL166485 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Atul Malhotra · 2023 to 2026
$3.1M
VentNet: A Real-Time Multimodal Data Integration Model for Prediction of Respiratory Failure in Patients with COVID-19R01HL157985 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, NEMATI, SHAMIM · 2022 to 2025
$2.9M
Developing a Diverse Next Generation of Leaders in Respiratory ScienceT32HL166127 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Laura Elise Crotty Alexander, Atul Malhotra · 2023 to 2026
$1.6M
NHLBI NIH HHS R01 HL148436NHLBI NIH HHS R01 HL154926NHLBI NIH HHS R01 HL157985NHLBI NIH HHS R01 HL166485NHLBI NIH HHS T32 HL166127NIA NIH HHS R01 AG063925
6 · The paper itself

Abstract

backgroundStudies have reported estimates of the economic and health burden of COPD. They have been limited largely to current-day estimates or relatively short-term future projections. RESEARCH QUESTION: How will the regional and global economic and health burden of COPD evolve from 2025 to 2050, considering trends in COPD risk factors and an expanding population? STUDY DESIGN AND

methodsTo project the economic and health burden of COPD to 2050, an open cohort Markov model was developed. COPD costs were stratified by age, sex, and smoking status, and distributions of COPD severity grades were modeled based on global trends in smoking status, household air pollution, particulate matter ≤ 2.5 μm in diameter, and ozone. Direct costs, indirect costs, and the number of COPD exacerbations were projected to 2050. Data on the historic economic and health burden of COPD were obtained from the Global Burden of Disease (GBD) database, World Health Organization, and a recent meta-analysis. COPD risk factor data were obtained from the GBD database.

resultsBy 2050, the global direct costs attributable to COPD are projected to be $24.35 trillion cumulatively ($3.89 trillion in 2025). Global indirect costs are estimated to be $15.43 trillion cumulatively by 2050 ($2.50 trillion in 2025), and 15.60 billion COPD exacerbations are projected to occur within that same period (2.28 billion in 2025).

interpretationTo mitigate the substantial projected economic and health burden of COPD, it is essential to focus on prevention by reducing risk factors such as smoking and air pollution. Additionally, health care policy reforms can improve access to effective treatments, and innovative approaches can enhance patient outcomes.

Indexed as

Cost of IllnessGlobal HealthHealth Care CostsPulmonary Disease, Chronic ObstructiveAdultAgedFemaleForecastingGlobal Burden of DiseaseHumansMaleMarkov ChainsMiddle AgedRisk FactorsCOPDdirect medical costseconomic burdenexacerbationshealth burdenindirect costsprojections

Identifiers

PMID40254152
PMCPMC12597441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.