Evidence map›Paper›PMID 40520278›Full record

ArticleFrontiers in public health2025

Global burden of disease study on COPD in the older adult: comprehensive analysis of environmental factors and interaction effects.

Yuwei Wang, Li Jin, Yuhui Dong, Erche Yang, Xiaoqun Niu, Jianchuan Mao, Chaoqun Yuan, Bo You, Yong Wang, Yanling Chai

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Integrated Care for COPD in the Elderly: Impact on Healthcare Utilization Across Healthcare Settings.International journal of chronic obstructive pulmonary disease · 2026
    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

10 authors.

Yuwei Wang *Department of Respiratory and Critical Care Medicine, People's Hospital of Yuechi County, Yuechi, China.
Li Jin *Department of Anesthesiology, People's Hospital of Yuechi County, Yuechi, China.
Yuhui DongDepartment of Anesthesiology, Bazhong Central Hospital, Bazhong, China.
Erche YangDepartment of Respiratory and Critical Care Medicine of Dali Bai Autonomous Prefecture People's Hospital, Dali, China.
Xiaoqun NiuDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Jianchuan MaoDepartment of Respiratory and Critical Care Medicine, People's Hospital of Yuechi County, Yuechi, China.
Chaoqun YuanDepartment of Respiratory and Critical Care Medicine, People's Hospital of Yuechi County, Yuechi, China.
Bo YouDepartment of Respiratory and Critical Care Medicine, People's Hospital of Yuechi County, Yuechi, China.
Yong WangDepartment of Respiratory and Critical Care Medicine, People's Hospital of Yuechi County, Yuechi, China.
Yanling ChaiDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a leading global health issue, ranking fourth in mortality in 2021 per GBD 2021, with older adults most at risk due to aging-related vulnerabilities. Environmental factors like air pollution and temperature extremes are key contributors, with evidence suggesting their interaction worsens COPD. As the older adult population is projected to reach 2.1 billion by 2050, understanding these impacts is vital for public health. Method: Using GBD 2021 data, we analyzed COPD burden in older adults (1990-2021) due to air pollution and non-optimal temperature. Joinpoint regression and Bayesian models assessed trends in age-standardized mortality (ASMR) and disability-adjusted life year (ASDR) rates globally, regionally, and nationally. Spearman's correlation evaluated socio-demographic index (SDI) associations, and standardized exposure value (SEV) data examined air pollution-temperature interactions. Result: Globally, most environmental COPD burdens declined or stabilized, but high temperature burdens rose (AAPC > 0, Conclusion: This study reveals shifting COPD burdens, with ambient PM2.5 and high temperatures emerging as key challenges, particularly in lower-SDI areas. Synergistic air pollution-temperature effects highlight the need for integrated policies. These findings support targeted interventions to reduce COPD burden and enhance health equity in aging populations.

Indexed as

Air PollutionEnvironmental ExposureGlobal Burden of DiseasePulmonary Disease, Chronic ObstructiveAgedAged, 80 and overDisability-Adjusted Life YearsFemaleGlobal HealthHumansMaleMiddle AgedParticulate MatterParticulate Matterair pollutionCOPD (chronic obstructive pulmonary disease)environmental factorsglobal burden of disease (GBD)non-optimal temperatureolder adult

Identifiers

PMID40520278
PMCPMC12162481

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.