Deaths from chronic obstructive pulmonary disease in France, 1979-2002: a multiple cause analysis

Fuhrman, C.; Jougla, Éric; Nicolau, J.; Eilstein, Daniel; Delmas, Marie-Christine

doi:10.1136/thx.2006.061267

Cited by 64 publications

(52 citation statements)

References 22 publications

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“…Essa tendência foi observada em diversos trabalhos 13,15,16,18,19 . Com variação mínima, o presente estudo apresentou o mesmo padrão, independente da idade à morte do paciente.…”

Section: Discussionunclassified

Insuficiência renal crônica e as causas múltiplas de morte: uma análise descritiva para o Brasil, 2000 a 2004

Siviero

Machado²,

Cherchiglia³

et al. 2014

Cad. saúde colet.

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Cad. Saúde Colet., 2014, Rio de Janeiro, 22 (4): 372-9Resumo Introdução: A doença renal crônica é uma enfermidade que atinge um número cada vez maior de indivíduos no Brasil e no mundo. Objetivos: Analisar indicadores de causas múltiplas de morte para os pacientes em terapia renal substitutiva (TRS) no Brasil que faleceram entre 2000 e 2004. Métodos: Os indicadores foram calculados com base no número de diagnósticos informados nas declarações de óbito e nas menções das causas de morte. O número médio de diagnóstico por declaração de óbito foi analisado por idade, sexo, modalidade de tratamento e região de residência do paciente. Resultados: O estudo da mortalidade por doença renal crônica por meio apenas da causa básica implicaria perda de informações. Quantitativamente, o número médio de diagnósticos por declaração de óbito da população analisada foi 2,9. Qualitativamente, a análise das menções das causas de morte nas declarações de óbito revelou que a morbimortalidade dessa população é conformada por diversas doenças que frequentemente não aparecem como causa básica de óbito, sendo mandatória a utilização do modelo de causas múltiplas. Conclusões: A análise descritiva é a maneira mais simples e direta de se analisar a mortalidade sob o enfoque de múltiplas causas.Palavras-chave: insuficiência renal crônica; causas múltiplas de morte; diálise; transplante. Abstract Introduction: Chronic kidney disease is an illness that affects a growing number of individuals in Brazil and worldwide. Objectives:To analyze indicators of multiple causes of death for patients in renal replacement therapy in Brazil who died between 2000 and 2004. Methods: The indicators were calculated based on the number of diagnoses reported on death certificates and on the information on causes of death. The average number of diagnosis per certificate was analyzed by age, sex, treatment mode, and region of residence. Results: Studying the mortality from chronic kidney disease by means of the underlying would lead to information loss. Analysis showed that the average number of diagnoses per death certificate was 2.9 and also that the mortality of this population group is composed of a number of illnesses that often do not appear as underlying cause of death. Multiple causes of death model enhance the possibilities of analysis. Conclusions: The descriptive analysis is the simplest and most direct way to analyze the mortality from this perspective.

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“…Essa tendência foi observada em diversos trabalhos 13,15,16,18,19 . Com variação mínima, o presente estudo apresentou o mesmo padrão, independente da idade à morte do paciente.…”

Section: Discussionunclassified

Insuficiência renal crônica e as causas múltiplas de morte: uma análise descritiva para o Brasil, 2000 a 2004

Siviero

Machado²,

Cherchiglia³

et al. 2014

Cad. saúde colet.

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“…The diagnosis of COPD was associated in 48% of subjects with other causes of death. Between 1979 and 1999, the trend in rate of mortality remained stable in males and increased in females [34].…”

Section: Mortality Attributable To Copdmentioning

confidence: 99%

Epidemiology of COPD

Rahérison¹,

Girodet²

2009

Eur Respir Rev

429

281

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Chronic obstructive pulmonary disease (COPD) is responsible for early mortality, high death rates and significant cost to health systems. The projection for 2020 indicates that COPD will be the third leading cause of death worldwide (from sixth in 1990) and fifth leading cause of years lost through early mortality or handicap (disability-adjusted life years) (12th in 1990). Active smoking remains the main risk factor, but other factors are becoming better known, such as occupational factors, infections and the role of air pollution. Prevalence of COPD varies according to country, age and sex. This disease is also associated with significant comorbidities. COPD is a disorder that includes various phenotypes, the continuum of which remains under debate. The major challenge in the coming years will be to prevent onset of smoking along with early detection of the disease in the general population.

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“…When COPD as an associated cause of death was analysed together with the underlying causes in France, a significant association was found for CVD, ischaemic heart disease, lung cancer and asthma [61]. GUDMUNDSSON et al [62] analysed mortality in COPD patients discharged from hospital in Scandinavia, and pointed out the negative effect on survival by lower health status (total St George's Respiratory Questionnaire score .60) and diabetes.…”

Section: Comorbiditymentioning

confidence: 99%

Definition, epidemiology and natural history of COPD

Viegi¹,

Pistelli²,

Sherrill³

et al. 2007

Eur Respir J

354

268

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Chronic obstructive pulmonary disease (COPD) is the fifth cause of morbidity and mortality in the developed world and represents a substantial economic and social burden. Patients experience a progressive deterioration up to end-stage COPD, characterised by very severe airflow limitation, severely limited and declining performance status with chronic respiratory failure, advanced age, multiple comorbidities and severe systemic manifestations/ complications.COPD is frequently underdiagnosed and under-treated. Today, COPD develops earlier in life and is less gender specific. Tobacco smoking is the major risk factor for COPD, followed by occupation and air pollution. Severe deficiency for a 1 -antitrypsin is rare; several phenotypes are being associated with elevated risk for COPD in the presence of risk factor exposure. Any patient presenting with cough, sputum production or dyspnoea should be assessed by standardised spirometry. Continued exposure to noxious agents promotes a more rapid decline in lung function and increases the risk for repeated exacerbations, eventually leading to end-stage disease.Without major efforts in prevention, there will be an increasing proportion of end-stage patients who can live longer through long-term oxygen therapy and assisted ventilation, but with elevated suffering and huge costs. Smoking prevention and smoking cessation are the most important epidemiological measurements to counteract chronic obstructive pulmonary disease epidemics.

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Deaths from chronic obstructive pulmonary disease in France, 1979-2002: a multiple cause analysis

Cited by 64 publications

References 22 publications

Insuficiência renal crônica e as causas múltiplas de morte: uma análise descritiva para o Brasil, 2000 a 2004

Insuficiência renal crônica e as causas múltiplas de morte: uma análise descritiva para o Brasil, 2000 a 2004

Epidemiology of COPD

Definition, epidemiology and natural history of COPD

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