Données françaises dans l’enquête internationale Continuing to confront COPD (C2C)

Roche, N.; Ajjouri, R.; Compagnon, A.; Molen, Thys van der; Müllerová, Hana

doi:10.1016/j.rmr.2016.05.001

Cited by 3 publications

(1 citation statement)

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“…However, only two towns participated, which makes it difficult to extrapolate to the whole French population, even after appropriate adjustments; in addition, the age structure of the population recruited in that study was very different (age range, 20–44 years). In the Confronting COPD study [ 22 ] and its follow-up study [ 23 ], to which France participated [ 24 , 25 ], the diagnosis of COPD did not rely on spirometry but only on subjects-reported medical history and symptoms. Considering the possible bias in the only spirometric study available in the French general population [ 11 ] and the noticeable heterogeneity in available results regarding COPD severity distribution, it was decided to perform sensitivity analyses using data from various studies performed in developed countries at roughly the same time the French reference data were collected.…”

Section: Discussionmentioning

confidence: 99%

An attempt at modeling COPD epidemiological trends in France

et al. 2018

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BackgroundAnticipating the future burden of chronic obstructive pulmonary disease (COPD) is required to develop adequate public health policies.MethodsA dynamic population model was built to estimate COPD prevalence by 2025 using data collected during the most recent large general population study on COPD prevalence in France (2005) as baseline values. Sensitivity analyses were performed to test the effect of variations in key input variables.ResultsThe model predicted a steady increase in crude COPD prevalence among subjects aged≥45 years from 2005 (prevalence estimate: 84.51‰) to 2025 (projected prevalence: 95.76‰, + 0.56‰/yr). There was a 4-fold increase in the prevalence of GOLD grade 3–4 cases, a 23% relative increase in women and a 21% relative increase in subjects ≥75 years. In sensitivity analyses, these temporal trends were robust. Factors associated with > 5% relative variations in projected 2025 prevalence estimates were baseline prevalence and severity distribution, incidence in women and severity of incident cases, transition rates between severity grades, and mortality.ConclusionsProjections of future COPD epidemiology consistently predict an increase in the prevalence of moderate-to-very severe COPD, especially due to increases among women and subjects aged ≥75 years. Developing robust prediction models requires collecting reliable data on current COPD epidemiology.Electronic supplementary materialThe online version of this article (10.1186/s12931-018-0827-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

An attempt at modeling COPD epidemiological trends in France

et al. 2018

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Faisabilité et bénéfices de la formation au dépistage du trouble ventilatoire obstructif

Pennequin

Léger²,

Freymond

et al. 2019

Revue des Maladies Respiratoires

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Management of chronic obstructive pulmonary disease in Algeria and implementation of international recommendations

Keriou,

Chaibi,

Talbi

et al. 2024

Egypt J Chest Dis Tuberc

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Introduction Chronic obstructive pulmonary disease (COPD) is a common disease, yet it is often overlooked by the general public, patients themselves, and doctors due to its slow and insidious progression. Changing the natural history of COPD requires first of all the diagnosis of the disease, so its early detection seems an important element. It then becomes possible to set the objectives and criteria for the assessment of management and to choose the most appropriate treatments for each individual according to his characteristics. Patients and methods A prospective observational study in COPD patients who were hospitalized in the Department of Pneumology, University Hospital Center of Setif from January 2017 to March 2020 to analyze the quality of outpatient management of these patients. Results In all, 349 patients were included in the study of which 82.2% were men with an average age of 62 years. On admission, only 28.6% or 100 patients were diagnosed and confirmed to have COPD. The general practitioner received COPD patients first in more than 1/3 of cases (37.5%). Pneumologists received 34.6% of patients and diagnosed 99 cases out of 121 consultations, so the diagnosis was made in 81.8% of cases. Spirometry is essential for the diagnosis of COPD. It is simple, inexpensive, and safe; however, it was only performed for 100 patients or 28.6% of cases, confirming the sub-diagnosis of COPD in outpatients. In terms of therapeutic management, the differences between international recommendations and current practice are significant, particularly those concerning the prescription of inhaled or systemic corticosteroid therapy, as well as antibiotic therapy, without forgetting the underestimated therapies in these COPD patients, such as vaccinations (influenza vaccination rate at 27.2% of cases, pneumococcal at 8.26%), Long-term oxygen therapy, and the initiation of smoking cessation (4.1% of cases). Conclusion The publication of recommendations reviewed by experts enables updating the diagnostic management of COPD. We can hope that the recommendations will be followed up and that practices will be harmonized. However, differences between international recommendations and current practice are significant for COPD patients. Early diagnosis and effective therapeutic management of COPD remain, particularly current issues; they would reduce disability and improve the quality of life of the patient.

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Données françaises dans l’enquête internationale Continuing to confront COPD (C2C)

Cited by 3 publications

References 30 publications

An attempt at modeling COPD epidemiological trends in France

An attempt at modeling COPD epidemiological trends in France

Faisabilité et bénéfices de la formation au dépistage du trouble ventilatoire obstructif

Management of chronic obstructive pulmonary disease in Algeria and implementation of international recommendations

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