Enfermedad pulmonar obstructiva crónica en la población general. Estudio epidemiológico realizado en Guipúzcoa

Jordán, L. Marco; Berra, John; Inigo, Marion; Díez, R. Luque; Garmendia, G.

doi:10.1016/s0300-2896(15)30501-9

Cited by 30 publications

(5 citation statements)

References 27 publications

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“…En otros estudios de población española, la proporción de fumadoras no supera el 13%, ni el 5% la de exfumadoras (17)(18)(19)(20). Entre los varones predominan los fumadores, con un 23% de fumadores activos, un 30% de exfumadores y un 46% de nunca fumadores.…”

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“…Entre los varones predominan los fumadores, con un 23% de fumadores activos, un 30% de exfumadores y un 46% de nunca fumadores. La proporción de expuestos al tabaco es similar a la reseñada por otros trabajos realizados en nuestro país, aunque con mayor porcentaje de fumadores que de exfumadores, en probable relación con la mayor edad de nuestra población (17,19,20). El estudio de Brotóns refleja, en población de menor edad, mayor exposición al tabaquismo, con un 53% de fumadores activos y un 25% de exfumadores (18).…”

Section: Discussionunclassified

“…En relación con los pacientes del CHS, también de mayor edad, la FVC de los varones es superior a la de nuestra población, siendo inferior el FEV1, así como ambos parámetros en las mujeres; siendo destacable el elevado porcentaje de fumadoras y exfumadoras de este grupo poblacional (21). Otros autores obtienen pará-metros espirométricos, en general, superiores; pero la edad de nuestra población es superior a la de los estudios reseñados (18)(19)(20)37,38).…”

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Sintomatología respiratoria y función pulmonar en población geriátrica de una comunidad rural gallega: un estudio piloto

Barcala

Takkouche

Martínez

et al. 2003

An. Med. Interna (Madrid)

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INTRODUCCIÓNLos síntomas respiratorios representan una de las causas más frecuentes de requirimiento de asistencia sanitaria por los ciudadanos. La tos es la segunda causa de consulta en atención primaria (1), y el 48% de la población española refiere algún síntoma respiratorio (2). En cuanto a la población geriá-trica, la presencia de antecedentes respiratorios se asocia con formas de presentación típica de las neumonías (3), siendo además la disnea, tos y expectoración tres de los cuatro sínto-mas más frecuentes en la neumonía bacteriémica adquirida en la comunidad (4). Asimismo, los cuestionarios de síntomas parecen útiles para orientar el diagnóstico en este grupo de enfermedades (5).25 [0212-7199 (2003) 20: 4; pp 183-186] ANALES DE MEDICINA INTERNA

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Sintomatología respiratoria y función pulmonar en población geriátrica de una comunidad rural gallega: un estudio piloto

Barcala

Takkouche

Martínez

et al. 2003

An. Med. Interna (Madrid)

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“…The prevalence of COPD, and with it chronic bronchitis, varies between countries, with 4–6% of adult white American males having COPD, 5 compared with 9.9% of Britons aged 60–75 years, while in Spain, Marco et al reported 6.8% of the general population (40–60 years) had evidence of COPD 6 …”

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“…The prevalence of COPD, and with it chronic bronchitis, varies between countries, with 4-6% of adult white American males having COPD, 5 compared with 9.9% of Britons aged 60-75 years, while in Spain, Marco et al reported 6.8% of the general population (40-60 years) had evidence of COPD. 6 Recent studies from Spain have highlighted not only the prevalence and underdiagnosis of COPD, but also regional variability of the condition. Sobradillo Pena et al reported a large epidemiological, multicentre study from seven areas of Spain, in which 9.1 % of respondents aged 40-70 years had COPD and observed a higher prevalence in men than in women (14.3% vs 3.9%).…”

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The Efficacy of Moxifloxacin in Acute Exacerbations of Chronic Bronchitis: A Spanish Physician and Patient Experience

Miravitlles

Ros

Cobos³

et al. 2001

Int J Clinical Practice

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SUMMARYChronic bronchitis is a debilitating disease affecting many millions of patients globally. They suffer multiple acute exacerbations each year, often requiring many courses of antimicrobials to enable them to return to normal. The impact of the condition on both the individual patient and society as a whole is considerable and growing; thus antimicrobial therapy should induce rapid and effective outcomes as soon as possible. This open, community‐based study of 5737 patients enrolled by over 2000 primary care physicians from across Spain examined the clinical effect of oral moxifloxacin on patients' signs and symptoms of acute exacerbations of chronic bronchitis (AECB) over a 45‐day period. The symptoms were assessed using daily diary cards in addition to physician evaluations. Clinical assessment at day 7 showed 93.0% of patients were cured. The patient diary card showed that two‐thirds of patients felt better by day 3 or 4. Adverse events were reported in 3.5% of patients in this study, the most common being diarrhoea, nausea and dizziness, and epigastric pain. These reactions were mild to moderate in intensity. There were no patient deaths due to infection during the study. Physicians and patients reported that once‐daily moxifloxacin gave fast relief of symptoms of acute excerbations of chronic bronchitis.

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Inappropriate Overuse of Inhaled Corticosteroids for COPD Patients: Impact on Health Costs and Health Status

Miguel-Díez

Carrasco‐Garrido

Rejas‐Gutiérrez

et al. 2011

Lung

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The aim of this study was to evaluate the relationship between inappropriate overuse of inhaled corticosteroids and self-reported health status and the annual cost of patients with stable chronic obstructive pulmonary disease (COPD) recruited in the primary-care setting. An observational, crossover, descriptive study was conducted. Patients with stable COPD and aged ≥40 years, evaluated in primary care, were included. Data collected were demographic variables, clinical characteristics, self-reported health status (SF-12), the severity of the illness, treatment, and health-care resource utilization in the past year. The patients were recruited during a period of 3 months (from January 1 to March 31, 2003). Use was considered inappropriate when corticosteroids were prescribed by physicians for patients not meeting criteria for its use as recommended in guidelines. A total of 10,711 patients [75.6% males; mean age = 67.1 (SD = 9.66) years] were evaluated. Disease severity was mild in 35.5% of the cases, moderate in 53.4%, and severe in 11.2%. Among them, 3,697 (34.5%) subjects were prescribed inhaled corticosteroids or drug combinations containing such therapies, with a rate of inappropriate use of 18.2%. Physical health status was significantly lower among patients showing inappropriate corticosteroids use: 37.35 (SD = 9.53) vs. 40.7 (SD = 9.80) (p < 0.05). The annual cost per patient of COPD management was significantly higher in the group with inappropriate inhaled corticosteroids use: 1,590 (SD = 1,834) vs. 1,157 (SD = 1,536) (p < 0.05). Factors statistically associated with inappropriate use of corticosteroids were educational attainment [OR: 2.77 (95% CI: 1.36-5.63) for nonuniversity training], a history of heart disease [OR: 1.42 (95% CI: 1.02-1.97)], depression [OR: 1.47 (95% CI: 1.05-2.05)], any allergy [OR 1.69 (95% CI: 1.13-2.54)], and physical health status [OR 0.97 (95% CI: 0.96-0.98)]. Lack of adherence to the recommended criteria for using inhaled corticosteroids therapy in the management of COPD patients was associated with lower self-reported health status and higher costs. Factors statistically associated with inappropriate use of corticosteroids were educational attainment, a history of heart disease, depression, any allergy, and physical health status.

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Enfermedad pulmonar obstructiva crónica en la población general. Estudio epidemiológico realizado en Guipúzcoa

Cited by 30 publications

References 27 publications

Sintomatología respiratoria y función pulmonar en población geriátrica de una comunidad rural gallega: un estudio piloto

Sintomatología respiratoria y función pulmonar en población geriátrica de una comunidad rural gallega: un estudio piloto

The Efficacy of Moxifloxacin in Acute Exacerbations of Chronic Bronchitis: A Spanish Physician and Patient Experience

Inappropriate Overuse of Inhaled Corticosteroids for COPD Patients: Impact on Health Costs and Health Status

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