Prevalence of COPD and tobacco smoking in Malopolska region – results from the BOLD Study in Poland

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is one of the most common chronic diseases of adults and is a major cause of chronic morbidity and mortality throughout the world. It is the cause of physical and mental suffering for the patient, significantly impairs quality of life, reduces the vital activity and affects the patient’s life in its various aspects. In 2012, the nationwide survey was conducted in COPD outpatients with a history of smoking exploring the various factors of the disease and its effects on the health and life of the patient. The purpose of the analysis presented here is to assess the impact of COPD and tobacco smoking on the patient’s health and life. Material and Methods: Data were collected from patients by their physicians during routine visit with usage of specifically prepared questionnaire for this study. Patients over 35 years of age, with diagnosed COPD, current or past smokers were recruited from outpatients settings. The study involved 10,365 patients with COPD. Representative sample of 2967 questionnaires were randomly drawn for the statistical analysis. Results: The mean age of responders was 61.15 ± 10.25 years, 33.98% of participants were women, 56.73% were current smokers and 43.37% declared smoking in the past. The largest number of patients had COPD in a moderate degree (II—acc. to GOLD 2010)—55.38%, sequentially mild (I)—21.40%, and severe (III)—19.96%, the smallest group were people with very severe degree of disease (IV)—3.27%. Using the new classification of the COPD severity (acc. to GOLD 2013), the largest group of patients were less symptomatic (mMRC ) subjects who had a low risk (A)—52.67%, but in fact a second group of patients were subjects with severe symptoms and a high risk (D)—20.45% , sequentially—patients with low severity of symptoms, but a high risk (C)—16.16% , and severe symptoms and a low risk—10.72% (B). Patients most often reported that COPD affects their activity in sport (83.45% of respondents), than in living activity (82.78%) and family life (79.3%). COPD had significant (moderate or severe) effect on sport (60.85%) and life activity (38.44%), as well as on work (34.9%), but the greatest impact, leading up to the resignation of the activity: on sport practice (21.75%), sexual intercourse (12.6%) and hobbies (11.49%). The disease severity (GOLD 2013 C/D) was the independent factor which reduced all forms of activity. In patients’ opinion smoking had negative impact on their health (52,65%) and the family budget (41.83%). The negative impact of smoking on family relations was declared by 16.38% of respondents. Among the factors which favor effective quit from addiction were: age ≥ 65 years and more seere degree of obturation (III/IV GOLD 2010). Conclusions: The results of the study confirmed the significant impact of the disease and addiction to smoking not only on patients’ life but also on their families.

Section: Discussionsupporting

confidence: 90%

Section: Wwwpneumonologiaviamedicaplmentioning

confidence: 99%

Impact of Chronic Obstructive Pulmonary Disease (COPD) on Patient’s Life and His Family

Kupryś‐Lipińska¹,

Kuna²

2014

“…[6]. Tylko w jednym badaniu częstość choroby była znacznie wyższa -26% [7]. Choroba występuje częściej u mężczyzn niż u kobiet, stosunek płci wynosi 2:1 [8].…”

Section: Epidemiologiaunclassified

Zalecenia Polskiego Towarzystwa Chorób Płuc Dotyczące Rozpoznawania i Leczenia Przewlekłej Obturacyjnej Choroby Płuc

Śliwiński

Górecka

Jassem

et al. 2014

“…COPD is one of the most widespread chronic respiratory diseases. In Poland and in Europe, clinically important COPD is present in at least 10% of population aged ≥ 40 [4,5]. Worldwide, COPD is currently the fifth cause of the loss of DALYs (disability adjusted life years), causing large burden for healthcare budget as it is responsible for approximately 50% of total healthcare expenditures for lung diseases [6,7].…”

Section: Introductionmentioning

confidence: 99%

Pulmonary Prevention Program in the Proszowice County: Description and Results

Skucha¹,

Mejza

Nadziakiewicz

et al. 2017

Self Cite

Introduction: In the Proszowice county, both lung cancer and chronic obstructive pulmonary disease (COPD) are more common in comparison with other regions of Poland. The purpose of this paper was to provide a report on a prevention program carried out in the area to reduce the burden of COPD and lung cancer in the region. Material and methods:The program consisted of the following: active prevention -questionnaire survey offered to every county inhabitant aged at least 40 and chest X-ray and spirometry performed in selected subjects; and passive preventioncovering multiple educational activities promoting healthy lifestyle. Data obtained from questionnaire survey and spirometry were further analyzed. Results: Education program covered all local children aged 13-15, a majority of adolescents and a significant proportion of adult inhabitants of the county. Questionnaire data were obtained from 14,455 subjects (about 70% of county inhabitants). On the basis of the questionnaire results, the participants were selected to undergo spirometry (5,816 subjects) and chest X-ray (5,514 subjects). Current smokers constituted 24.2% of the total number of participants (33.3% of men and 16.8% of women). Electronic cigarettes were currently used by 0.65% of the subjects. Negative impact of occupational exposures (including farming) on lung function and the presence of respiratory symptoms was observed. Basing on post-bronchodilator spirometry, COPD was diagnosed in 13.2% of the subjects. Physician's diagnosis of asthma was reported by 7.2%. Conclusion: Educational activities and questionnaire-based study were targeted at and reached the majority of the county inhabitants. The study provided data on the prevalence and risk factors of COPD, asthma and respiratory symptoms in the Proszowice region.