Prevalence of disability among adults with chronic obstructive pulmonary disease, Behavioral Risk Factor Surveillance System 2016–2017

Djibo, Djeneba Audrey; Goldstein, Jessica; Ford, Jean G.

doi:10.1371/journal.pone.0229404

Cited by 9 publications

(7 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prevalence of debility was also noted to be higher among middle-aged adults participating in recent US Behavioral Risk Factor Surveillance System surveys. 57 Higher middle-aged prevalence of debility and frailty is also consistent with the fact COPD ranks third among leading causes of disability-adjusted life-years in the United States, and eleventh in terms of total years lived with disability. 58 Middle-aged COPD patients are also known to have substantially increased healthcare cost and decreased work productivity.…”

Section: Discussionsupporting

confidence: 55%

Frailty Among Older Individuals with and without COPD: A Cohort Study of Prevalence and Association with Adverse Outcomes

Roberts¹,

Mapel²,

Ganvir³

et al. 2022

COPD

View full text Add to dashboard Cite

Rationale Frailty prevalence estimates among individuals with COPD have varied widely, and few studies have investigated relationships between frailty and adverse outcomes in a COPD population. Objective(s) Describe frailty prevalence among individuals with and without COPD and examine associations between frailty and mortality and other adverse outcomes in the next two years. Methods This was an observational cohort study using Health and Retirement Study data (2006–2018) of community living individuals ages 50–64 and ≥65 with and without COPD (non-COPD). Frailty (Fried phenotype [5 items], and a modified Frailty Index-Comprehensive Geriatric Assessment [Enhanced FI-CGA] [37 items], and debility (modified BODE Index [4 items]) were assessed. Two-year post-assessment outcomes (mortality, ≥1 inpatient stay, home health and skilled nursing facility (SNF) use) were reviewed in a population matched 3:1 (non-COPD: COPD) on age, sex, race, and year using univariate and multivariate logistic regression (adjusted for morbidities). Area-under-the-curve (AUC) was used to evaluate regressions. Results The study included 18,979 survey observations for age 50–64, and 24,162 age ≥65; 7.8% and 12.0% respectively reporting a diagnosis of COPD. Fried phenotype frailty prevalence for age ≥65 was 23.1% (COPD) and 9.4% (non-COPD), and for the Enhanced FI-CGA, 45.9% (COPD) and 22.4% (non-COPD). Two-year mortality for COPD was more than double non-COPD for age 50–64 (95% CI: 3.8–5.9% vs 0.7–1.3%) and age ≥65 (95% CI: 11.9–14.3% vs 5.6–6.6%). Inpatient utilization, home health care use, or at least temporary SNF placement were also more frequent for COPD. Measures were predictive of adverse outcomes. In adjusted models, the Fried phenotype and modified BODE score performed similarly, and both performed better than the Enhanced FI-CGA index. AUC values were higher for morality regressions. Conclusion Frailty prevalence among individuals with COPD in this national survey is substantially greater than without COPD, even at pre-retirement (50–64 years). These measures identify patients with increased risk of poor outcomes.

show abstract

Section: Discussionsupporting

confidence: 55%

Frailty Among Older Individuals with and without COPD: A Cohort Study of Prevalence and Association with Adverse Outcomes

Roberts¹,

Mapel²,

Ganvir³

et al. 2022

COPD

View full text Add to dashboard Cite

show abstract

“…In addition, healthcare practitioners should facilitate caregiver attendance at follow-up appointments, so that their unique perception of the health of the patient can be discussed [ 99 ]. As COPD is associated with substantial cognitive, mobility, and auditory disability [ 100 ], a holistic approach to preventive care, smoking cessation, pulmonary rehabilitation, and patient and caregiver education that extends beyond exacerbation management should be considered.…”

Section: Resultsmentioning

confidence: 99%

Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective

Bhutani

Price

Winders³

et al. 2022

Adv Ther

View full text Add to dashboard Cite

Introduction Despite being a leading cause of death worldwide, chronic obstructive pulmonary disease (COPD) is underdiagnosed and underprioritized within healthcare systems. Existing healthcare policies should be revisited to include COPD prevention and management as a global priority. Here, we propose and describe health system quality standard position statements that should be implemented as a consistent standard of care for patients with COPD. Methods A multidisciplinary group of clinicians with expertise in COPD management together with patient advocates from eight countries participated in a quality standards review meeting convened in April 2021. The principal objective was to achieve consensus on global health system priorities to ensure consistent standards of care for COPD. These quality standard position statements were either evidence-based or reflected the combined views of the panel. Results On the basis of discussions, the experts adopted five quality standard position statements, including the rationale for their inclusion, supporting clinical evidence, and essential criteria for quality metrics. These quality standard position statements emphasize the core elements of COPD care, including (1) diagnosis, (2) adequate patient and caregiver education, (3) access to medical and nonmedical treatments aligned with the latest evidence-based recommendations and appropriate management by a respiratory specialist when required, (4) appropriate management of acute COPD exacerbations, and (5) regular patient and caregiver follow-up for care plan reviews. Conclusions These practical quality standards may be applicable to and implemented at both local and national levels. While universally applicable to the core elements of appropriate COPD care, they can be adapted to consider differences in healthcare resources and priorities, organizational structure, and care delivery capabilities of individual healthcare systems. We encourage the adoption of these global quality standards by policymakers and healthcare practitioners alike to inform national and regional health system policy revisions to improve the quality and consistency of COPD care worldwide. Supplementary Information The online version contains supplementary material available at 10.1007/s12325-022-02137-x.

show abstract

“…Additionally, it seems that having a pet can offer both psychological and physical health benefit decreasing both sedentary lifestyle and levels of functional limitation [ 82 ]. In women with COPD, one of the reasons behind this could be the fact that women’s health is often ignored due to gender disparity; also, females with COPD experience a greater risk of exacerbation and more severe symptoms than men, producing severe stages of COPD and generating a higher prevalence of functional limitation [ 25 , 60 ]. In the current study, the prevalence of functional limitation increased over time in obese women with COPD.…”

Section: Discussionmentioning

confidence: 99%

“…This consequently affects their ability to complete both daily life activities, such as dressing, stair climbing and household chores, and more complex tasks known as instrumental activities of daily living, such as shopping, housework and using public transport and individuals suffering from COPD face a difficult process of adaptation to their health condition [ 22 ]. Even though a number of studies have pointed out that the most widely recognized conditions causing functional limitations among people are rheumatoid arthritis, spine issues and cardiovascular disease and that these conditions increase in prevalence as the population ages [ 23 , 24 ], Djibo et al [ 25 ] reported that the highest rates of functional limitation occur in middle-aged adults (45–64 years old) with COPD, although the reasons for this finding are not completely understood. In fact, patterns of functional limitation in activities of daily living and related determinants, specifically in COPD patients, are currently under investigation [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Common Mental Disorders, Functional Limitation and Diet Quality Trends and Related Factors among COPD Patients in Spain, 2006–2017: Evidence from Spanish National Health Surveys

Cruz

Cebrino

2021

JCM

View full text Add to dashboard Cite

Certain conditions such as common mental disorders (CMDs), functional limitation (FL) and poor diet quality may affect the lives of individuals who suffer from chronic obstructive pulmonary disease (COPD). This study sought to examine time trends in the prevalence of CMDs, FL and diet quality among male and female COPD patients living in Spain from 2006 to 2017 and to identify which factors were related to CMDs, FL and a poor/improvable diet quality in these patients. We performed a cross-sectional study among COPD patients aged ≥ 40 years old using data from the Spanish National Health Surveys conducted in 2006, 2011 and 2017, identifying a total of 2572 COPD patients. Binary logistic regressions were performed to determine the characteristics related to CMDs, FL and poor/improvable diet quality. Over the years of the study, the prevalence of FL among female COPD patients increased (p for trend <0.001). In addition, CMDs were associated to body mass index (BMI), educational level, physical activity, smoking status, occupation, chronic conditions and alcohol consumption; FL was related to age, living with a partner, educational level, physical activity and chronic conditions; and poor/improvable diet quality was associated to age, smoking status, BMI and physical activity.

show abstract

Prevalence of disability among adults with chronic obstructive pulmonary disease, Behavioral Risk Factor Surveillance System 2016–2017

Cited by 9 publications

References 29 publications

Frailty Among Older Individuals with and without COPD: A Cohort Study of Prevalence and Association with Adverse Outcomes

Frailty Among Older Individuals with and without COPD: A Cohort Study of Prevalence and Association with Adverse Outcomes

Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective

Common Mental Disorders, Functional Limitation and Diet Quality Trends and Related Factors among COPD Patients in Spain, 2006–2017: Evidence from Spanish National Health Surveys

Contact Info

Product

Resources

About