Under‐report and underdiagnosis of chronic respiratory diseases in an African country

Martins, Pedro; Rosado‐Pinto, J.; Teixeira, Mónica; Neuparth, Nuno; Silva, O; Tavares, Hamilton dos Prazeres; Spencer, J L; Mascarenhas, Don Gregory; Papoila, Ana Luísa; Khaltaev, Nikolaï; Annesi‐Maesano, Isabella

doi:10.1111/j.1398-9995.2009.01956.x

Cited by 38 publications

(44 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, it is believed that the under-recognition of COPD in African countries may be because patients present late and, even after presentation to health services, diagnoses are typically delayed until the disease is relatively advanced (40,41). Research fi ndings have shown that lack of (use of ) spirometers poses a very important practical challenge in rural settings with the main reasons being due to unavailability, improper usage, and low awareness of their importance (11).…”

Section: Discussionmentioning

confidence: 97%

“…In health service delivery, studies have reported that many health workers are ill-equipped in diagnosing COPD, making the under-diagnosis of COPD a problem confronting many African nations (40). Moreover, it is believed that the under-recognition of COPD in African countries may be because patients present late and, even after presentation to health services, diagnoses are typically delayed until the disease is relatively advanced (40,41).…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

An Estimate of the Prevalence of COPD in Africa: A Systematic Analysis

Rudan

Basquill

Papana

et al. 2014

COPD: Journal of Chronic Obstructive Pulmonary Disease

View full text Add to dashboard Cite

Our findings suggest that COPD is likely to already represent a very large public health problem in Africa. Moreover, rapidly ageing African population should expect a steady increase in the number of COPD cases in the next decade and beyond. The quantity and quality of available evidence does not match the size of the problem. There is a need for more research on COPD prevalence, but also incidence, mortality and risk factors in Africa. We hope this study will raise awareness of COPD in Africa and encourage further research.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

An Estimate of the Prevalence of COPD in Africa: A Systematic Analysis

Rudan

Basquill

Papana

et al. 2014

COPD: Journal of Chronic Obstructive Pulmonary Disease

View full text Add to dashboard Cite

show abstract

“…The asthma diagnosis had been based mainly on clinical history, and only 42% of GPs instruct patients to use a peak flow meter to monitor symptoms. Underreporting, underdiagnosis and undertreatment of chronic respiratory diseases is a fact in most parts of the world (10).…”

mentioning

confidence: 99%

Reduction of asthma burden is possible through National Asthma Plans

Kupczyk

Haahtela

Cruz

et al. 2010

Allergy

View full text Add to dashboard Cite

To cite this article: Kupczyk M, Haahtela T, Cruz AA, Kuna P. Reduction of asthma burden is possible through National Asthma. Allergy 2010; 65: 415–419.AbstractDespite increase in understanding of asthma patomechanisms the practical actions to lessen asthma burden in the communities are far behind of scientific knowledge. There are still reports of uderdiagnosis and poor treatment leading to repeated severe exacerbations, often demanding emergency care and hospitalisation, which cause most of the economic burden both for families and society. From the public health perspective, the key issue is to implement the best standards of care in every‐day practice. The problems are different in high income compared to low‐ and middle‐income countries, and the solutions have to be tailored to each country needs and resources. We present here examples from Finland, Poland and Brazil, to show that asthma burden can be reduced using varied strategies in quite different societal, economical and health care environments. The experience from those interventions confirms that regardless of the health care system and its coverage, a major change for the better can be achieved by local efforts, systematic planning and networking to implement the best asthma practice.

show abstract

“…We found an overall prevalence of 4.5% for chronic bronchitis and 0.7% for emphysema diagnosis. However, under-diagnosis and under-reporting of respiratory diseases exist in Cape Verde, as previously published [12].…”

Section: Discussionmentioning

confidence: 88%

“…This study resulted from an official protocol between the Ministry of Health from Portugal and Cape Verde and was included in the Global Alliance Against Chronic Respiratory Diseases (GARD) initiative [11], in accordance with the previously published protocol [12].…”

Section: Methodsmentioning

confidence: 99%

Distribution and etiology of chronic respiratory diseases in primary healthcare departments in Cape Verde

Carreiro‐Martins

Rosado‐Pinto

Teixeira³

et al. 2015

Revue d'Épidémiologie et de Santé Publique

Self Cite

View full text Add to dashboard Cite

Background and objective. -Data on chronic respiratory diseases (CRD) are scarce or unavailable in most African countries. We aimed to determine the prevalence of CRD and associated risk factors in Cape Verde, at the primary healthcare level.Methods. -In the frame of the Global Alliance Against Chronic Respiratory Diseases, a cross-sectional study was carried out in October 2006 in 3256 outpatients (2142 women) (median age of 30 years) seeking care at primary healthcare departments, through a standardized interview questionnaire during two weeks.Results. -The prevalence of emphysema, tuberculosis, chronic bronchitis, rhinoconjunctivitis and asthma were 0.7%, 2%, 4.5%, 12.3% and 6.2%, respectively. Current smoking was associated with emphysema (OR: 3.36; 95% CI: 0.97-11.40) and tuberculosis (OR: 2.14; 95% CI: 1.07-4.30), ever exposed to a dusty workplace with chronic bronchitis (OR: 2.20; CI 95%: 1.50-3.21) and rhinoconjunctivitis (OR: 1.56; CI 95%: 1.23-1.98) and cooking or heating using an open fire with asthma (OR: 1.59; CI 95%: 1.16-2.19). The estimates of attributable risks percent indicated that, in the sample, a noticeable part of CRD could be attributed to active smoking, exposure to dust and biomass. Results varied according to gender, particularly regarding current smoking which was more important for men.Conclusions. -Tobacco smoking, exposure to dust at work and using an open fire were important risk factors for CRD. Our results suggest that if actions were taken in order to reduce the aforementioned exposures, an important CRD decrease could be achieved. # 2015 Elsevier Masson SAS. All rights reserved.Keywords: Asthma; COPD; Tuberculosis; Rhinitis; Attributable risk; Smoking; Dust; Biomass Résumé Position du problème. -Peu de données épidémiologiques sont disponibles sur les maladies respiratoires chroniques (MRC) dans la plupart des pays africains. Nous avons déterminé, au niveau des structures de soins de santé primaires, la prévalence des MRC et les facteurs de risque leur étant associés dans la République du Cap-Vert. Méthodes. -Dans le cadre de la Global Alliance Against Chronic Respiratory Diseases (GARD), une étude transversale a été réalisée pendant 2 semaines en octobre 2006 parmi les patients accueillis dans des structures de soins de santé primaires. Les sujets ont répondu à un questionnaire standardisé administré par des personnels de santé.Résultats. -Au total, 3256 patients (2142 femmes) (âge médian de 30 ans) ont participé à l'enquête. La prévalence de l'emphysème, de la tuberculose, de la bronchite chronique, de la rhino-conjonctivite et de l'asthme était de 0,7 %, 2 %, 4,5 %, 12,3 % et 6,2 %, respectivement. Le tabagisme à la période de l'enquête était significativement associé à l'emphysème (OR : 3,36, IC 95 % : 0,40) et à la tuberculose (OR : 2,14, IC 95 % : 01,07-04,30), l'exposition professionnelle aux poussières à la bronchite chronique (OR : 2,20 ; IC 95 % : 1,50-3,21) et à la rhinoconjonctivite (OR : 1,56, IC 95 % : 1,23-1,98), et la cuisson ou le chauffage utilisant ...

show abstract

Under‐report and underdiagnosis of chronic respiratory diseases in an African country

Cited by 38 publications

References 24 publications

An Estimate of the Prevalence of COPD in Africa: A Systematic Analysis

An Estimate of the Prevalence of COPD in Africa: A Systematic Analysis

Reduction of asthma burden is possible through National Asthma Plans

Distribution and etiology of chronic respiratory diseases in primary healthcare departments in Cape Verde

Contact Info

Product

Resources

About