Impact of COPD in North America and Europe in 2000

Subjects' perspective of Confronting COPD International Survey

Stephen Israel Rennard, M. Decramer, P. M.A. Calverley, N. B. Pride, J. B. Soriano, P. A. Vermeire, J. Vestbo

Research output: Contribution to journalArticle

426 Citations (Scopus)

Abstract

To date, no international surveys estimating the burden of chronic obstructive pulmonary disease (COPD) in the general population have been published. The Confronting COPD International Survey aimed to quantify morbidity and burden in COPD subjects in 2000. From a total of 201,921 households screened by random-digit dialling in the USA, Canada, France, Italy, Germany, the Netherlands, Spain and the UK, 3,265 subjects with a diagnosis of COPD, chronic bronchitis or emphysema, or with symptoms of chronic bronchitis, were identified. The mean age of the subjects was 63.3 yrs and 44.2% were female. Subjects with COPD in North America and Europe appear to underestimate their morbidity, as shown by the high proportion of subjects with limitations to their basic daily life activities, frequent work loss (45.3%, of COPD subjects of <65 yrs reported work loss in the past year) and frequent use of health services (13.8%, of subjects required emergency care in the last year), and may be undertreated. There was a significant disparity between subjects' perception of disease severity and the degree of severity indicated by an objective breathlessness scale. Of those with the most severe breathlessness (too breathless to leave the house), 35.8% described their condition as mild or moderate, as did 60.3% of those with the next most severe degree of breathlessness (breathless after walking a few minutes on level ground). This international survey confirmed the great burden to society and high individual morbidity associated with chronic obstructive pulmonary disease in subjects in North America and Europe.

Original languageEnglish (US)
Pages (from-to)799-805
Number of pages7
JournalEuropean Respiratory Journal
Volume20
Issue number4
DOIs
StatePublished - Oct 1 2002

Fingerprint

North America
Chronic Obstructive Pulmonary Disease
Dyspnea
Chronic Bronchitis
Morbidity
Emphysema
Emergency Medical Services
Surveys and Questionnaires
Netherlands
Spain
Italy
Walking
Health Services
France
Canada
Germany
Population

Keywords

  • Chronic obstructive pulmonary disease
  • Epidemiology
  • Guidelines
  • Management
  • Subject perspective

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Rennard, S. I., Decramer, M., Calverley, P. M. A., Pride, N. B., Soriano, J. B., Vermeire, P. A., & Vestbo, J. (2002). Impact of COPD in North America and Europe in 2000: Subjects' perspective of Confronting COPD International Survey. European Respiratory Journal, 20(4), 799-805. https://doi.org/10.1183/09031936.02.03242002

Impact of COPD in North America and Europe in 2000 : Subjects' perspective of Confronting COPD International Survey. / Rennard, Stephen Israel; Decramer, M.; Calverley, P. M.A.; Pride, N. B.; Soriano, J. B.; Vermeire, P. A.; Vestbo, J.

In: European Respiratory Journal, Vol. 20, No. 4, 01.10.2002, p. 799-805.

Research output: Contribution to journalArticle

Rennard, SI, Decramer, M, Calverley, PMA, Pride, NB, Soriano, JB, Vermeire, PA & Vestbo, J 2002, 'Impact of COPD in North America and Europe in 2000: Subjects' perspective of Confronting COPD International Survey', European Respiratory Journal, vol. 20, no. 4, pp. 799-805. https://doi.org/10.1183/09031936.02.03242002
Rennard, Stephen Israel ; Decramer, M. ; Calverley, P. M.A. ; Pride, N. B. ; Soriano, J. B. ; Vermeire, P. A. ; Vestbo, J. / Impact of COPD in North America and Europe in 2000 : Subjects' perspective of Confronting COPD International Survey. In: European Respiratory Journal. 2002 ; Vol. 20, No. 4. pp. 799-805.
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