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COPD prevalence in Argentina: The EPOC.AR study

Andres Echazarreta, Eduardo Giugno, Daniel Colodenco, Sergio Arias, Juan Carlos Bossio, Gustavo Armando
European Respiratory Journal 2016 48: PA4240; DOI: 10.1183/13993003.congress-2016.PA4240
Andres Echazarreta
1Department of Pulmonary Medicine, Hospital “San Juan de Dios” de La Plata, La Plata, Buenos AiresArgentina
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Eduardo Giugno
2Department of Pulmonary Medicine, Hospital del Tórax “Dr. Antonio Cetrángolo”, Vicente López, Buenos AiresArgentina
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Daniel Colodenco
3Department of Allergy and Pulmonary Medicine, Hospital de Rehabilitación Respiratoria “María Ferrer”, Caba, Buenos AiresArgentina
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Sergio Arias
4Instituto Nacional de Enfermedades Respiratorias “Emilio Coni”, Ministerio de Salud de la Nación, Santa Fé, Argentina
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Juan Carlos Bossio
4Instituto Nacional de Enfermedades Respiratorias “Emilio Coni”, Ministerio de Salud de la Nación, Santa Fé, Argentina
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Gustavo Armando
4Instituto Nacional de Enfermedades Respiratorias “Emilio Coni”, Ministerio de Salud de la Nación, Santa Fé, Argentina
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Abstract

Background: Although COPD is an increasing public health problem worldwide, its prevalence in Argentina had never been studied.

Objectives: To estimate population prevalence and clinical features of COPD in a representative sample of adults ≥40 years in 4 cities of Argentina.

Methods: Cross-sectional study of population selected at random through sampling by clusters.We applied a structured survey which included: home, COPD assessement, clinical, socio-demographic, risk factors, health condition, treatment and disease economic burden data. Spirometry (EasyOne®) pre-post bronchodilator was also performed and reviewed by a Committee that assessed their quality and rated cases. The GOLD obstructive and combined COPD assessment model was applied. Prevalence was estimated for total and for each city with 95%CI.

Results: 2978 surveys and spirometry were carried out; 2548 spirometry had an acceptable quality (89.2%, 95%CI: 90,3-88,0). No significant differences in spirometry quality according to the urban area involved were seen. The overall prevalence of COPD found was 14.7% (95%CI:16.1%-13,0%) (M18.0%; F12.3%). 89.8% (CI:92.8%-86,7%) were GOLD 1/2 while 10.2% (CI:13.3%-7,2%) were GOLD 3/4. According to the combined index stage: A 60.9% (65.9%-56%); B: 28.8% (33.5%-24.2%); C: 5.4% (7.7%-3.1%) and D: 4.9% (7.0-2.7%). Distribution COPD stages were similar in all urban centers. Underdiagnosis was 75,8% (CI:80,2%-71,3%) and significant association with age, male gender, obesity, low education and socioeconomic level; heart disease, lung cancer and tuberculosis were found.

Conclusions: Our study provides data of COPD prevalence in a representative sample of 4 Argentinean cities. It can be estimated more than 2.3 millon Argentines have COPD.

  • COPD - diagnosis
  • Lung function testing
  • Epidemiology
  • Copyright ©the authors 2016
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COPD prevalence in Argentina: The EPOC.AR study
Andres Echazarreta, Eduardo Giugno, Daniel Colodenco, Sergio Arias, Juan Carlos Bossio, Gustavo Armando
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4240; DOI: 10.1183/13993003.congress-2016.PA4240

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COPD prevalence in Argentina: The EPOC.AR study
Andres Echazarreta, Eduardo Giugno, Daniel Colodenco, Sergio Arias, Juan Carlos Bossio, Gustavo Armando
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4240; DOI: 10.1183/13993003.congress-2016.PA4240
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