Abstract
Chronic obstructive pulmonary disease (COPD) is the third most common cause of death in the U.S. There are numerous forms of disparities in COPD. These range from the obvious disparities in prevalence and outcomes in different racial and ethnic groups to more subtle disparities such as how COPD is perceived by patients and the general public relative to other chronic diseases. In this review, we present the topic of disparities in COPD from a range of perspectives: definition, diagnosis, care, outcomes, policies, and public funding of research. Recent years have shown considerable movement in decreasing many of these disparities, although there remains a need for continued progress on many fronts.
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References
CDC. Chronic obstructive pulmonary disease among adults—United States, 2011. MMWR Morb Mortal Wkly Rep. 2012;61(46):938–43.
Ford ES, Mannino DM, Zhao G, Li C, Croft JB. Changes in mortality among US adults with COPD in two national cohorts recruited from 1971-1975 and 1988-1994. Chest. 2012;141(1):101–10.
Monteagudo M, Rodriguez-Blanco T, Parcet J, Penalver N, Rubio C, Ferrer M, et al. Variability in the performing of spirometry and its consequences in the treatment of COPD in primary care. Arch Bronconeumol. 2011;47(5):226–33.
Joo MJ, Au DH, Fitzgibbon ML, McKell J, Lee TA. Determinants of spirometry use and accuracy of COPD diagnosis in primary care. J Gen Intern Med. 2011;26(11):1272–7.
Roche N, Dalmay F, Perez T, Kuntz C, Vergnenegre A, Neukirch F, et al. FEV1/FVC and FEV1 for the assessment of chronic airflow obstruction in prevalence studies: do prediction equations need revision? Respir Med. 2008;102(11):1568–74.
Lamprecht B, Schirnhofer L, Kaiser B, Buist SA, Mannino DM, Studnicka M. Subjects with discordant airways obstruction: lost between spirometric definitions of COPD. Pulm Med. 2011;2011:780215.
Damarla M, Celli BR, Mullerova HX, Pinto-Plata VM. Discrepancy in the use of confirmatory tests in patients hospitalized with the diagnosis of chronic obstructive pulmonary disease or congestive heart failure. Respir Care. 2006;51(10):1120–4.
Miravitlles M, Soriano JB, Garcia-Rio F, Munoz L, Duran-Tauleria E, Sanchez G, et al. Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities. Thorax. 2009;64(10):863–8.
Chapman KR, Tashkin DP, Pye DJ. Gender bias in the diagnosis of COPD. Chest. 2001;119(6):1691–5.
Miravitlles M, de la Roza C, Naberan K, Lamban M, Gobartt E, Martin A, et al. Attitudes toward the diagnosis of chronic obstructive pulmonary disease in primary care. Arch Bronconeumol. 2006;42(1):3–8.
Ford ES, Croft JB, Mannino D, Wheaton AG, Zhang X, Giles WH. COPD surveillance-United States, 1999-2011. Chest J. 2013;144(1):284–305.
Halbert RJ, Natoli JL, Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: systematic review and meta-analysis. Eur Respir J. 2006;28(3):523–32.
Buist AS, McBurnie MA, Vollmer WM, Gillespie S, Burney P, Mannino DM, et al. International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet. 2007;370(9589):741–50.
Ford ES, Mannino DM, Wheaton AG, Giles WH, Presley-Cantrell L, Croft JB. Trends in the prevalence of obstructive and restrictive lung function among adults in the United States: findings from the National Health and Nutrition Examination surveys from 1988-1994 to 2007-2010. Chest. 2013;143(5):1395–406.
Forey BA, Thornton AJ, Lee PN. Systematic review with meta-analysis of the epidemiological evidence relating smoking to COPD, chronic bronchitis and emphysema. BMC Pulm Med. 2011;11:36.
Han MK, Postma D, Mannino DM, Giardino ND, Buist S, Curtis JL, et al. Gender and chronic obstructive pulmonary disease: why it matters. Am J Respir Crit Care Med. 2007;176(12):1179–84.
Foreman MG, Zhang L, Murphy J, Hansel NN, Make B, Hokanson JE, et al. Early-onset chronic obstructive pulmonary disease is associated with female sex, maternal factors, and African American race in the COPDGene Study. Am J Respir Crit Care Med. 2011;184(4):414–20.
Hansel NN, Washko GR, Foreman MG, Han MK, Hoffman EA, DeMeo DL, et al. Racial differences in CT phenotypes in COPD. COPD. 2013;10(1):20–7.
Menezes AM, Perez-Padilla R, Jardim JR, Muino A, Lopez MV, Valdivia G, et al. Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study): a prevalence study. Lancet. 2005;366(9500):1875–81.
Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet. 2007;370(9589):765–73.
Kaplan A. Effect of tiotropium on quality of life in COPD: a systematic review. Prim Care Respir J. 2010;19(4):315–25.
Celli B, Decramer M, Kesten S, Liu D, Mehra S, Tashkin DP, et al. Mortality in the 4-year trial of tiotropium (UPLIFT) in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009;180(10):948–55.
Tashkin DP, Celli B, Senn S, Burkhart D, Kesten S, Menjoge S, et al. A 4-year trial of tiotropium in chronic obstructive pulmonary disease. N Engl J Med. 2008;359(15):1543–54.
Blanc PD, Eisner MD, Yelin EH, Earnest G, Balmes JR, Gregorich SE, et al. Socioeconomic gradients in tiotropium use among adults with COPD. Int J Chron Obstruct Pulmon Dis. 2008;3(3):483–90.
Mamary AJ, Gaughan JP, Murphy J, Vance GB, Criner GJ, COPDGene Investigators. Disparities in COPD diagnosis and treatment are determined by region, race, gender and education. American Journal of Respiratory and Critical Care Medicine, Vol. 181, Meeting Abstracts; 2010.
Wille KM, Harrington KF, deAndrade JA, Vishin S, Oster RA, Kaslow RA. Disparities in lung transplantation before and after introduction of the lung allocation score. J Heart Lung Transplant. 2013;32(7):684–92.
Lederer DJ, Benn EK, Barr RG, Wilt JS, Reilly G, Sonett JR, et al. Racial differences in waiting list outcomes in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2008;177(4):450–4.
de Oca MM, Tálamo C, Halbert RJ, Perez-Padilla R, Lopez MV, Muiño A, et al. Frequency of self-reported COPD exacerbation and airflow obstruction in five Latin American cities. The Proyecto Latinoamericano de Investigación en Obstrucción Pulmonar (PLATINO) Study. Chest J. 2009;136(1):71–8.
Garcia-Aymerich J, Serra Pons I, Mannino DM, Maas AK, Miller DP, Davis KJ. Lung function impairment, COPD hospitalisations and subsequent mortality. Thorax. 2011;66(7):585–90.
Elixhauser A, Au DH, Podulka J. Readmissions for chronic obstructive pulmonary disease, 2008: statistical brief #121. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs, Rockville; 2011.
Han MK, Curran-Everett D, Dransfield MT, Criner GJ, Zhang L, Murphy JR, et al. Racial differences in quality of life in patients with COPD. Chest. 2011;140(5):1169–76.
Eisner MD, Blanc PD, Omachi TA, Yelin EH, Sidney S, Katz PP, et al. Socioeconomic status, race and COPD health outcomes. J Epidemiol Community Health. 2011;65(1):26–34.
Mannino DM. COPD: epidemiology, prevalence, morbidity and mortality, and disease heterogeneity. Chest. 2002;121(5 Suppl):121S–6.
Gillum LA, Gouveia C, Dorsey ER, Pletcher M, Mathers CD, McCulloch CE, et al. NIH disease funding levels and burden of disease. PLoS One. 2011;6(2), e16837.
Regan EA, Hokanson JE, Murphy JR, Make B, Lynch DA, Beaty TH, et al. Genetic epidemiology of COPD (COPDGene) study design. COPD. 2010;7(1):32–43.
Arne M, Emtner M, Janson S, Wilde-Larsson B. COPD patients perspectives at the time of diagnosis: a qualitative study. Prim Care Respir J. 2007;16(4):215–21.
US Department of Health and Human Services. The health consequences of smoking-50 years of progress: a report of the Surgeon General. Atlanta: US Department of Health and Human Services; 2014.
Centers for Disease Control and Prevention. Public health strategic framework for COPD prevention. Washington, DC: Centers for Disease Control and Prevention; 2011.
Najafzadeh M, Marra CA, Lynd LD, Sadatsafavi M, FitzGerald JM, McManus B, et al. Future impact of various interventions on the burden of COPD in Canada: a dynamic population model. PLoS One. 2012;7(10), e46746.
Chen Y, Breithaupt K, Muhajarine N. Occurrence of chronic obstructive pulmonary disease among Canadians and sex-related risk factors. J Clin Epidemiol. 2000;53(7):755–61.
Ferre A, Fuhrman C, Zureik M, Chouaid C, Vergnenegre A, Huchon G, et al. Chronic bronchitis in the general population: influence of age, gender and socio-economic conditions. Respir Med. 2012;106(3):467–71.
Kanervisto M, Vasankari T, Laitinen T, Heliovaara M, Jousilahti P, Saarelainen S. Low socioeconomic status is associated with chronic obstructive airway diseases. Respir Med. 2011;105(8):1140–6.
Yin P, Zhang M, Li Y, Jiang Y, Zhao W. Prevalence of COPD and its association with socioeconomic status in China: findings from China Chronic Disease Risk Factor Surveillance 2007. BMC Public Health. 2011;11:586.
Danielsson P, Olafsdottir IS, Benediktsdottir B, Gislason T, Janson C. The prevalence of chronic obstructive pulmonary disease in Uppsala, Sweden—the Burden of Obstructive Lung Disease (BOLD) study: cross-sectional population-based study. Clin Respir J. 2012;6(2):120–7.
Acknowledgments
We gratefully acknowledge funding by the Patient-Centered Outcomes Research Institute (CE-1304-6490 and IH-12-11-4365; Krishnan)
Conflict of Interest Statement: DMM has served as a consultant for Boehringer Ingelheim, GlaxoSmithKline, Astra-Zeneca, Novartis, Merck and Forest and has received research grants from GlaxoSmithKline, Novartis, Boehringer-Ingelheim, Forest and Pfizer. MS, JK. JLS, and SC report no conflicts of interest.
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Siegel, M., Krishnan, J.A., Lamson-Sullivan, J., Cerreta, S., Mannino, D.M. (2016). Health Disparities in Chronic Obstructive Pulmonary Disease. In: Gerald, L., Berry, C. (eds) Health Disparities in Respiratory Medicine. Respiratory Medicine. Humana Press, Cham. https://doi.org/10.1007/978-3-319-23675-9_10
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DOI: https://doi.org/10.1007/978-3-319-23675-9_10
Publisher Name: Humana Press, Cham
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