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An Update in Health Disparities in COPD in the USA

  • COPD and Asthma (A Zeki, Section Editor)
  • Published:
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Abstract

Purpose of Review

COPD is a prevalent, highly morbid, but manageable disease. Challenges exist in diagnosis that leads to both missed and inappropriate diagnosis with apparent ethnic, sex, and socioeconomic disparities. Disease management is possible with medications and intensive efforts such as pulmonary rehabilitation, but as these interventions are become increasingly expensive, the divide in socioeconomic outcomes expands.

Recent Findings

Health systems have increasingly focused resources on COPD, but the efforts have not been equally implemented. There is increasing prevalence of COPD in women, patients with low socioeconomic status, and minorities attributable to higher burden of tobacco, occupational, and rural exposure. Recent mortality estimates suggest a growing socioeconomic divide.

Summary

As providers and healthcare systems work to improve the diagnosis and care of COPD patients, biases and disparities must be measured, appreciated, and addressed to assure just implementation.

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Authors and Affiliations

  1. Department of Internal Medicine, UC Davis School of Medicine, 4150 V Street, Suite 3400, Sacramento, CA, 95817, USA

    Brooks T. Kuhn, Katherine D. Wick & Michael Schivo

  2. VA Northern CA Healthcare System, Mather, CA, USA

    Brooks T. Kuhn & Michael Schivo

  3. UC Davis Comprehensive COPD Clinic, Sacramento, CA, USA

    Brooks T. Kuhn & Michael Schivo

  4. Division of Pulmonary and Critical Care Medicine, UC Davis School of Medicine, Sacramento, CA, USA

    Brooks T. Kuhn, Katherine D. Wick & Michael Schivo

  5. Cardiovascular Research Institute, University of California San Francisco, San Francisco, CA, USA

    Katherine D. Wick

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Kuhn, B.T., Wick, K.D. & Schivo, M. An Update in Health Disparities in COPD in the USA. Curr Pulmonol Rep 10, 14–21 (2021). https://doi.org/10.1007/s13665-021-00268-0

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