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PREVALENCE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND PATTERN OF COMORBIDITIES IN A GENERAL POPULATION
 
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Caterina Anecchino, Elisa Rossi, Caterina Fanizza, Marisa De Rosa, Gianni Tognoni, Marilena Romero, for working group “ARNO project”
- Pharmacoepidemiology laboratory, Department of Clinical Pharmacology and Epidemiology, Consorzio Mario Negri Sud, Santa Maria Imbaro, Chieti, Italy
- CINECA Interuniversity Consortium, Bologna, Italy
 
“ARNO project” working group: M Andretta (VR), L Castellani (Bussolengo), M Cecchetto (Bassano), M De Cal (BL), R Di Turi (RM-D), R Gallo (VI), D Garibaldi (LU), AM Grion (PD), M Grossetti (GE), G La Bella (NA-1), F Lena (LI), D Maccari (Pieve di Soligo), C Marinai (FI), M Moruzzo (SP), E Nava (NA-4), A Orsini (TE), B Pari (Chioggia), A Pedrini (Alta padovana), M Rais (Viareggio), G Rizzotti (Adria), MP Variolato (Ovest Vicentino), MG Zogno (Este)
 
Pubblicato su International Journal of COPD - 2007:2(4), pag.567-574
 
 
Abstract
Background. Nowadays, there is increasing awareness about the frequent chronic comorbidities in patients with chronic obstructive pulmonary disease (COPD) but little information is available to quantify the burden of illness that these conditions cause in this population. We aimed to identify and describe a population suffering from COPD highlighting the important role played by comorbidity.
Design. Epidemiological cross-sectional study conducted using administrative heath services databases.
Results. We identified a cohort of 126,283 COPD patients, with prevalence in adult population of 3.6%. 98% of these patients (123,603) received at least one prescription of “non-respiratory drugs” and, considering specific comorbidities (cardiovascular disease, diabetes and depression) 86,351 patients (68,4% of COPD patients) suffered from at least one of these conditions. 80,840 pts (64.4%) were treated for cardiovascular diseases, 17,091 subjects for diabetes (12.4%) and 10,292 for depression (8%). About 16% of COPD subjects (19,168 patients) had two out of the three considered comorbid conditions and 1352 patients (1,1%) all three.
Conclusion. This study documents that COPD is a health problem also in Italy and that public awareness of its burden is important. It highlights the complex spectrum of comorbidities in COPD patients, underlining the importance of a comprehensive approach in their management.
 
Keywords
COPD, administrative database, prevalence, comorbidity.
 
 
Vai all’articolo: http://dovepress.com/articles.php?content_id=1922