Prevalence and incidence of bronchiectasis in Catalonia, Spain: A population-based study. (December 2016)

• Record Type: Journal Article
• Authors: Monteagudo, Mònica; Rodríguez-Blanco, Teresa; Barrecheguren, Miriam; Simonet, Pere; Miravitlles, Marc
• Is Part Of: Respiratory medicine. Volume 121(2016)
• Page Start: 26
• Page End: 31
• Publication Date: 2016-12
• Subjects: Bronchiectasis -- Epidemiology -- Treatment -- Exacerbations; COPD chronic obstructive pulmonary disease -- CT computed tomography -- FEV1 forced expiratory volume in 1 second -- ICD-10 International Statistical Classification of Diseases and Related Health Problems, 10th revision -- ICS inhaled corticosteroid -- LABA long-acting β2 agonist -- LAMA long-acting antimuscarinic agent -- SAMA short-acting antimuscarinic agent -- SIDIAP Information System for the Development of Research in Primary Care -- SD standard deviation; Chest -- Diseases -- Periodicals; Chest -- Diseases -- Great Britain -- Periodicals; Respiratory organs -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Appareil respiratoire -- Maladies -- Périodiques; Thorax -- Maladies -- Périodiques; Appareil respiratoire -- Maladies -- Traitement -- Périodiques; Electronic journals; 616.2
• DOI: 10.1016/j.rmed.2016.10.014
• Languages: English
• ISSNs: 0954-6111

Abstract

Abstract: Background: Insufficient epidemiological data are available on bronchiectasis in southern European populations. The aim of this study was to determine the prevalence and incidence of bronchiectasis in Catalonia, Spain and describe the characteristics of patients with an active diagnosis of bronchiectasis in 2012. Methods: This study used data from a population database containing information from 5.8 million people (80% of the population of Catalonia). Patients with bronchiectasis were identified using International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) codes, and information on clinical characteristics and treatment was extracted. Results: A total of 20895 patients with bronchiectasis were identified in 2012. The prevalence of bronchiectasis was 36.2 cases per 10 000 inhabitants, with an incidence of 4.81 cases per 10 000 inhabitants. Prevalence and incidence increased with age and were highest in men over 65 years of age. Among the whole bronchiectasis population in Primary Care, 48.6% of patients had had blood tests, 11.2% had undergone spirometry, only 2.1% had a chest X-ray, and 0.9% had undergone high-resolution computed tomography or sputum culture. 56% had at least one exacerbation and 12.5% had been admitted to hospital during the year of the study. The drugs most frequently used were inhaled corticosteroids (in 37.4% of patients) and long-acting β2 agonists (in 36%); half of the patients received no treatment (51.8%). Conclusions: The prevalence and incidence of bronchiectasis increases with age. The management of bronchiectasis in primary care was not optimal, and the disease continues to represent an important clinical burden. Highlights: The prevalence of bronchiectasis in Catalonia (Spain) was 36.2/10 000, with an incidence of 4.81/10 000 in 2012. Prevalence and incidence of bronchiectasis increased with age and were highest in men over 65 years of age. The management of bronchiectasis in primary care was not optimal, and the disease represents an important clinical burden.