Patterns and management of chronic obstructive pulmonary disease in urban and rural China: a community-based survey of 25 000 adults across 10 regions. Issue 1 (19th February 2018)

• Record Type: Journal Article
• Authors: Kurmi, Om P; Davis, Kourtney J; Hubert Lam, Kin Bong; Guo, Yu; Vaucher, Julien; Bennett, Derrick; Wang, Jenny; Bian, Zheng; Du, Huaidong; Li, Liming; Clarke, Robert; Chen, Zhengming
• Other Names: author non-byline.; Chen Junshi author non-byline.; Chen Zhengming author non-byline.; Clarke Robert author non-byline.; Collins Rory author non-byline.; Guo Yu author non-byline.; Li Liming author non-byline.; Lv Jun author non-byline.; Peto Richard author non-byline.; Walters Robin author non-byline.; Avery Daniel author non-byline.; Boxall Ruth author non-byline.; Bennett Derrick author non-byline.; Chang Yumei author non-byline.; Chen Yiping author non-byline.; Chen Zhengming author non-byline.; Clarke Robert author non-byline.; Du Huaidong author non-byline.; Gilbert Simon author non-byline.; Hacker Alex author non-byline.; Holmes Michael author non-byline.; Kartsonaki Christiana author non-byline.; Kerosi Rene author non-byline.; Kurmi Om author non-byline.; Lancaster Garry author non-byline.; Lin Kuang author non-byline.; Mcdonnell John author non-byline.; Millwood Iona author non-byline.; Nie Qunhua author non-byline.; Radhakrishnan Jayakrishnan author non-byline.; Ryder Paul author non-byline.; Sansome Sam author non-byline.; Schmidt Dan author non-byline.; Sohoni Rajani author non-byline.; Stevens Becky author non-byline.; Turnbull Iain author non-byline.; Walters Robin author non-byline.; Wang Jenny author non-byline.; Wang Lin author non-byline.; Wright Neil author non-byline.; Yang Ling author non-byline.; Yang Xiaoming author non-byline.; Bian Zheng author non-byline.; Guo Yu author non-byline.; Han Xiao author non-byline.; Hou Can author non-byline.; Lv Jun author non-byline.; Pei Pei author non-byline.; Liu Chao author non-byline.; Jing Biao author non-byline.; Tan Yunlong author non-byline.; Yu Canqing author non-byline.; Pang Zengchang author non-byline.; Gao Ruqin author non-byline.; Li Shanpeng author non-byline.; Wang Shaojie author non-byline.; Liu Yongmei author non-byline.; Du Ranran author non-byline.; Zang Yajing author non-byline.; Cheng Liang author non-byline.; Tian Xiaocao author non-byline.; Zhang Hua author non-byline.; Zhai Yaoming author non-byline.; Ning Feng author non-byline.; Sun Xiaohui author non-byline.; Licang Feifei Li author non-byline.; Lv Silu author non-byline.; Wang Junzheng author non-byline.; Heilongjiang Wei Hou author non-byline.; Zeng Mingyuan author non-byline.; Jiang Ge author non-byline.; Nangang Xue Zhou author non-byline.; Yang Liqiu author non-byline.; He Hui author non-byline.; Yu Bo author non-byline.; Li Yanjie author non-byline.; Xu Qinai author non-byline.; Kang Quan author non-byline.; Hainan Ziyan Guo author non-byline.; Wang Dan author non-byline.; Hu Ximin author non-byline.; Wang Hongmei author non-byline.; Chen Jinyan author non-byline.; Fu Yan author non-byline.; Fu Zhenwang author non-byline.; Meilan Xiaohuan Wang author non-byline.; Weng Min author non-byline.; Guo Zhendong author non-byline.; Li Shukuan Wu, yilei author non-byline.; Fu jiangsu Huimei Li, zhifang author non-byline.; Wu Ming author non-byline.; Zhou Yonglin author non-byline.; Zhou Jinyi author non-byline.; Tao Ran author non-byline.; Yang Jie author non-byline.; Suzhou Jian Su author non-byline.; Liu Fang author non-byline.; Zhang Jun author non-byline.; Hu Yihe author non-byline.; Lu Yan author non-byline.; Ma Liangcai author non-byline.; Tang Aiyu author non-byline.; Zhang Shuo author non-byline.; Jin Jianrong author non-byline.; Zhenzhu tang Jingchao Liu author non-byline.; Chen Naying author non-byline.; Liuzhou Ying Huang author non-byline.; Li Mingqiang author non-byline.; Meng Jinhuai author non-byline.; Pan Rong author non-byline.; Jiang Qilian author non-byline.; Liu Jian Lan, yun author non-byline.; Wei Liuping author non-byline.; Zhou Liyuan author non-byline.; Ping wang Ningyu Chen author non-byline.; Meng Fanwen author non-byline.; Qin Yulu author non-byline.; Sichuan Sisi Wang author non-byline.; Wu Xianping author non-byline.; Zhang Ningmei author non-byline.; Chen Xiaofang author non-byline.; Pengzhou Weiwei Zhou author non-byline.; Luo Guojin author non-byline.; Li Jianguo author non-byline.; Chen Xiaofang author non-byline.; Zhong Xunfu author non-byline.; Liu Jiaqiu author non-byline.; Gansu Qiang Sun author non-byline.; Ge Pengfei author non-byline.; Ren Xiaolan author non-byline.; Maiji Caixia Dong author non-byline.; Zhang Hui author non-byline.; Mao Enke author non-byline.; Wang Xiaoping author non-byline.; Wang Tao author non-byline.; Henan Xi Zhang author non-byline.; Zhang Ding author non-byline.; Zhou Gang author non-byline.; Feng Shixian author non-byline.; Chang Liang author non-byline.; Huixian Lei Fan author non-byline.; Gao Yulian author non-byline.; He Tianyou author non-byline.; Sun Huarong author non-byline.; He Pan author non-byline.; Hu Chen author non-byline.; Zhang Xukui author non-byline.; Wu Huifang author non-byline.; Zhejiang Pan He author non-byline.; Yu Min author non-byline.; Hu Ruying author non-byline.; Tongxiang Hao Wang author non-byline.; Qian Yijian author non-byline.; Wang Chunmei author non-byline.; Xie Kaixu author non-byline.; Chen Lingli author non-byline.; Zhang Yidan author non-byline.; Gu hunan Dongxia Pan，qijun author non-byline.; Huang Yuelong author non-byline.; Chen Biyun author non-byline.; Yin Li author non-byline.; Liu Huilin author non-byline.; Fu Zhongxi author non-byline.; Liuyang Qiaohua Xu author non-byline.; Xu Xin author non-byline.; Zhang Hao author non-byline.; Long Huajun author non-byline.; Li Xianzhi author non-byline.; Zhang Libo author non-byline.; Qiu Zhe author non-byline.;
• Is Part Of: BMJ open respiratory research. Volume 5:Issue 1(2018)
• Publication Date: 2018-02-19
• Subjects: respiratory -- management -- COPD -- China; Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Diseases -- Treatment -- Periodicals; Respiratory therapy -- Periodicals; 616.2005
• DOI: 10.1136/bmjresp-2017-000267
• Languages: English
• ISSNs: 2052-4439

Abstract

Abstract : Introduction: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide, with COPD deaths in China accounting for one-third of all such deaths. However, there is limited available evidence on the management of COPD in China. Methods: A random sample of 25 011 participants in the China Kadoorie Biobank, aged 38–87 years, from 10 regions in China was surveyed in 2013–2014. Data were collected using interviewer-administered questionnaires on the diagnosis ('doctor-diagnosed' or 'symptoms-based') and management of COPD (including use of medication and other healthcare resources), awareness of diagnosis and severity of symptoms in COPD cases. Results: Overall, 6.3% of the study population were identified as COPD cases (doctor-diagnosed cases: 4.8% and symptom-based cases: 2.4%). The proportion having COPD was higher in men than in women (7.9% vs 5.3%) and varied by about threefold (3.7%–10.0%) across the 10 regions. Among those with COPD, 54% sought medical advice during the last 12 months, but <10% reported having received treatment for COPD. The rates of hospitalisation for COPD, use of oxygen therapy at home and influenza or pneumococcal vaccinations in the previous year were 15%, 3% and 4%, respectively. Of those with COPD, half had moderate or severe respiratory symptoms, and over 80% had limited understanding of their disease and need for treatment. Conclusion: Despite a high prevalence of COPD in China and its substantial impact on activities of daily living, knowledge about COPD and its management were limited.