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Article: Trends in COPD mortality and hospitalizations in countries and regions of Asia-Pacific

TitleTrends in COPD mortality and hospitalizations in countries and regions of Asia-Pacific
Authors
Issue Date2009
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/RES
Citation
Respirology, 2009, v. 14 n. 1, p. 90-97 How to Cite?
AbstractBackground and objective: The growing burden of COPD in the Asia-Pacific region supports the need for more intensive research and analysis of the epidemiology of COPD to raise awareness of the disease and its causes, to ensure the development of effective national health policies and to facilitate equitable deployment of finite health-care resources in the prevention and management of COPD. This study estimated and compared COPD mortality and hospital morbidity rates and trends in these rates over time across countries and regions of Asia-Pacific. Methods: Data consistent with standard definitions of COPD (ICD-9/ICD-10) for the period 1991-2004 were obtained from national health statistics agencies. For countries/regions with complete national mortality and hospitalization data (Australia, Pacific Canada (British Columbia, Hong Kong, South Korea and Taiwan), annual age-standardized mortality and hospitalization rates were calculated for men and women aged ≥ 40 years. Negative binomial regression modelling was used to estimate rate ratios for country/region, gender and age differences and general trends over time. Results: Mortality rates per 10 000 population ranged 6.4-9.2 in men, 2.1-3.5 in women and 3.7-5.3 overall in 2003. Corresponding ranges for morbidity were 32.6-334.7, 21.2-129 and 28.1-207.3 per 10 000. Trend analysis of data since 1997 produced annual percentage changes in mortality versus hospitalization of -4.4% versus -0.7% in Australia, -3.6% versus 7.5% in Pacific Canada (British Columbia), -7.15% versus -5.6% in Hong Kong and -2.9% versus -4.2% in Taiwan. Conclusions: In Asia-Pacific, overall mortality and morbidity rates are high and trends in mortality and morbidity vary between countries/regions. Differences in rates and trends for men and women most likely reflect the different trends in historical and prevalent smoking profiles for COPD in the different countries and regions. © 2008 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/59201
ISSN
2015 Impact Factor: 3.078
2015 SCImago Journal Rankings: 1.157
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTan, WCen_HK
dc.contributor.authorSeale, Pen_HK
dc.contributor.authorIp, Men_HK
dc.contributor.authorShim, YSen_HK
dc.contributor.authorChiang, CHen_HK
dc.contributor.authorNg, TPen_HK
dc.contributor.authorAbisheganadan, Jen_HK
dc.contributor.authorCharoenratanakul, Sen_HK
dc.contributor.authorDeGuia, Ten_HK
dc.contributor.authorMahayiddin, Aen_HK
dc.contributor.authorMangunnegoro, Hen_HK
dc.contributor.authorXu, YJen_HK
dc.contributor.authorZhong, NSen_HK
dc.date.accessioned2010-05-31T03:44:58Z-
dc.date.available2010-05-31T03:44:58Z-
dc.date.issued2009en_HK
dc.identifier.citationRespirology, 2009, v. 14 n. 1, p. 90-97en_HK
dc.identifier.issn1323-7799en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59201-
dc.description.abstractBackground and objective: The growing burden of COPD in the Asia-Pacific region supports the need for more intensive research and analysis of the epidemiology of COPD to raise awareness of the disease and its causes, to ensure the development of effective national health policies and to facilitate equitable deployment of finite health-care resources in the prevention and management of COPD. This study estimated and compared COPD mortality and hospital morbidity rates and trends in these rates over time across countries and regions of Asia-Pacific. Methods: Data consistent with standard definitions of COPD (ICD-9/ICD-10) for the period 1991-2004 were obtained from national health statistics agencies. For countries/regions with complete national mortality and hospitalization data (Australia, Pacific Canada (British Columbia, Hong Kong, South Korea and Taiwan), annual age-standardized mortality and hospitalization rates were calculated for men and women aged ≥ 40 years. Negative binomial regression modelling was used to estimate rate ratios for country/region, gender and age differences and general trends over time. Results: Mortality rates per 10 000 population ranged 6.4-9.2 in men, 2.1-3.5 in women and 3.7-5.3 overall in 2003. Corresponding ranges for morbidity were 32.6-334.7, 21.2-129 and 28.1-207.3 per 10 000. Trend analysis of data since 1997 produced annual percentage changes in mortality versus hospitalization of -4.4% versus -0.7% in Australia, -3.6% versus 7.5% in Pacific Canada (British Columbia), -7.15% versus -5.6% in Hong Kong and -2.9% versus -4.2% in Taiwan. Conclusions: In Asia-Pacific, overall mortality and morbidity rates are high and trends in mortality and morbidity vary between countries/regions. Differences in rates and trends for men and women most likely reflect the different trends in historical and prevalent smoking profiles for COPD in the different countries and regions. © 2008 The Authors.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/RESen_HK
dc.relation.ispartofRespirologyen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAge Distributionen_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshAsia - epidemiologyen_HK
dc.subject.meshAustralia - epidemiologyen_HK
dc.subject.meshBritish Columbia - epidemiologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHospitalization - trendsen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshMortality - trendsen_HK
dc.subject.meshPulmonary Disease, Chronic Obstructive - epidemiology - mortalityen_HK
dc.subject.meshRegression Analysisen_HK
dc.subject.meshSex Distributionen_HK
dc.titleTrends in COPD mortality and hospitalizations in countries and regions of Asia-Pacificen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1323-7799&volume=14&spage=90&epage=97&date=2009&atitle=Trends+in+COPD+mortality+and+hospitalizations+in+countries+and+regions+of+Asia-Pacificen_HK
dc.identifier.emailIp, M:msmip@hku.hken_HK
dc.identifier.authorityIp, M=rp00347en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1440-1843.2008.01415.xen_HK
dc.identifier.pmid19144054-
dc.identifier.scopuseid_2-s2.0-58149114866en_HK
dc.identifier.hkuros162710en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-58149114866&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage90en_HK
dc.identifier.epage97en_HK
dc.identifier.isiWOS:000261839500011-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridTan, WC=13403886200en_HK
dc.identifier.scopusauthoridSeale, P=24529032700en_HK
dc.identifier.scopusauthoridIp, M=7102423259en_HK
dc.identifier.scopusauthoridShim, YS=7101785913en_HK
dc.identifier.scopusauthoridChiang, CH=7402434394en_HK
dc.identifier.scopusauthoridNg, TP=7402229981en_HK
dc.identifier.scopusauthoridAbisheganadan, J=25930818200en_HK
dc.identifier.scopusauthoridCharoenratanakul, S=6701368114en_HK
dc.identifier.scopusauthoridDeGuia, T=25930822200en_HK
dc.identifier.scopusauthoridMahayiddin, A=22935161400en_HK
dc.identifier.scopusauthoridMangunnegoro, H=19535700400en_HK
dc.identifier.scopusauthoridXu, YJ=8239208500en_HK
dc.identifier.scopusauthoridZhong, NS=7102137996en_HK
dc.identifier.citeulike3821097-

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