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Related Experiment Videos

International comparisons in COPD mortality.

T J Thom1

  • 1National Heart, Lung and Blood Institute, Bethesda, MD.

The American Review of Respiratory Disease
|September 1, 1989
PubMed
Summary

Chronic obstructive pulmonary disease (COPD) causes less than 10% of deaths in developed nations, with significant regional variations. Recent trends show declines in some areas, but overall mortality patterns remain unclear.

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Area of Science:

  • Public Health
  • Epidemiology
  • Respiratory Medicine

Background:

  • Chronic obstructive pulmonary disease (COPD) and related conditions are significant causes of mortality in developed countries.
  • Despite its impact, COPD accounts for less than 10% of all deaths, even among the elderly.

Purpose of the Study:

  • To analyze international variations in COPD mortality rates.
  • To examine recent trends in COPD mortality across developed nations.
  • To assess the reliability of cause-of-death statistics for COPD.

Main Methods:

  • Analysis of cause-of-death statistics from 31 developed countries.
  • Comparison of COPD mortality rates across different regions.
  • Examination of mortality trends between 1980 and 1985, and longer-term patterns.

Main Results:

  • COPD mortality rates are highest in Eastern Europe, Ireland, Scotland, and England/Wales, and lowest in Southern Europe, Japan, and Israel.
  • While major causes of death declined between 1980-1985, COPD and lung cancer mortality did not show similar decreases.
  • Upward mortality trends were observed in only nine countries, specifically in older women and the oldest men; trends were unclear in 22 other countries.

Conclusions:

  • Significant intercountry differences in COPD mortality exist, though data comparability issues warrant caution.
  • The recent mortality trends for COPD are complex and not uniformly increasing across all countries.
  • Further long-term data are required to confirm and explain observed patterns and geographical disparities in COPD mortality.

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