慢性肺炎的低诊断:日本COPD真实世界数据流行病学 (CORE) 研究
Yuka Koga1, Sayaka Deguchi1, Takeshi Matsuo1
1Pharmaceutical Division, Pharmaceutical Company, Kracie, Ltd, Tokyo, Japan.
概括
这项研究发现,只有4.0%的日本成年人患有气流阻塞,其中很少有人被诊断为慢性阻塞性肺病 (COPD). 提高认识和早期检测对于改善COPD诊断率至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 空气流阻塞影响了日本人口的很大一部分,之前的估计在3.8%至16.9%之间.
- 慢性阻塞性肺病 (COPD) 是一个主要的公共卫生问题,往往被诊断不足.
研究的目的:
- 用大型数据库重新评估日本空气流阻塞的流行情况.
- 为了确定COPD的诊断率在患有气流阻塞的个体中.
主要方法:
- 来自JMDC的医疗保险索赔和健康检查数据的分析.
- 包括40岁及以上的个人,他们在2019年接受了螺旋计.
- 评估气流阻塞的患病率,COPD诊断率,疾病阶段和呼吸功能.
主要成果:
- 在102,190名参与者中,4.0%的人 (5.3%的男性,2.1%的女性) 患有气流阻塞.
- 只有8.4%的空气流阻塞患者接受了COPD诊断.
- 被诊断为COPD的患者的FEV1/FVC和FEV1值明显较低,表明疾病更为晚期.
结论:
- 在日本,患有空气流阻塞的患者中,COPD诊断率特别低.
- 迫切需要提高公众和医生对COPD的认识.
- 在初级保健医生和肺病学家之间加强合作对于早期发现COPD和改善诊断率至关重要.
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