Vol 73, No 3-4 (2005)
Research paper
Published online: 2008-02-18
Submitted: 2013-02-22
National Program of Early Detection and Prevention of COPD in the years 2000-2002
Jan Zieliński, Michał Bednarek, Dorota Górecka
Pneumonol Alergol Pol 2005;73(3-4):116-121.
Vol 73, No 3-4 (2005)
ORIGINAL PAPERS
Published online: 2008-02-18
Submitted: 2013-02-22
Abstract
COPD is a highly prevalent disease and ranks 4th among main causes of death in Poland. To control the disease national program of early detection and prevention of COPD was proposed. Program, under the auspices of the Ministry of Health, was implemented by the National TB and Lung Diseases Research Institute in Warsaw and run in out-patient chest clinics all over the country. Smokers aged more than 40 years were proposed a free spirometry and antismoking advice. During three years 91 859 subjects were screened, mean age 53.2±11.5 years, 57.9% males. There were 61.6% of current smokers, 26.7% of former smokers and 9.7% of never smokers. Spirometric measurements were: in 71.8% normal, in 19.9% showed airflowlimitation,andin8.3%showed restrictive pattern. Severity of air flow limitation was mild in 7.7%, moderate in 6.7% and severe in 5.6%of all investigated subjects. In smokers older then 40 years and a history of more than 10 pack-years AL was diagnosed in 22,75%. Airflow limitation was found in 14.5% of never smokers.
In summary. Program resulted in a very high (20%) diagnosis of airflow limitation. Subjects screened were not aware of their disease. Even subjects who presented with severe form of airflow limitation were not diagnosed earlier.
Pneumonol. Alergol. Pol. 2005, 73, 116-121
Abstract
COPD is a highly prevalent disease and ranks 4th among main causes of death in Poland. To control the disease national program of early detection and prevention of COPD was proposed. Program, under the auspices of the Ministry of Health, was implemented by the National TB and Lung Diseases Research Institute in Warsaw and run in out-patient chest clinics all over the country. Smokers aged more than 40 years were proposed a free spirometry and antismoking advice. During three years 91 859 subjects were screened, mean age 53.2±11.5 years, 57.9% males. There were 61.6% of current smokers, 26.7% of former smokers and 9.7% of never smokers. Spirometric measurements were: in 71.8% normal, in 19.9% showed airflowlimitation,andin8.3%showed restrictive pattern. Severity of air flow limitation was mild in 7.7%, moderate in 6.7% and severe in 5.6%of all investigated subjects. In smokers older then 40 years and a history of more than 10 pack-years AL was diagnosed in 22,75%. Airflow limitation was found in 14.5% of never smokers.
In summary. Program resulted in a very high (20%) diagnosis of airflow limitation. Subjects screened were not aware of their disease. Even subjects who presented with severe form of airflow limitation were not diagnosed earlier.
Pneumonol. Alergol. Pol. 2005, 73, 116-121
Keywords
COPD; spirometry; early diagnosis; smokers; 40 years
Title
National Program of Early Detection and Prevention of COPD in the years 2000-2002
Journal
Advances in Respiratory Medicine
Issue
Vol 73, No 3-4 (2005)
Article type
Research paper
Pages
116-121
Published online
2008-02-18
Bibliographic record
Pneumonol Alergol Pol 2005;73(3-4):116-121.
Keywords
COPD
spirometry
early diagnosis
smokers
40 years
Authors
Jan Zieliński
Michał Bednarek
Dorota Górecka