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    Use of a Cross-Sectional Survey in the Adult Population to Characterize Persons at High-Risk for Chronic Obstructive Pulmonary Disease

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    Author
    Pleasants, Roy A
    Heidari, Khosrow
    Ohar, Jill
    Donohue, James F
    Lugogo, Njira
    Richard, Chelsea L
    Kanotra, Sarojina
    Mannino, David M
    Kraft, Monica
    Liao, Winston
    Strange, Charlie
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    Affiliation
    Univ Arizona, Dept Internal Med
    Issue Date
    2019-01-18
    Keywords
    body mass index
    comorbidities
    dyspnea on exertion
    health impairment
    productive cough
    shortness of breath
    tobacco smoking
    undiagnosed COPD
    
    Metadata
    Show full item record
    Publisher
    MDPI
    Citation
    Pleasants RA, Heidari K, Ohar J, Donohue JF, Lugogo N, Richard CL, Kanotra S, Mannino DM, Kraft M, Liao W, Strange C. Use of a Cross-Sectional Survey in the Adult Population to Characterize Persons at High-Risk for Chronic Obstructive Pulmonary Disease. Healthcare. 2019; 7(1):12.
    Journal
    HEALTHCARE
    Rights
    © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Rationale/Objective: The Behavioral Risk Factor Surveillance System (BRFSS) health survey has been used to describe the epidemiology of chronic obstructive pulmonary disease (COPD) in the US. Through addressing respiratory symptoms and tobacco use, it could also be used to characterize COPD risk. Methods: Four US states added questions to the 2015 BRFSS regarding productive cough, shortness of breath, dyspnea on exertion, and tobacco duration. We determined COPD risk categories: provider-diagnosed COPD as self-report, high-risk for COPD as >= 10 years tobacco smoking and at least one significant respiratory symptom, and low risk was neither diagnosed COPD nor high risk. Disease burden was defined by respiratory symptoms and health impairments. Data were analyzed using multiple logistic regression models with age as a covariate. Results: Among 35,722 adults >= 18 years, the overall prevalence of COPD and high-risk for COPD were 6.6% and 5.1%. Differences among COPD risk groups were evident based on gender, race, age, geography, tobacco use, health impairments, and respiratory symptoms. Risk for disease was seen early where 3.75% of 25-34 years-old met high-risk criteria. Longer tobacco duration was associated with an increased prevalence of COPD, particularly >20 years. Seventy-nine percent of persons >= 45 years-old with frequent shortness of breath (SOB) reported having or being at risk of COPD, reflecting disease burden. Conclusion: These data, representing nearly 18% of US adults, indicates those at high risk for COPD share many, but not all of the characteristics of persons diagnosed with the disease and demonstrates the value of the BRFSS as a tool to define lung health at a population level.
    Note
    Open access journal
    ISSN
    2227-9032
    PubMed ID
    30669305
    DOI
    10.3390/healthcare7010012
    Version
    Final published version
    Sponsors
    GlaxoSmithKline [DP006065]; Centers for Disease Control and Prevention
    ae974a485f413a2113503eed53cd6c53
    10.3390/healthcare7010012
    Scopus Count
    Collections
    UA Faculty Publications

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