Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019

Background: We aimed to estimate the incidence, mortality, disability-adjusted life years (DALYs) for chronic obstructive pulmonary disease (COPD) in 204 countries and territories. We examined the variations in these trends by country, gender, age group, and sociodemographic index (SDI).Methods: We...

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Main Authors: Haifeng Wang, Xiaojuan Ye, Yafeng Zhang, Shiliang Ling
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.925132/full
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author Haifeng Wang
Xiaojuan Ye
Yafeng Zhang
Shiliang Ling
author_facet Haifeng Wang
Xiaojuan Ye
Yafeng Zhang
Shiliang Ling
author_sort Haifeng Wang
collection DOAJ
description Background: We aimed to estimate the incidence, mortality, disability-adjusted life years (DALYs) for chronic obstructive pulmonary disease (COPD) in 204 countries and territories. We examined the variations in these trends by country, gender, age group, and sociodemographic index (SDI).Methods: We calculated the estimated annual percentage changes (EAPCs) to assess temporal trends in the age-standardized incidence rate, age-standardized mortality rate, and age-standardized DALYs of COPD from 1990 to 2019.Results: From 1990 to 2019, the COPD incidence and COPD-associated deaths and DALYs increased worldwide by 86%, 30%, and 26%, respectively. From 1990 to 2019, the global age-standardized incidence rate (EAPC, −0.11; 95% confidence interval (CI), −0.25 to 0.04), age-standardized mortality rate (EAPC, −2.10; 95% CI, −2.19 to −2.00), and age-standardized DALYs (EAPC, −1.87; 95% CI, −1.94 to −1.81) of COPD decreased. The age-standardized incidence of COPD increased most in areas with high SDI (EAPC 0.56). The largest increases in the age-standardized incidence rate of COPD were recorded in High-income North America (EAPC, 1.41), Southern Latin America (EAPC, 0.29), and North Africa and the Middle East (EAPC, 0.09). The three countries that recorded the largest increases in COPD incidence from 1990 to 2019 were the United States of America (EAPC, 1.51), Saudi Arabia (EAPC, 1.17), and Oman (EAPC, 1.10).Conclusion: Despite the decreased burden of COPD globally from 1990 to 2019, the age-standardized incidence rate of COPD increased in areas with high SDI, High-income North America, Southern Latin America, North Africa, and the Middle East.
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spelling doaj.art-e8943ce117fb4c0c8536b210403ee78c2022-12-22T02:32:26ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-08-011310.3389/fphys.2022.925132925132Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019Haifeng Wang0Xiaojuan Ye1Yafeng Zhang2Shiliang Ling3Department of Hematology and Oncology, The People’s Hospital of Beilun District, Beilun Branch of the First Affiliated Hospital of Medical College of Zhejiang University, Ningbo, ChinaDepartment of Hematology and Oncology, The People’s Hospital of Beilun District, Beilun Branch of the First Affiliated Hospital of Medical College of Zhejiang University, Ningbo, ChinaDepartment of Hematology and Oncology, The People’s Hospital of Beilun District, Beilun Branch of the First Affiliated Hospital of Medical College of Zhejiang University, Ningbo, ChinaDepartment of Oncology, Ningbo Hospital of Traditional Chinese Medicine, Ningbo, ChinaBackground: We aimed to estimate the incidence, mortality, disability-adjusted life years (DALYs) for chronic obstructive pulmonary disease (COPD) in 204 countries and territories. We examined the variations in these trends by country, gender, age group, and sociodemographic index (SDI).Methods: We calculated the estimated annual percentage changes (EAPCs) to assess temporal trends in the age-standardized incidence rate, age-standardized mortality rate, and age-standardized DALYs of COPD from 1990 to 2019.Results: From 1990 to 2019, the COPD incidence and COPD-associated deaths and DALYs increased worldwide by 86%, 30%, and 26%, respectively. From 1990 to 2019, the global age-standardized incidence rate (EAPC, −0.11; 95% confidence interval (CI), −0.25 to 0.04), age-standardized mortality rate (EAPC, −2.10; 95% CI, −2.19 to −2.00), and age-standardized DALYs (EAPC, −1.87; 95% CI, −1.94 to −1.81) of COPD decreased. The age-standardized incidence of COPD increased most in areas with high SDI (EAPC 0.56). The largest increases in the age-standardized incidence rate of COPD were recorded in High-income North America (EAPC, 1.41), Southern Latin America (EAPC, 0.29), and North Africa and the Middle East (EAPC, 0.09). The three countries that recorded the largest increases in COPD incidence from 1990 to 2019 were the United States of America (EAPC, 1.51), Saudi Arabia (EAPC, 1.17), and Oman (EAPC, 1.10).Conclusion: Despite the decreased burden of COPD globally from 1990 to 2019, the age-standardized incidence rate of COPD increased in areas with high SDI, High-income North America, Southern Latin America, North Africa, and the Middle East.https://www.frontiersin.org/articles/10.3389/fphys.2022.925132/fullCOPDincidencemortalitydisability-adjusted life yearsglobal burden of disease
spellingShingle Haifeng Wang
Xiaojuan Ye
Yafeng Zhang
Shiliang Ling
Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019
Frontiers in Physiology
COPD
incidence
mortality
disability-adjusted life years
global burden of disease
title Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019
title_full Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019
title_fullStr Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019
title_full_unstemmed Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019
title_short Global, regional, and national burden of chronic obstructive pulmonary disease from 1990 to 2019
title_sort global regional and national burden of chronic obstructive pulmonary disease from 1990 to 2019
topic COPD
incidence
mortality
disability-adjusted life years
global burden of disease
url https://www.frontiersin.org/articles/10.3389/fphys.2022.925132/full
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AT yafengzhang globalregionalandnationalburdenofchronicobstructivepulmonarydiseasefrom1990to2019
AT shiliangling globalregionalandnationalburdenofchronicobstructivepulmonarydiseasefrom1990to2019