Chronic Obstructive Pulmonary Disease in Latin America

The PLATINO and PREPOCOL population-based studies documented the prevalence of chronic obstructive pulmonary disease (COPD) in several Latin American (Mexico City, Sao Paulo, Montevideo, Santiago and Caracas) and Colombian (Medellin, Bogota, Barranquilla, Bucaramanga and Cali) cities. COPD ranged be...

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Autores principales:	Rogelio Perez-Padilla, Ana Maria B. Menezes
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/9748a86f3586488ab648f5a3fba4af9f
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spelling	oai:doaj.org-article:9748a86f3586488ab648f5a3fba4af9f2021-12-02T01:06:56ZChronic Obstructive Pulmonary Disease in Latin America2214-999610.5334/aogh.2418https://doaj.org/article/9748a86f3586488ab648f5a3fba4af9f2019-01-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2418https://doaj.org/toc/2214-9996The PLATINO and PREPOCOL population-based studies documented the prevalence of chronic obstructive pulmonary disease (COPD) in several Latin American (Mexico City, Sao Paulo, Montevideo, Santiago and Caracas) and Colombian (Medellin, Bogota, Barranquilla, Bucaramanga and Cali) cities. COPD ranged between 6.2 and 19.6% in individuals ≥40 years of age, with substantial rates of underdiagnosis (up to 89%) but also overdiagnosis, mostly due to the lack of spirometric confirmation. The main risk factor was tobacco smoking, but male gender and age were also associated with COPD. COPD in never smokers represented about one third of the cases and was associated with previous history of tuberculosis or a diagnosis of asthma. COPD associated with biomass smoke exposure was a common clinical phenotype in Latin America, found as a risk factor in PREPOCOL and other observational studies in the region. Smoking has been decreasing in Latin America and efforts have been made to implement cleaner biomass stoves. Unfortunately, treatment of COPD in Latin America remains highly variable with low rates of smoking cessation counselling, low use of inhaled bronchodilators and influenza vaccination. A primary-care approach to COPD, particularly in the form of integrated programs is lacking but would be critical to improving rates of diagnosis and treatment of COPD.Rogelio Perez-PadillaAna Maria B. MenezesUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Rogelio Perez-Padilla Ana Maria B. Menezes Chronic Obstructive Pulmonary Disease in Latin America
description	The PLATINO and PREPOCOL population-based studies documented the prevalence of chronic obstructive pulmonary disease (COPD) in several Latin American (Mexico City, Sao Paulo, Montevideo, Santiago and Caracas) and Colombian (Medellin, Bogota, Barranquilla, Bucaramanga and Cali) cities. COPD ranged between 6.2 and 19.6% in individuals ≥40 years of age, with substantial rates of underdiagnosis (up to 89%) but also overdiagnosis, mostly due to the lack of spirometric confirmation. The main risk factor was tobacco smoking, but male gender and age were also associated with COPD. COPD in never smokers represented about one third of the cases and was associated with previous history of tuberculosis or a diagnosis of asthma. COPD associated with biomass smoke exposure was a common clinical phenotype in Latin America, found as a risk factor in PREPOCOL and other observational studies in the region. Smoking has been decreasing in Latin America and efforts have been made to implement cleaner biomass stoves. Unfortunately, treatment of COPD in Latin America remains highly variable with low rates of smoking cessation counselling, low use of inhaled bronchodilators and influenza vaccination. A primary-care approach to COPD, particularly in the form of integrated programs is lacking but would be critical to improving rates of diagnosis and treatment of COPD.
format	article
author	Rogelio Perez-Padilla Ana Maria B. Menezes
author_facet	Rogelio Perez-Padilla Ana Maria B. Menezes
author_sort	Rogelio Perez-Padilla
title	Chronic Obstructive Pulmonary Disease in Latin America
title_short	Chronic Obstructive Pulmonary Disease in Latin America
title_full	Chronic Obstructive Pulmonary Disease in Latin America
title_fullStr	Chronic Obstructive Pulmonary Disease in Latin America
title_full_unstemmed	Chronic Obstructive Pulmonary Disease in Latin America
title_sort	chronic obstructive pulmonary disease in latin america
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/9748a86f3586488ab648f5a3fba4af9f
work_keys_str_mv	AT rogelioperezpadilla chronicobstructivepulmonarydiseaseinlatinamerica AT anamariabmenezes chronicobstructivepulmonarydiseaseinlatinamerica
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Chronic Obstructive Pulmonary Disease in Latin America

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