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Chetionarul CAT in BPOC - primul instrument de imbunatatire a dialogului dintre medic si pacientConf. Dr. Antigona Trofor1Epidemiologie210 millioane pacieni

Mortalitate3 milioane decese n 2005 (5% din totalitatea deceselor)

Progresie estimatA treia cauz de deces n 2030>30% cretere a numrului de decese n urmtorii 10 ani fr implementarea unor msuri de prevenie

Variabilitate 90% din decese n rile cu venituri mici i medii n care nu sunt disponibile sau implementate strategii eficiente de prevenie i control

World Health Organization. 2009.Cigarette, Global Burden, Mortality, PrevalenceEstimates from the Global Burden of Disease study show COPD resulted in 2.75 million deaths overall representing 4.8% of all deaths worldwide.BPOC la nivel global2Speaker NotesAn estimated 210 million people worldwide have COPD.1More than 3 million people died of COPD in 2005; this represented 5% of all deaths worldwide.1Almost 90% of COPD deaths occur in low- and middle-income countries where effective strategies for prevention and control are not always implemented or available.1Total deaths from COPD are projected to increase by >30% over the 10 years without interventions to decrease risk, particularly exposure to tobacco smoke.1Estimates show that COPD will become the third-leading cause of death worldwide by 2030.2

ReferencesWorld Health Organization. Chronic obstructive pulmonary disease. 2009. Available at: http://www.who.int/mediacentre/factsheets/fs315/en/index.html.World Health Organization. Chronic respiratory diseases. 2009. Available at: http://www.who.int/respiratory/copd/burden/en/index.html.BPOC este singura cauz major de deces n ntreaga lume care a crescut semnificativ n ultimii aniGhidurile GOLD. www.goldcopd.com3,0Modificrile procentuale ale ratelor de deces ajustate dupvrst n SUA, 196519981,02,00Proporia din rata de deces din 19652,51,50,5BoalcoronarianischemicAVCAlteBoli CVBPOCToatecelelaltecauze59%64%35%+163%7%CV = cardiovasculare 3Ghidul GOLD. www.goldcopd.comPana in 2020 BPOC va deveni a 3-a cauza de mortalitate din lumeBoala coronara ischemicaBoli cerebrovasculareInfectii de tract respirator inferiorBoli diareiceAfectiuni perinataleBPOCTuberculozaPojarAccidente rutiereCancer pulmonarCancer de stomacHIV Suicid1990202036Murray & Lopez LANCET 19974Ghidul GOLD. www.goldcopd.comA patra cauz de deces cu potenialul de a deveni a treia cauz de deces n urmtorii15 ani

200,000300,000 decese anual n Europa

Pierderi n productivitatea muncii cauzate de BPOC 28.5 miliarde anualEuropean Lung Foundation. Raise awareness about COPD in the EU. 2006.Cost, MortalityCOPD is currently the fourth largest killer in the European Union and is predicted to become the third biggest killer within the next 15 years.BPOC n Europa5Speaker NotesCOPD is currently the fourth biggest killer in the European Union and is predicted to become the third biggest killer within the next 15 years. Approximately 200,000300,000 people die each year in Europe because of COPD. Among respiratory diseases, COPD is the leading cause of lost work days, and it is estimated that in Europe productivity losses due to COPD amount to a total of 28.5 billion annually.

ReferenceEuropean Lung Foundation. Raise awareness about COPD in the EU. 2006. Available at: http://www.european-lung-foundation.org/index.php?id=1071.

Pacienii pot subestima impactul bolii de care sufer Datele studiului referitor la impactul BPOC n Europa i America de Nord n 20001 (n=3265) au indicat urmtoarele: 36% dintre cei pe care dispneea i-a mpiedicat s prseasc domiciliul i-au descris starea ca fiind medie sau moderat

60% dintre cei cu apariia dispneei dup cteva minute de mers pe o suprafa plan i-au descris starea ca fiind medie sau moderat

1. Rennard S et al. Eur Respir J 2002;20:799805.6Cnd au fost combinate datele colectate n Europa utiliznd chestionarul Confruntarea BPOC cu datele din America, rezultatele au artat c pentru o treime dintre pacieni care aveau dificulti de respiraie prea mari pentru a putea prsi casa, 36% i-au descris afeciunea ca fiind medie sau moderat, aa cum au fcut 60% din cei care au avut dificulti de respiraie dup ce au mers cteva minute pe o suprafa plan.1

Aceste date indic faptul c pacienii i pot subevalua gravitatea afeciunii de care sufer, ceea ce face ca impactul simptomelor pacienilor asupra vieii acestora s fie greu de evaluat pentru doctori. Datele sugereaz de asemenea faptul c impactul BPOC este similar n regiuni diferite n ciuda diferenelor zonale de gestionare a afeciunii.

1. Rennard S et al. Eur Respir J 2002;20:799805.

Impactul BPOC n Europa i America de Nord n 2001BPOC are un impact semnificativ asupra pacienilor*1 *Persoanele cu vrste 45ani diagnosticate cu emfizem, bronit cronic sau BPOC, sau care respect definiia simptomatic a bronitei cronice. 1. Rennard S et al. Eur Respir J 2002;20:799805.020406080100Subieci cu limitari (%)Activiti sportive i recreativeEfort fizic normal Activitati socialeSomnActiviti casniceVia sexualFamiliep