Prevalence and risk factors of chronic obstructive pulmonary disease
The PLATINO project in Montevideo
Keywords:
OBSTRUCTIVE PNEUMOPATHIES, SMOKING, RISK FACTOR'SAbstract
Chronic obstructive pulmonary disease (COPD) is one of the major cause of mortality in developed countries. Epidemiologic data from Latin America are scant. PLATINO (Proyecto Latinoamericano de Investigación en Obstrucción Pulmonar) is a multi-center study aimed at measuring COPD prevalence in five major cities in Latin America, describing risk factors and respiratory symptoms, assessing sensitivity and specificity symptomatology to correlate prior medical and functional diagnosis of COPD.
The sample was obtained following different stages, clustered in categories in order to analyse a population-based sample of approximately 1,000 individuals aged 40 years or older of the metropolitan area of Montevideo. Out of 1140 elegible individuals, 943 completed standardized questionnaires and 885 post-bronchodilator spirometries were submitted. Prevalence of OPCD according to functional criteria was: VEF1/CVF <70%: 19,7%. According to Chronic Obstructive Lung Disease(GOLD) definition (VEF1/CVF <70% and VEF1<80% predict) was 7,8% because severity level is also quantified (stage II). Smoking was present in 28% of requested. They reached 47% more COPD than non-smokers; this finding was 78% higher in smokers with an index of box/year > 10.
Low sensitivity and specificity of respiratory symptoms and diagnose of this disease might promote early detection of limited air by spirometry in order to indicate appropiate therapeutic steps.
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28) Pety T. Scope of the COPD in North America: early study of prevalence and NHANES III Data: basis for early identification and intervention. Chest 2000; 117(5 Suppl 2): 326S-31S.
29) Carámbula J, Ronco A, Nedworok N. Investigación socio-laboral del tabaquismo en el Uruguay urbano. Montevideo: MSP, 1995.
30) Junta Nacional de Drogas. Encuesta Nacional de Prevalencia de Consumo de Drogas, 3. Montevideo: JND, 2001.
31) Menezes A, Victora C, Rigatto M. Prevalence and risk factors for chronic bronchitis in Pelotas, RS, Brazil: a population-based study. Thorax 1994; 49: 1217-21.
2) Hurd S. The impact of COPD on lung health worldwide: epidemiology and incidence. Chest 2000; 117(2 Suppl): 1S-4S.
3) Pauwels R. COPD: the scope of the problem in Europe. Chest 2000; 117(5 Suppl 2): 332S-5S.
4) Petty T. Scope of the COPD problem in North America: early studies of prevalence and NHANES III data: basis for early identification and intervention. Chest 2000; 117(5 Suppl 2): 326S-31S.
5) Multi-Center Survey of COPD in Five Major Latin-American Cities: the "PLATINO" Surve. Proposal by Ana Menezes (presentado por ALAT Boehringer-Ingelheim). Pelotas, 2002.
http://www.platino-alat.org/docs/ platino_ project _english. pdf.pdf [consulta: 2 ago 2004].
6) Uruguay. Instituto Nacional de Estadística. Censo Nacional de Población y Vivienda INE-1996. Montevideo: INE, 1996.
7) Menezes A, Victora C, Pérez-Padilla R, The PLATINO Team. The Platino project: methodology of a multicenter prevalence survey of chronic obstructive pulmonary disease in major Latin American cities. [artículo en línea]. BMC Med Res Methodol 2004; 4(1):15. http://www.biomedcentral.com/1471-2288/4/15 [consulta 2 ago 2004].
8) Ferris B. Epidemiology standardization project. Am Rev Respir Dis 1978; 118:1120.
9) European Community Respiratory Health Survey. ECRCHS2 II http://www.ecrhs.org [consulta: 10 ago 2004]
10) Lung Health Study. http://www.bccr.ca/downloads/ci/1c02 questionnaire.doc
11) Ware J, Kosinski M, Keller S. SF-12: How to score the SF12 Physical and Mental Health Summary Scales. 2 ed. Boston: The Health Institute, New England Medical Center, 1995.
12) Cyba Foundation Guest Symposium. Terminology, definition and classification of chronic pulmonary emphysema and related conditions. Thorax 1959; 14: 286-99.
13) Anthropometric Standardization Reference Manual. Lohman T, Roche A, Martorell R, eds. Champaign: Human Kinetics, 1988.
14) Habicht J. Estandarizacion de métodos epidemiológicos cuantitativos sobre el terreno. Bol Oficina Sanit Panam 1974; 76(5): 375-84.
15) Standardization of Spirometry, 1994 Update. American Thoracic Society. Am J Respir Crit Care Med 1995; 152(3): 1107-36.
16) Enright P, Johnson L, Connett J, Voelker H, Buist S. Spirometry in the Lung Health Study. Methods and quality control. Am Rev Respir Dis 1991; 143: 1215-23.
17) Hankinson J, Odencrantz J, Fedan K. Spirometric reference values from a sample of the general U.S. population. Am. J Respir Crit Care Med 1999; 159: 179-87.
18) U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Plan and operation of the Third National Health and Nutrition Examination Survey (NHANES III), 1988-94. http://www.cdc.gov/nchs/products/pubs/pubd/series/sr01/pre-21/ser1_32.htm [consulta: 20 Dic 2002].
19) National Heart, Lung, and Blood Institute. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Bethesda: WHO, 2001. http://www.goldcopd.com.
20) Quanjer P, Tammeling G, Cotes J, Pedersen O, Peslin R, Yernault J. Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Respir J 1993; 16: 5-40.
21) American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Resp Crit Care Med 1995; 152(5 Pt 2): S77-121.
22) Barros A, Hirakata V. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 2003; 3(1): 21.
23) Victora C, Huttly S, Fuchs S, Olinto M. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol 1997; 26: 224-7.
24) Uruguay. Ministerio de Salud Pública. División General de la Salud. Departamento de Estadística. Publicación Anual 2001.
25) Petty T. COPD in perspective. Chest 2002; 121: 116S-120S.
26) Pena V, Miravitlles M, Gabriel R, Jimenez-Ruiz C, Villasante C, Masa J, et al. Geographic variations in prevalence and underdiagnosis of COPD: result of the IBERCOP multicenter epidemiological study. Chest 2000; 118: 981-9.
27) Mannino D, Gagnon R, Petty T, Lydick E. Obstructive lung disease and low lung function in adults in the United Sates: data from the National and Nutrition Examination Survey, 1988-1994. Arch Intern Med 2000; 160(11): 1683-9.
28) Pety T. Scope of the COPD in North America: early study of prevalence and NHANES III Data: basis for early identification and intervention. Chest 2000; 117(5 Suppl 2): 326S-31S.
29) Carámbula J, Ronco A, Nedworok N. Investigación socio-laboral del tabaquismo en el Uruguay urbano. Montevideo: MSP, 1995.
30) Junta Nacional de Drogas. Encuesta Nacional de Prevalencia de Consumo de Drogas, 3. Montevideo: JND, 2001.
31) Menezes A, Victora C, Rigatto M. Prevalence and risk factors for chronic bronchitis in Pelotas, RS, Brazil: a population-based study. Thorax 1994; 49: 1217-21.
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Published
2005-03-31
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Muiño A, López Varela MV, Menezes AM. Prevalence and risk factors of chronic obstructive pulmonary disease: The PLATINO project in Montevideo. Rev. Méd. Urug. [Internet]. 2005 Mar. 31 [cited 2024 Sep. 16];21(1):37-48. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/826
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