Fuhrman C, Jougla E, Nicolau J, Eilstein D, Delmas M-C
Institut de Veille Sanitaire, 12 rue du Val d'Osne, 94415 Saint-Maurice Cedex, France.
Thorax. 2006 Nov;61(11):930-4. doi: 10.1136/thx.2006.061267. Epub 2006 May 31.
A study was undertaken of deaths with an underlying or associated cause of chronic obstructive pulmonary disease (COPD), and trends in COPD mortality from 1979 to 2002 in France were analysed.
Data were obtained from the Centre of Epidemiology on the Medical Causes of Death (CépiDc) for individuals aged 45 years and over. Owing to implementation of ICD-10 in 2000 for recording causes of death, two separate periods were analysed (1979-99 and 2000-2).
In 2000-2, COPD was the underlying cause of 1.4% of deaths (deaths from COPD) and was mentioned on the death certificate in 3.0% (deaths with COPD). The other main underlying causes in these cases were cardiovascular diseases (32.0%) and cancers (24.5%). In 1979-99, age standardised rates of death with COPD remained stable in men (-0.01%/year) and increased in women (+1.7%/year). The mean annual rates of death with COPD per 100 000 were 84 for men and 19 for women in 2000-2.
Multiple cause analysis improved the estimate of COPD related mortality. In 1979-99, COPD related mortality rates in France were stable in men but increased in women. Implementation of ICD-10 in 2000 introduced substantial discontinuities in mortality trends.
开展了一项关于以慢性阻塞性肺疾病（COPD）为潜在或相关死因的死亡情况研究，并分析了1979年至2002年法国COPD死亡率的趋势。
从死亡医学原因流行病学中心（CépiDc）获取45岁及以上个体的数据。由于2000年开始实施国际疾病分类第十版（ICD - 10）用于记录死因，因此分析了两个不同时期（1979 - 1999年和2000 - 2002年）。
在2000 - 2002年期间，COPD是1.4%的死亡（COPD导致的死亡）的潜在原因，并且在死亡证明上被提及的占3.0%（伴有COPD的死亡）。这些病例中的其他主要潜在死因是心血管疾病（32.0%）和癌症（24.5%）。在1979 - 1999年期间，伴有COPD的年龄标准化死亡率在男性中保持稳定（每年 - 0.01%），而在女性中有所上升（每年 + 1.7%）。在2000 - 2002年期间，每10万人中伴有COPD的年平均死亡率男性为84，女性为19。
多病因分析改进了COPD相关死亡率的估计。在1979 - 1999年期间，法国男性的COPD相关死亡率保持稳定，而女性有所上升。2000年实施ICD - 10导致死亡率趋势出现大幅间断。
