Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Parkville, Victoria, Australia.
Int J Chron Obstruct Pulmon Dis. 2012;7:357-66. doi: 10.2147/COPD.S30003. Epub 2012 Jun 7.
This study aims to describe current trends in Australia regarding chronic obstructive pulmonary disease (COPD) mortality and morbidity rates, and in its treatment and prevention from 2000 to 2010. The study's purpose is to better define future directions in curbing COPD. People with COPD and their caregivers who attend patient support groups (n = 21), pulmonary rehabilitation group coordinators (n = 27) within Victoria, and the Australian Lung Foundation provided informed feedback. COPD was a leading underlying cause of death in both sexes during these years. Nevertheless, mortality rates declined from 1980 to 2007, with rates for males almost halving. Its prevalence has also substantially declined. Smoking rates have declined in age groups over 40 years old in both sexes. The COPD-X Plan provides evidence-based guidelines for the management of COPD. Many government, professional, and community initiatives have been recently implemented to promote the Plan. Two studies--one conducted before and one conducted after the publication of the COPD-X Plan--report some progress, but there are still very considerable departures from evidence-based practice. The Australian Lung Foundation estimates that only 1% of patients who could benefit from pulmonary rehabilitation programs have suitable access to such programs. A common priority for all informants was that there needed to be greater awareness of--and a more positive orientation to--COPD in both the Australian and health professional communities. The study concluded that substantial reductions in COPD and smoking cessation rates contrast with more limited progress toward adopting other aspects of evidence-based practice. The "good news" story concerning reductions in COPD disease with improving smoking cessation rates could form the basis for suitable media campaigns.
本研究旨在描述 2000 年至 2010 年期间澳大利亚慢性阻塞性肺疾病（COPD）死亡率和发病率的现状，以及其治疗和预防情况。本研究的目的是更好地确定未来遏制 COPD 的方向。维多利亚州的 21 名 COPD 患者及其护理人员、27 名肺康复小组协调员以及澳大利亚肺基金会的患者支持团体参加者提供了知情反馈。在这些年中，COPD 是男女患者的主要潜在死亡原因。然而，死亡率从 1980 年到 2007 年下降，男性的死亡率几乎减半。其患病率也大幅下降。在男女两个年龄段，40 岁以上人群的吸烟率均有所下降。COPD-X 计划为 COPD 的管理提供了循证指南。最近，为了推广该计划，澳大利亚政府、专业人员和社区实施了多项举措。有两项研究——一项是在 COPD-X 计划发布之前进行的，另一项是在发布之后进行的——报告了一些进展，但在循证实践方面仍存在很大差距。澳大利亚肺基金会估计，只有 1%的有资格参加肺康复项目的患者能够获得此类项目的适当机会。所有信息提供者的一个共同重点是，澳大利亚和医疗专业人员社区都需要提高对 COPD 的认识，并对其持更积极的态度。研究得出结论，COPD 和戒烟率的大幅下降与采用循证实践其他方面的进展有限形成鲜明对比。随着戒烟率的提高，COPD 疾病减少的“好消息”可以为合适的媒体宣传活动提供基础。
