Niewiadomska Ewa, Kowalska Małgorzata
Medical University of Silesia, Katowice, School of Public Health in Bytom, Department of Epidemiology and Biostatistics
Medical University of Silesia, Katowice, School of Medicine in Katowice, Department of Epidemiology
Przegl Epidemiol. 2017;71(2):237-250.
Chronic obstructive pulmonary disease (COPD) is a problem requiring constant surveillance, both clinical and epidemiological.
The aim of study was to analyze territorial and temporal variability of COPD hospitalization and incidence, as far as expenses incurred by the National Health Fund (NHF) due to medical treatment of disease in the Silesian Voivodeship based on secondary epidemiological data.
The epidemiological situation was presented on the basis of available health benefits data registered in adult patients with COPD treated from the NHF budget in the Silesian Voivodeship. The dynamics of incidence rates in 2006–2010, prevalence rates of hospitalization in 2000–2011 and costs of treatment of the disease were investigated. We also present variability of incidence and prevalence in particular districts of study region.
The standardized incidence rate of COPD in the Silesian Voivodeship is still high, although it slowly decreased from the value of 656.93/100,000 in 2007 to 470.7/100,000 in 2010. We observed a significant decrease of hospitalization from 217.0/100,000 in 2005 to 117.7/100,000 in 2011. Higher values of both rates refer to men, besides, we observed their spatial variability in particular districts. The average annual cost of new cases of COPD treatment in Silesian Voivodeship was approximately 5 million EUR (20 million PLN), while the annual cost of all hospital admissions decreased substantially from the value of approx.10 million EUR (40 million PLN) in 2003 to approx. 5 million EUR (20 million PLN) in 2011.
We observed temporal and spatial variability of COPD incidence and prevalence in Silesian Voivodeship. Asignificant reduction of COPD hospitalization rate implies serious reduction of expenses incurred by National Health Found.
慢性阻塞性肺疾病（COPD）是一个需要持续进行临床和流行病学监测的问题。
本研究的目的是基于二级流行病学数据，分析西里西亚省慢性阻塞性肺疾病住院率和发病率的地域及时间变化情况，以及国家卫生基金（NHF）因该疾病治疗所产生的费用。
根据西里西亚省从NHF预算中接受治疗的成年慢性阻塞性肺疾病患者的现有健康福利数据，呈现流行病学情况。研究了2006 - 2010年发病率的动态变化、2000 - 2011年住院患病率以及该疾病的治疗费用。我们还展示了研究区域特定地区发病率和患病率的变化情况。
西里西亚省慢性阻塞性肺疾病的标准化发病率仍然很高，尽管从2007年的656.93/100,000缓慢下降到2010年的470.7/100,000。我们观察到住院率从2005年的217.0/100,000显著下降到2011年的117.7/100,000。这两个比率的较高值都出现在男性中，此外，我们在特定地区观察到了它们的空间变化。西里西亚省慢性阻塞性肺疾病新病例治疗的年均费用约为5百万欧元（2000万波兰兹罗提），而所有住院治疗的年度费用从2003年约10百万欧元（4000万波兰兹罗提）大幅下降到2011年约5百万欧元（2000万波兰兹罗提）。
我们观察到西里西亚省慢性阻塞性肺疾病发病率和患病率存在时间和空间变化。慢性阻塞性肺疾病住院率的显著降低意味着国家卫生基金所产生的费用大幅减少。
