Mahboub Bassam H, Vats Mayank Gian, Al Zaabi Ashraf, Iqbal Mohammed Nizam, Safwat Tarek, Al-Hurish Fatma, Miravitlles Marc, Singh Dave, Asad Khaled, Zeineldine Salah, Al-Hajjaj Mohamed S
College of Medicine, University of Sharjah, Sharjah.
Department of Pulmonary Medicine, Rashid Hospital, Dubai Health Authority, Dubai.
Int J Chron Obstruct Pulmon Dis. 2017 Oct 9;12:2869-2890. doi: 10.2147/COPD.S136245. eCollection 2017.
Smoking and subsequent development of COPD is an ever-increasing epidemic in Arabian Gulf and Middle East countries, with no signs of decline. The important fact to be highlighted is that this COPD epidemic of increasing incidence and prevalence is mostly unrecognized by patients, due to the common attribution of symptoms to "smoker's cough", and the underdiagnosis and undertreatment by physicians because the common signs and symptoms masquerade as asthma. Consequently, there are long-term adverse effects of missing the diagnosis. The purpose of this review article is to focus upon the status of COPD in Arabian Gulf and Middle East countries, stressing the increasing burden of smoking and COPD, to emphasize the specific factors leading to rise in prevalence of COPD, to bring to light the underdiagnosis and undermanagement of COPD, and to treat COPD in conformity with standard guidelines with local and regional modifications. This review ends with suggestions and recommendations to the health department to formulate policies and to generate awareness among the general public about the side effects of smoking and consequences of COPD.
在阿拉伯海湾和中东国家，吸烟及随后慢性阻塞性肺疾病（COPD）的发展呈日益蔓延之势，且毫无下降迹象。需要强调的一个重要事实是，这种发病率和患病率不断上升的COPD流行情况，大多未被患者所认识，因为症状通常被归因于“吸烟者咳嗽”，而且医生诊断不足和治疗不足，因为常见的体征和症状被误诊为哮喘。因此，漏诊会产生长期不良影响。这篇综述文章的目的是关注阿拉伯海湾和中东国家的COPD状况，强调吸烟和COPD日益加重的负担，强调导致COPD患病率上升的具体因素，揭示COPD的诊断不足和管理不善，并根据当地和区域的调整情况按照标准指南治疗COPD。这篇综述最后向卫生部门提出建议，以制定政策并提高公众对吸烟副作用和COPD后果的认识。
