印度慢性阻塞性肺疾病的患病率：一项系统评价和荟萃分析。
Prevalence of chronic obstructive pulmonary disease in India: A systematic review and meta-analysis.
作者信息
Daniel Roy Arokiam, Aggarwal Praveen, Kalaivani Mani, Gupta Sanjeev Kumar
机构信息
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Lung India. 2021 Nov-Dec;38(6):506-513. doi: 10.4103/lungindia.lungindia_159_21.
BACKGROUND AND OBJECTIVE
The prevalence of chronic obstructive pulmonary disease (COPD) is increasing worldwide. There is a lack of national-level estimates on the magnitude of COPD in India. Hence, we estimated the prevalence of COPD among adults in India.
METHODS
We searched PubMed, Embase, Cochrane Library, Google Scholar, and Scopus and included community-based cross-sectional studies reporting data on the prevalence of COPD among adults based on spirometry. A random-effects model was used to estimate the pooled prevalence of COPD.
RESULTS
In the eight identified studies, (pooled sample of 8,569 individuals), the estimated prevalence was 7.4% (95% confidence interval: 5.0%-9.8%), I = 95.4% (P < 0.001). The prevalence was higher among males, in the urban area, and the northern region.
CONCLUSION
Adequate training and resources should be provided to diagnose COPD at primary health care level for early management. A nationwide population-based survey is indicated to provide reliable estimates of the burden to inform evidence-based community-based interventions.
背景与目的
慢性阻塞性肺疾病（COPD）在全球范围内的患病率正在上升。印度缺乏关于COPD规模的国家级估计数据。因此，我们估计了印度成年人中COPD的患病率。
方法
我们检索了PubMed、Embase、Cochrane图书馆、谷歌学术和Scopus，并纳入了基于肺活量测定报告成年人COPD患病率数据的社区横断面研究。采用随机效应模型估计COPD的合并患病率。
结果
在八项纳入研究中（合并样本量为8569人），估计患病率为7.4%（95%置信区间：5.0%-9.8%），I² = 95.4%（P < 0.001）。男性、城市地区和北部地区的患病率较高。
结论
应提供足够的培训和资源，以便在初级卫生保健层面诊断COPD以进行早期管理。需要开展一项全国性的基于人群的调查，以提供可靠的负担估计，为基于证据的社区干预提供依据。
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