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Chronic obstructive...
Chronic obstructive pulmonary disease (COPD) during the two last years of life - A retrospective study of decedents
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- Sundblad, B. M. (author)
- Karolinska Institutet
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- Jansson, Sven-Arne (author)
- Umeå universitet,Yrkes- och miljömedicin
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- Nyström, Lennarth (author)
- Umeå universitet,Epidemiologi och global hälsa
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Arvidsson, P. (author)
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- Lundbäck, Bo, 1948 (author)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Larsson, K. (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2013-12-19
- 2013
- English.
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In: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 8:12
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Abstract
Subject headings
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- Background: Little is known about the management of patients suffering from chronic obstructive pulmonary disease (COPD) during the last years of life. The aim of the study was to describe how management of COPD is performed in Sweden during the last two years of life. Methods: From the nationwide Cause of Death register all individuals with COPD as the underlying cause of death during two years were identified in one sparsely and one densely populated area of Sweden. Data were collected from medical records using a pre-defined protocol, especially developed for this purpose. Results: Of 822 individuals with COPD as underlying cause of death, medical records from 729 were available. The COPD diagnosis was based on lung function measurements in approximately half of the patients and median age at COPD diagnosis was 74 years (range 34-95). Women died at younger age, median 78 years (range 52-96) than did men (80 years (51-99)). The median survival time from diagnosis to death was 6 years in men and women in both areas. Among women and men 8.3% and 4.3% were never smokers, respectively. The structure of COPD management differed between the two areas, with utilization of physiotherapists, dieticians and working therapists being more used in the northern area, likely because of differences in accessibility to care institutions. Conclusions: In Sweden COPD is mostly diagnosed late in life and often not verified by lung function measurements. Opposite to the general population, women with COPD die at a lower age than men. © 2013 Sundblad et al.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- adult
- age distribution
- aged
- article
- cause of death
- chronic obstructive lung disease
- controlled study
- diet therapy
- disease duration
- female
- health care access
- health care utilization
- human
- lung function test
- major clinical study
- male
- medical record
- middle aged
- onset age
- physiotherapy
- regionalization
- retrospective study
- sex difference
- survival time
- Sweden
- very elderly
Publication and Content Type
- ref (subject category)
- art (subject category)
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