医学交流课件：Health care settings and economic burden of COPD patients in Asia.pptxVIP

Health care settings and economic burden of COPD patients in Asia2012 WHOCosts of care for COPD in Asia Pacific countriesCHINA + JAPAN: average annual total costs per patient ($)1,2China: Moderate/severe COPDJapan: Moderate/severe COPD1,96413,6942KOREA: total annual medical costs per patient ($)3 Non-high-grade COPDHigh-grade COPD1,1833,744 TAIWAN: mean annual direct costs ($)4Moderate A COPD(GOLD Grade 2)Moderate B COPD(GOLD Grade 3)Severe COPD(GOLD Grade 4)1,0954,2708,2761. Fang X, et al. Chest 20112. Nishimura S, Zaher C. Respirology 20043. Kim J, et al. Int J Chron Obstruct Pulmon Dis 20134. Chiang C-H. Respirology 2008Age standardized mortality rateCurr Opin Pulm Med. 2011;17(2):56-61.Int J Chron Obstruct Pulmon Dis. 2013;8:561-568.Int J Tuberc Lung Dis. 2014;18(6):737-743.High grade COPDInt J Chron Obstruct Pulmon Dis. 2013;8:561-568.Tertiary hospital care patient who met the definition of COPDANDUse of triple inhaler therapy regularly (ICS + LABA + LAMA)OrSystemic steroid therapy at least two times per year with COPD inhaler therapy (LAMA or ICS + LABA)Int J Chron Obstruct Pulmon Dis. 2013;8:561-568.Int J Chron Obstruct Pulmon Dis. 2013;8:561-568.Characteristics of COPD in AsiaUnderdiagnosisUndertreatmentLow utilization of PFTLow utilization of inhalerSmokingAir pollutionBiomass fuelTuberculosisNationwide insurance systemCharacteristics of COPD in AsiaUnderdiagnosisUndertreatmentLow utilization of PFTLow utilization of inhalerSmokingAir pollutionBiomass fuelTuberculosisNationwide insurance systemCharacteristics of COPD in AsiaUnderdiagnosisUndertreatmentLow utilization of PFTLow utilization of inhalerSmokingAir pollutionBiomass fuelTuberculosisNationwide insurance systemPrevalence of COPD in KoreaTotalMaleFemale Number of subjectsPrevalence (%)Number of subjectsPrevalence (%)Number of subjectsPrevalence (%)? 19 yr3,4358.81,47811.6 1,9575.9? 40 yr*2,50113.4 1,05619.41,4457.9Yoo KH, Respirology. 2011;16(4):659-665.2008 KNHANES, 6,480 subjects ≥ 19 yrs≥ 40 yr