RT Journal Article
T1 Four Decades of COPD Mortality Trends: Analysis of Trends and Multiple Causes of Death
A1 Fernández García, Alberto
A1 Pérez Ríos, Mónica
A1 Fernández Villar, Alberto
A1 Naveira, Gael
A1 Candal Pedreira, Cristina
A1 Santiago Pérez, María Isolina
A1 Represas Represas, Cristina
A1 Malvar Pintos, Alberto
A1 Cerdeira Caramés, Sara
A1 Ruano Raviña, Alberto
K1 COPD
K1 Trends
K1 Mortality
K1 Multiple causes
AB There is little information on chronic obstructive pulmonary disease (COPD) mortality trends, age of death, or male:female ratio. This study therefore sought to analyze time trends in mortality with COPD recorded as the underlying cause of death from 1980 through 2017, and with COPD recorded other than as the underlying cause of death. We conducted an analysis of COPD deaths in Galicia (Spain) from 1980 through 2017, including those in which COPD was recorded other than as the underlying cause of death from 2015 through 2017. We calculated the crude and standardized rates, and analyzed mortality trends using joinpoint regression models. There were 43,234 COPD deaths, with a male:female ratio of 2.4. Median age of death was 82 years. A change point in the mortality trend was detected in 1996 with a significant decrease across the sexes, reflected by an annual percentage change of −3.8%. Taking deaths into account in which COPD participated or contributed without being the underlying cause led to an overall 42% increase in the mortality burden. The most frequent causes of death when COPD was not considered to be the underlying cause were bronchopulmonary neoplasms and cardiovascular diseases. COPD mortality has decreased steadily across the sexes in Galicia since 1996, and age of death has also gradually increased. Multiple-cause death analysis may help prevent the underestimation of COPD mortality
PB MDPI
YR 2021
FD 2021
LK http://hdl.handle.net/10347/24710
UL http://hdl.handle.net/10347/24710
LA eng
NO J. Clin. Med. 2021, 10(5), 1117; https://doi.org/10.3390/jcm10051117
DS Minerva
RD 1 may 2026