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COPD Unmet Needs Assessment

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Over 340 mn people suffer from COPD worldwide. COPD is 5th ... Sputum production. Shortness of breath. Smokers do not relate these signs to smoking or COPD ... – PowerPoint PPT presentation

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Title: COPD Unmet Needs Assessment


1
COPD Unmet Needs Assessment
  • John Walsh, USA

2
COPD is a global burden
  • Over 340 mn people suffer from COPD worldwide
  • COPD is 5th leading cause of death
  • COPD is increasing in prevalence
  • COPD is under-diagnosed and under-treated

3
The ICC campaign
  • Why Global COPD Unmet Needs Assessment?
  • To get a better understanding of the COPD
    situation in different countries/regions
  • To better understand the gaps
  • To provide solutions

4
Data and opinions were sought
  • From ICC members representing 29 different
    countries
  • During an ICC workshop, held in Munich at ERS on
    Sept. 22, 2006
  • To get information about
  • Smoking habits
  • Awareness among people and physicians
  • Diagnosis and treatment
  • Medication available and affordable for patients
  • Unmet needs

5
29 countries were surveyed
6
Huge parts of the world represented
  • Current world population 6555 mn
  • 2842,6 mn people represented
  • 43,4 of world population
  • 43 of Asia/Pacific
  • 60 of Europe
  • 72 of America
  • 5 of Africa
  • Most of the unmet needs
  • will be captured!

7
Percent of Smokers
8
In Asia, most men smoke
1) CHN 70,2 2) RUS 63,0 3) GEO 57,5 4) SYR
46,0 5) JPN 43,3 6) KGZ 41,4
9
In Europe, most women smoke
1) BRA 30,0 2) RUS 30,0 3) NED 28,0 4) CZE
28,0 5) GER 28,0 6) AUT 26,0
10
One out of three are smokers
  • In the surveyed countries (pop. 2842,6 mn), 926,3
    mn people smoke 32,6
  • Smoking is increasing, especially in women
  • Only decreasing in countries, where huge
    anti-smoking campaigns (TV, journals, ban in
    public places) have been launched
  • USA, Canada, Italy, Norway

11
Warning labels on cigarette packs
  • Are available in all surveyed countries!
  • But
  • No COPD warning in most countries!
  • Except NOR, CZE, USA, CAN, JPN, THA, AUS, RSA

12
Smoking can damage health
  • Is known throughout all countries
  • But smoke of indoor heating and cooking with
    biomass fuels is not recognized to be harmful!

13
Awareness of COPD is low in public
14
Patients dont seek help
  • Smokers showing symptoms of COPD like
  • Coughing,
  • Sputum production
  • Shortness of breath
  • Smokers do not relate these signs to smoking or
    COPD
  • And do not seek medical treatment

15
GPs generally do not diagnose or treat COPD
  • The awareness of COPD among GPs is quite high
  • The opinion of the interviewed ICC members
    revealed that only few GPs would diagnose COPD
  • As a consequence, GPs do normally not treat COPD
  • Only in Austria, Italy, The Netherlands and
    Canada, more than 80 of GPs will diagnose and
    treat COPD

16
Most GPs do not have access to spirometry
17
Medical treatment is available in all surveyed
countries
  • Short acting ?2-agonists
  • Long acting ?2-agonists
  • Short acting anticholinergics
  • Long acting anticholinergics
  • Sustained-release Theophylline
  • Inhaled corticosteroids
  • Fixed combinations of long acting ?2-agonists and
    corticosteroids
  • Systemic corticosteroids

In Syria not available In Japan and
Kyrgyzstan not available
18
Not in all countries treatment costs will be
covered by health insurances
  • In most of the developed countries, health
    insurances will cover treatment costs
  • No full coverage in Mexico, Argentina, Brazil,
    Russia, Canada, USA, Kyrgyzstan, Philippines,
    Malaysia, Georgia, China, Syria and Portugal
  • Large population cant afford treatment

19
Huge information about COPD is available
  • In nearly all surveyed countries COPD patient
    organizations exist
  • Guidelines for diagnosis and treatment exist
  • The GOLD guidelines are mainly known by
    specialists
  • Many GPs dont know the GOLD guidelines or dont
    follow them

20
Biggest Unmet Needs
  • Awareness among patients about disease and risk
    factors (e.g. smoking)
  • Lack of smoking cessation programs
  • More anti-smoking campaigns are needed (TV etc.)
  • Need for a better approach to prevention and
    treatment of cigarette smoking
  • Lack of early diagnosis
  • Huge number of undiagnosed/untreated COPD
    patients
  • Diagnosis among GPs (spirometry needed)
  • Differentiation between asthma and COPD unclear
    to many GPs
  • Treatment algorithms are not followed/known by
    GPs
  • No proper disease management by GPs
  • Lack of rehabilitation facilities
  • Funding of all drugs needed for treatment
  • Lack of lung specialists
  • More access to oxygen therapy
  • Governmental programs to fight COPD

21
Conclusions - Public
  • Percentage of smokers is too high
  • More effective anti-smoking campaigns are needed
  • Raise public awareness of COPD
  • Drive patients with symptoms to GPs
  • Enable smoking cessation programs

22
Conclusions - Physicians
  • Increase knowledge regarding diagnosis, treatment
    and management of COPD among GPs
  • Follow GOLD guidelines
  • Spirometry is needed
  • More rehabilitation centres needed
  • More specialists needed

23
Conclusions - Government
  • Increase coverage for medical treatment
  • Make medications available for poor patients
  • Smoking bans in public areas needed
  • COPD labeling on cigarette packs needed
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