Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study
Prashant Jarhyan,1 Anastasia Hutchinson,2 Rajesh Khatkar,1 Dorairaj Prabhakaran,1,3,4 Sailesh Mohan1– 3 1Centre for Chronic Conditions and Injuries (CCCI), Public Health Foundation of India, Gurugram, India; 2Institute of Health Transformation, Faculty of Health, Deakin University, Burwood, Melbourn...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-06-01
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| Series: | International Journal of COPD |
| Subjects: | |
| Online Access: | https://www.dovepress.com/sub-optimal-chronic-obstructive-pulmonary-disease-copd-management-in-i-peer-reviewed-fulltext-article-COPD |
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| Summary: | Prashant Jarhyan,1 Anastasia Hutchinson,2 Rajesh Khatkar,1 Dorairaj Prabhakaran,1,3,4 Sailesh Mohan1– 3 1Centre for Chronic Conditions and Injuries (CCCI), Public Health Foundation of India, Gurugram, India; 2Institute of Health Transformation, Faculty of Health, Deakin University, Burwood, Melbourne, Australia; 3Centre for Chronic Disease Control (CCDC), Delhi, India; 4London School of Hygiene and Tropical Medicine, London, UKCorrespondence: Sailesh Mohan, Public Health Foundation of India, 431A, 4th Floor Rectangle No. 1, Behind Saket Sheraton Hotel, Commercial Complex D4, Saket New Delhi, New Delhi, 110017, India, Email smohan@phfi.orgBackground and Objective: Despite the second most common cause of disease burden, there are few studies reporting the prevalence, awareness, and treatment rates of COPD in India.Methods: A community-based cross-sectional study was conducted among people aged ≥ 40 years residing in rural and urban areas of Sonipat district in North India using a multistage random sampling technique. COPD was defined as self-reported physician diagnosed COPD, emphysema, chronic bronchitis or being on treatment for COPD. Additional cases were detected using a validated sequential screening strategy, ie, administering the Lung Function Questionnaire (LFQ) followed by the pocket spirometry and confirmation by post-bronchodilation spirometry. Awareness was defined as self-reported diagnosed cases of COPD or self-reported treatment. Treatment was defined as self-reported intake of oral or inhalational corticosteroids and/or bronchodilators. Trained Community Health Workers interviewed the study participants using a paper-based validated questionnaire, screened for COPD with the LFQ and conducted the pocket spirometry. Confirmation of COPD using post-bronchodilation gold standard spirometry was conducted by trained physician researchers. Age-standardized estimates were calculated for the prevalence, awareness, and treatment of COPD.Results: The overall age-standardised prevalence of COPD in our study was 8.6% (95% CI: 7.5– 9.8) with higher prevalence in men and rural population. The overall awareness of COPD was 75.1% (95% CI: 68.5– 80.7) with lower awareness among people who ever-smoked [33.9% (32.0– 35.8)], currently smoked [29.6% (27.8– 31.5)] and among those with post-bronchodilator confirmed diagnosis of mild COPD (4.8%). Less than half (45.7%) of participants with COPD reported taking bronchodilators and/or corticosteroids.Conclusion: The awareness-treatment gap in COPD was high in the study population. There is a need to strengthen the public health system along with systematic training of health care providers to provide appropriate treatment to people with COPD.Keywords: chronic obstructive pulmonary disease, COPD, public health, COPD management, lung health |
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| ISSN: | 1178-2005 |