Health status perception and airflow obstruction in five Latin American cities: The PLATINO study

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dc.contributor.authorMontes de Oca, Maria
dc.contributor.authorTalamo, Carlos
dc.contributor.authorHalbert, Ronald J.
dc.contributor.authorPerez Padilla, Rogelio
dc.contributor.authorVictorina Lopez, Maria
dc.contributor.authorMuino, Adriana
dc.contributor.authorJardim, Jose Roberto B.
dc.contributor.authorValdivia, Gonzalo
dc.contributor.authorPertuze, Julio
dc.contributor.authorMoreno, Dolores
dc.contributor.authorMenezes, Ana Maria B.
dc.contributor.authorPLATINO Team
dc.date.accessioned2024-01-10T13:48:58Z
dc.date.available2024-01-10T13:48:58Z
dc.date.issued2009
dc.description.abstractBackground: COPD is a highly prevalent disease but underdiagnosed, undertreated and possibly under-recognized by patients. Limited information exists regarding patients' perception of COPD severity. We compared patients' general, health status perception, degree of breathlessness and physical activity limitation with the severity of their respiratory condition measured by airway obstruction, in a population-based sample.
dc.description.abstractMethods: We used postbronchodilator FEV1/FVC < 0.70 to define COPD. Patients' perception of their general. health status was derived from the question "in general, you would say that your health is: excellent, very good, good, fair or poor?"
dc.description.abstractResults: Spirometry was performed in 5314 subjects: an FEV1/FVC ratio below 0.70 was found in 759 subjects. In persons with COPD, general. health status decreased with increasing GOLD stages. Over one-half of subjects with stage 2 and one third of those with stages 3 and 4 reported their health status as good to excellent. There was also a disparity between airway obstruction severity and breathlessness intensity. Although the more severe COPD stages were frequently associated with significant compromise of work and everyday activities, patients often tended to provide an optimistic self evaluation of their health status.
dc.description.abstractConclusions: The discrepancy observed between general health status, dyspnea severity, physical activity limitation and airway obstruction most likely reflect patients' underperception of disease severity, emphasizing the need for improving case-finding measures and multi-component evaluation of COPD subjects. (C) 2009 Elsevier Ltd. All rights reserved.
dc.description.funderBoehringer Ingelheim GmbH
dc.fechaingreso.objetodigital17-04-2024
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.rmed.2009.03.005
dc.identifier.eissn1532-3064
dc.identifier.issn0954-6111
dc.identifier.pubmedidMEDLINE:19364640
dc.identifier.urihttps://doi.org/10.1016/j.rmed.2009.03.005
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79412
dc.identifier.wosidWOS:000269632100016
dc.information.autorucMedicina;Pertuze J;S/I;99166
dc.information.autorucMedicina;Valdivia G;S/I;57007
dc.issue.numero9
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final1382
dc.pagina.inicio1376
dc.publisherW B SAUNDERS CO LTD
dc.revistaRESPIRATORY MEDICINE
dc.rightsacceso restringido
dc.subjectChronic obstructive pulmonary disease
dc.subjectDyspnea
dc.subjectEpidemiology
dc.subjectPrevalence
dc.subjectQUALITY-OF-LIFE
dc.subjectPULMONARY-DISEASE
dc.subjectLUNG-DISEASE
dc.subjectFUNCTIONAL STATUS
dc.subjectUNITED-STATES
dc.subjectCOPD
dc.subjectPREVALENCE
dc.subjectDYSPNEA
dc.subjectEPIDEMIOLOGY
dc.subjectSPIROMETRY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHealth status perception and airflow obstruction in five Latin American cities: The PLATINO study
dc.typeartículo
dc.volumen103
sipa.codpersvinculados99166
sipa.codpersvinculados57007
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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