TY - JOUR
T1 - Gender differences in the management and experience of Chronic Obstructive Pulmonary Disease
AU - Watson, Louise
AU - Vestbo, Jorgen
AU - Postma, Dirkje S.
AU - Decramer, Marc
AU - Rennard, Stephen
AU - Kiri, Victor A.
AU - Vermeire, Paul A.
AU - Soriano, Joan B.
PY - 2004/12
Y1 - 2004/12
N2 - Whether women receive the same medical care for COPD as men and if they are at risk of different outcomes as a result, is not known. The Confronting COPD International Survey was performed in the USA, Canada, France, Italy, Germany, The Netherlands, Spain and the UK in 2000 with 3265 COPD participants. Forty-one per cent were women; mean age in women and men was 61.2 (sd 10.5) and 64.4 (11.0) years, mean pack-years of smoking 36 (29) and 46 (35) years, respectively. After adjusting for age, pack-years, country and severe dyspnea (MRC scores 5 and 4), women were less likely to have had spirometry (OR 0.84, 95% C.I. 0.72-0.98) but more likely to get smoking cessation advice (OR 1.57, 1.33-1.86). Despite significantly lower pack-years of smoking, women were more likely to report severe dyspnea than men (OR 1.30, 1.10-1.54), with similar cough (OR 1.08, 0.92-1.27) and less sputum (OR 0.84, 0.72-0.98). There were no differences in the risk of hospitalisation or emergency room visit. This study indicates that gender differences in COPD care and outcomes exist. © 2004 Elsevier Ltd. All rights reserved.
AB - Whether women receive the same medical care for COPD as men and if they are at risk of different outcomes as a result, is not known. The Confronting COPD International Survey was performed in the USA, Canada, France, Italy, Germany, The Netherlands, Spain and the UK in 2000 with 3265 COPD participants. Forty-one per cent were women; mean age in women and men was 61.2 (sd 10.5) and 64.4 (11.0) years, mean pack-years of smoking 36 (29) and 46 (35) years, respectively. After adjusting for age, pack-years, country and severe dyspnea (MRC scores 5 and 4), women were less likely to have had spirometry (OR 0.84, 95% C.I. 0.72-0.98) but more likely to get smoking cessation advice (OR 1.57, 1.33-1.86). Despite significantly lower pack-years of smoking, women were more likely to report severe dyspnea than men (OR 1.30, 1.10-1.54), with similar cough (OR 1.08, 0.92-1.27) and less sputum (OR 0.84, 0.72-0.98). There were no differences in the risk of hospitalisation or emergency room visit. This study indicates that gender differences in COPD care and outcomes exist. © 2004 Elsevier Ltd. All rights reserved.
KW - COPD
KW - Gender
KW - Medical care
KW - Symptoms
U2 - 10.1016/j.rmed.2004.05.004
DO - 10.1016/j.rmed.2004.05.004
M3 - Article
SN - 0954-6111
VL - 98
SP - 1207
EP - 1213
JO - Respiratory Medicine
JF - Respiratory Medicine
IS - 12
ER -