ICC COPD Country Review “Faces of COPD”

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karl    on Dec 04, 2009 Says :

Very Well prepared.
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  Notes
 
 
Slide 1 : ICC - COPD Country Review “Faces of COPD” Dr. Jochen Scheld Switzerland
Slide 2 : COPD is a global burden Over 340 million people suffer from COPD worldwide COPD is the 4th leading cause of death COPD is increasing in prevalence COPD is under-diagnosed and under-treated
Slide 3 : The ICC Country Review Why? To get a better understanding of the COPD situation in different countries/regions To better understand the needs of COPD patients To provide solutions
Slide 4 : Facts and opinions were sought From ICC members representing 9 different countries Through telephone interviews during Sept. 5 - 7 To get information about Quality of medical care for COPD Main problems for COPD patients Who is the typical COPD patient Collaboration with local patient organizations COPD projects/campaigns that have been rolled out or planned WCD 2007: activities and programs Government anti-smoking laws/campaigns ICC website and ICC eNewsletter
Slide 5 : 9 countries were surveyed
Slide 6 : ICC members in these countries Dr. Roger Goldstein Canada Mr. Gary Bain USA Dr. Maria Machado Brazil Prof. Andreij Belevskiy Russia Dr. Helmut Berck Germany Prof. Y. Shim Korea Prof. Elvis Irusen South Africa Prof. Svein-Eric Myrseth Norway Mariadelaide Franchi Italy
Slide 7 : How good is the medical care for COPD? GPs see the majority of COPD patients, but only diagnose and treat a few (except in Norway) Specialists dominate diagnosis and treatment Pharmacological treatment is generally available Knowledge about COPD among GPs in some countries is low (Brazil, Korea, Russia) In South Africa, Norway, Germany, and Italy diagnosis & treatment by GPs is good
Slide 8 : Oxygen therapy available? Oxygen therapy generally available (exceptions: Brazil, only in large cities such as Sao Paolo; Canada, varies depending on province) In Italy 60,000 patients on oxygen! In Russia oxygen therapy not covered by government.
Slide 9 : Rehabilitation therapy available? Rehabilitation not available at all (e.g., Russia) or not widely available (e.g., USA) (except: Germany--many centres) Norway: Need for more centres expressed to government Korea: rehab not reimbursed Italy: Rehab only available in some northern areas -- not available at all in the south
Slide 10 : Biggest problem for patients In general patients show up far too late at the GP--do not seek help until their disease has become severe Due to low awareness among public Main cause of COPD in observed countries is cigarette smoking Patients reluctantly stop smoking In some countries, medication is not reimbursed!!!
Slide 11 : Cigarette smoking main cause for developing COPD The WHO estimates that globally 33 % of people smoke 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, now Germany
Slide 12 : Percent of Smokers
Slide 13 : Who is the typical COPD patient? Male (though numbers of female patients are increasing!) Over 50 years old (mean 60) Long and heavy smoking history Middle to low socioeconomic status Often associated with alcohol abuse Disease already severe when first seek medical help
Slide 14 : Treatment costs not covered by health insurance in all countries In most of the developed countries, health insurance does cover treatment costs Full coverage not provided in Brazil, Russia, Canada, or USA Large portion of population can’t afford treatment
Slide 15 : Collaboration with local patient organizations is good Many campaigns were launched To raise awareness of COPD among public Highlighting that smoking is a major cause for COPD COPD conferences Internet TV, radio, and print media coverage
Slide 16 : World COPD Day 2007 Many countries have programs for WCD 2007 But some countries not participating WCD 2007 should be more reflected in TV and other media
Slide 17 : ICC e Newsletter Regarded to be very useful More coverage about campaigns in other countries wanted
Slide 18 : ICC Website Not everyone uses it regularly More information about campaigns is wanted Reports about situation in other countries wanted Increase communication and contacts
Slide 19 : 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 Need to increase diagnosis capacity among GPs (spirometry needed) Differentiation between asthma and COPD unclear to many GPs Treatment algorithms are not followed/known by GPs Proper disease management by GPs rare Lack of rehabilitation facilities Lack of funding/insurance reimbursement for all drugs needed for treatment Lack of lung specialists Inadequate access to oxygen therapy Need more government programs to fight COPD

 


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