Rossaki, Foteini M. and Hurst, John Robert and van Gemert, Frederik and Kirenga, Bruce James and Williams, Sian and Khoo, Ee Ming and Tsiligianni, Ioanna and Tabyshova, Aizhamal and van Boven, Job F. M. (2021) Strategies for the prevention, diagnosis and treatment of COPD in low- and middle- income countries: The importance of primary care. Expert Review of Respiratory Medicine, 15 (12). pp. 1563-1577. ISSN 1747-6348, DOI https://doi.org/10.1080/17476348.2021.1985762.
Full text not available from this repository.Abstract
Low- and middle-income countries (LMICs) bear a high proportion of the global morbidity and mortality caused by COPD. Increased exposure to risk factors throughout life (e.g. malnutrition, indoor and outdoor air pollution, and smoking) is associated with higher COPD prevalence in LMICs and the lack of treatment availability increases avoidable harm. Areas covered This review covers the epidemiology and burden of COPD in LMICs, and challenges and recommendations related to health-care systems, prevention, diagnosis, and treatment. Main challenges are related to under-resourced health-care systems (such as limited availability of spirometry, rehabilitation, and medicines). Lack of policy and practical local guidelines on COPD diagnosis and management further contribute to the low diagnostic and treatment rates. In the absence of, or limited number of respiratory specialists, primary care practitioners (general practitioners, nurses, pharmacists, physiotherapists, and community health workers) play an even more pivotal role in COPD management in LMICs. Expert opinion Raising awareness on COPD, educating health-care workers, patients, and communities on cost-effective preventive measures as well as improving availability, affordability and proper use of diagnostic and pharmacological and non-pharmacologic treatment in primary care are the key interventions needed to improve COPD prevention, diagnosis, and care in LMICs.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Air pollution;Burden of disease;COPD;Education;Low and middle income country;Prevention;Diagnosis;Treatment; Primary care;Smoking |
| Subjects: | R Medicine R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 08 Sep 2022 07:24 |
| Last Modified: | 08 Sep 2022 07:24 |
| URI: | http://eprints.um.edu.my/id/eprint/34257 |
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