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spelling	AIM: To estimate the prevalence of chronic obstructive pulmonary disease (COPD) in Colombia, and to analyze care and use of spirometry in the period 2010-2015, based on regis- try data obtained from the Individual Registry of Health Services Delivery (RIPS).MATERIALS AND METHODS: In the RIPS report, ICD-10 (International Statistical Classification of Diseases and Related Health Problems, 10th edition) was searched for a diagnosis of COPD in patients over 40 years of age; from these data, the prevalence of disease was estimated and adjusted for age, underreporting, underdiagnosis and misdiagnosis. Additionally, we analyzed the fre- quency of emergency and hospitalization visits and the use of spirometry in patients with COPD.RESULTS: During the period 2010 to 2015, 752,020 people with COPD were evaluated in Colombia, 370,278 of which had a confirmed diagnosis. The prevalence adjusted for age, underreporting, underdiagnosis and misdiagnosis was 5.13%. When analyzing the number of contacts with the system, on average, each patient was attended 6 times per year. According to the geographical distri- bution, the departments with the highest prevalence in relation to the patient’s residence were Risaralda, Bogotá, Boyacá, Quindío, Caldas and Antioquia.CONCLUSIONS: The estimated prevalence of COPD obtained from RIPS and adjusted by underreporting, underdiagnosis and misdiagnosis is similar to that reported in other studies evaluating the disease by medical, clinical or epidemiological criteria. Before adjusting, the prevalence is significantly lower than that reported using functional criteria, which is strongly related to the underuti- lization of spirometry in the diagnostic process. Gil Rojas, Yaneth Torres Duque, Carlos A. Figueredo, María del Carmen Hernández, Fabián Castañeda Cardona, Camilo Lasalvia, Pieralessandro Rosselli, Diego Colombia epidemiology COPD prevalence health information systems Colombia epidemiología EPOC prevalencia sistema de información de prestaciones de salud 31 1 Artículo de revista Journal article 2019-08-15T00:00:00Z 2019-08-15T00:00:00Z 2019-08-15 Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/325 10.30789/rcneumologia.v31.n1.2019.325 https://doi.org/10.30789/rcneumologia.v31.n1.2019.325 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2019 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	AIM: To estimate the prevalence of chronic obstructive pulmonary disease (COPD) in Colombia, and to analyze care and use of spirometry in the period 2010-2015, based on regis- try data obtained from the Individual Registry of Health Services Delivery (RIPS).MATERIALS AND METHODS: In the RIPS report, ICD-10 (International Statistical Classification of Diseases and Related Health Problems, 10th edition) was searched for a diagnosis of COPD in patients over 40 years of age; from these data, the prevalence of disease was estimated and adjusted for age, underreporting, underdiagnosis and misdiagnosis. Additionally, we analyzed the fre- quency of emergency and hospitalization visits and the use of spirometry in patients with COPD.RESULTS: During the period 2010 to 2015, 752,020 people with COPD were evaluated in Colombia, 370,278 of which had a confirmed diagnosis. The prevalence adjusted for age, underreporting, underdiagnosis and misdiagnosis was 5.13%. When analyzing the number of contacts with the system, on average, each patient was attended 6 times per year. According to the geographical distri- bution, the departments with the highest prevalence in relation to the patient’s residence were Risaralda, Bogotá, Boyacá, Quindío, Caldas and Antioquia.CONCLUSIONS: The estimated prevalence of COPD obtained from RIPS and adjusted by underreporting, underdiagnosis and misdiagnosis is similar to that reported in other studies evaluating the disease by medical, clinical or epidemiological criteria. Before adjusting, the prevalence is significantly lower than that reported using functional criteria, which is strongly related to the underuti- lization of spirometry in the diagnostic process.
author	Gil Rojas, Yaneth Torres Duque, Carlos A. Figueredo, María del Carmen Hernández, Fabián Castañeda Cardona, Camilo Lasalvia, Pieralessandro Rosselli, Diego
spellingShingle	Gil Rojas, Yaneth Torres Duque, Carlos A. Figueredo, María del Carmen Hernández, Fabián Castañeda Cardona, Camilo Lasalvia, Pieralessandro Rosselli, Diego Colombia epidemiology COPD prevalence health information systems Colombia epidemiología EPOC prevalencia sistema de información de prestaciones de salud
author_facet	Gil Rojas, Yaneth Torres Duque, Carlos A. Figueredo, María del Carmen Hernández, Fabián Castañeda Cardona, Camilo Lasalvia, Pieralessandro Rosselli, Diego
topic	Colombia epidemiology COPD prevalence health information systems Colombia epidemiología EPOC prevalencia sistema de información de prestaciones de salud
topic_facet	Colombia epidemiology COPD prevalence health information systems Colombia epidemiología EPOC prevalencia sistema de información de prestaciones de salud
topicspa_str_mv	Colombia epidemiología EPOC prevalencia sistema de información de prestaciones de salud
citationvolume	31
citationissue	1
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/325
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0/ Revista Colombiana de Neumología - 2019 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2019-08-15
date_accessioned	2019-08-15T00:00:00Z
date_available	2019-08-15T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/325
url_doi	https://doi.org/10.30789/rcneumologia.v31.n1.2019.325
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v31.n1.2019.325
_version_	1811200709312380928

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