Variability of the chronic obstructive pulmonary disease key epidemiological data in Europe: systematic review

Table 5 COPD age-standardized mortality rates^a

				Annual mortality rate (per 100,000 inhabitants)
Population	Country	Year(s)	Age (yr)	Global	Male	Female	Classification codes used
General population
Eurostat^b,c [10]	Austria	2007		19.4	30.8	12.1	ICD 10 (J40-J44, J47)
	Bulgaria			15.8	26.7	07.9
	Cyprus			09.3	15.5	04.7
	Czech Republic			14.7	24.1	08.5
	Estonia			10.7	24.2	04.4
	Finland			12.9	25.3	05.4
	France			07.2	12.5	03.8
	Germany			16.3	24.9	10.8
	Greece^d			10.9	14.8	07.9
	Hungary			36.1	56.5	23.6
	Lithuania			22.4	49.0	08.5
	Latvia			09.7	22.4	03.0
	Malta			16.0	35.4	02.7
	Netherlands			26.0	39.6	18.7
	Poland			16.8	32.0	07.8
	Romania			20.6	33.8	11.4
	Spain			18.4	37.1	06.1
	Sweden			15.1	17.6	13.6
	Slovakia			12.8	24.5	05.9
	Slovenia			13.2	23.4	07.5
	United Kingdom			28.4	35.5	23.7
Hurd et al., 2000 [78]	Austria	1997	35-74		32	6	ICD 9 (490-496)
	Bulgaria	1994			38	8
	France	1995			26	5
	Germany	1997			28	11
	Greece	1996			12	1
	Hungary	1995			75	23
	Italy	1993			30	4
	Netherlands	1995			43	15
	Poland	1996			43	8
	Portugal	1996			38	7
	Romania	1996			61	18
	Spain	1995			45	6
	Sweden	1996			22	12
	United Kingdom	1997			48	31
Siafakas et al., 1995 [45]	Austria	1988-1991	NS		18	6	ICD 9 (490-493)
	Belgium				28	9
	Bulgaria				11	6
	Denmark				34	20
	Finland				22	4
	France				10	3
	Greece				03	2
	Hungary				40	16
	Italy				25	8
	Netherlands				20	5
	Poland				29	8
	Portugal				14	5
	Romania				20	12
	Spain				10	3
	Sweden				11	5
	United Kingdom				12	6
Hospital population^e
Gudmundsson et al., 2006^f [81]	SweNorFin^g	2002	72.1 ± 8.7	293			ICD 10 (J40-J47)
Groeneweger et al., 2003^h [79]	Netherlands	2001	70.6 ± 8.5	230			COPD-ATS
Almagro et al., 2002ⁱ [80]	Spain	1999	72.0 ± 9	220			COPD^j

^aAge was reported in various ways: mean age (±SD), or age range, min-max.^bNot all European countries have COPD mortality data for 2007 in the Eurostat database. ^cTotal population (all ages). ^dGreece does not have mortality data for asthma in 2007; these estimates correspond to J40-J47 and not to J40-J44, J47. ^eMortality rates in inpatients are of course not age-standardized but represent the number of deaths per 100,000 inhabitants. ^fMortality rates at 1 year for stages GOLD 1 and GOLD 2, GOLD 3, and GOLD 4 are 3.6, 6.9, and 13.7, respectively. ^gThis study concerned Sweden, Norway and Finland. ^hMortality rate at 6 months was 18. ⁱMortality rates at 6 and 24 months were, respectively, 13.4 and 35.6. ^jClinical diagnosis of COPD and forced spirometry at discharge showing FEV₁ <70% of the reference value and FEV₁/FVC ratio <70%. Abbreviations used: ICD, International Classification of Diseases. COPD-ATS, chronic obstructive pulmonary disease as defined by the American Thoracic Society; NS, not specified; GOLD, Global Obstructive Lung Disease classification stage; FEV₁, maximum expiratory volume in 1 second; FVC, forced vital capacity.

ISSN: 1741-7015