Women and COPD: do we need more evidence?

European Respiratory Review : an Official Journal of the European Respiratory Society
Christophe Gut-GobertChantal Raherison

Abstract

The increasingly female face of chronic obstructive pulmonary disease (COPD) prevalence among women has equalled that of men since 2008, due in part to increased tobacco use among women worldwide and exposure to biomass fuels. This finding is supported by a number of characteristics. There is evidence of susceptibility to smoking and other airborne contaminants, along with epidemiological and phenotypic manifestations. COPD has thus become the leading cause of death in women in the USA. The clinical presentation is characterised by increasingly pronounced dyspnoea with a marked tendency towards anxiety and depression, undernutrition, nonsmall cell lung cancer (especially adenocarcinoma) and osteoporosis. Quality of life is also more significantly impacted. The theories advanced to explain these differences involve the role played by oestrogens, impaired gas exchange in the lungs and smoking habits. While these differences require appropriate therapeutic responses (smoking cessation, pulmonary rehabilitation, long-term oxygen therapy), barriers to the treatment of women with COPD include greater under-diagnosis than in men, fewer spirometry tests and medical consultations. Faced with this serious public health problem, we need t...Continue Reading

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Citations

Jun 19, 2019·Nutrients·Egeria ScodittiDomenico Maurizio Toraldo
Apr 3, 2020·Annals of the American Thoracic Society·Sanjay H Chotirmall
May 29, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Mahbubur Sumon, Alem Mehari
Aug 9, 2020·The European Respiratory Journal·Andreas von Leupoldt, Núria Farre
Feb 10, 2021·Expert Review of Clinical Pharmacology·Maria Gabriella MateraMario Cazzola
Oct 17, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Joon Young ChoiHyoung Kyu Yoon
Dec 4, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Alexander G MathioudakisAntonio Spanevello
Apr 10, 2021·International Journal of Chronic Obstructive Pulmonary Disease·Chantal Raherison-SemjenDave Singh
May 1, 2021·Journal of Clinical Medicine·Domingo Orozco-BeltránJose A Quesada
May 25, 2021·Frontiers in Medicine·Clémence BeauruelleGeneviève Héry-Arnaud
Jul 20, 2021·Frontiers in Medicine·Joanna Domagala-KulawikChantal Raherison-Semjen
Dec 22, 2020·Annals of the American Thoracic Society·Baharan Zarrabian, Mehdi Mirsaeidi

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