Language
English
Publication Date
11-1-2024
Journal
Annals of the American Thoracic Society
DOI
10.1513/AnnalsATS.202404-386FR
PMID
39083678
PMCID
PMC11568495
PubMedCentral® Posted Date
11-1-2024
PubMedCentral® Full Text Version
Post-print
Abstract
Chronic obstructive pulmonary disease (COPD) is a major public health problem in the Americas (a region of the world comprising North, Central, and South America), although there is substantial variation in disease prevalence, morbidity, and mortality between and within nations. Across the Americas, COPD disproportionately affects vulnerable populations, including minoritized populations and impoverished persons, who are more likely to be exposed to risk factors such as tobacco use, air pollution, infections such as tuberculosis, and biomass smoke, but less likely to have adequate healthcare access. Management of COPD can be challenging across the Americas, with some barriers being specific to certain countries and others shared across the United States, Canada, and Latin America. Because most cases of COPD are undiagnosed because of suboptimal access to health care and pulmonary function testing and, thus, cannot be treated, increased access to spirometry would have a substantial impact on disease management across the Americas. For individuals who are diagnosed, access to medications and other interventions is quite variable across and within nations, even in those with universal healthcare systems, such as Canada and Brazil. This emphasizes the importance of collaborative treatment guidelines, which should be adapted for the healthcare systems and policies of each nation or region, as appropriate. To have a positive impact on COPD management in the Americas, we propose actionable items, including the need for all our respiratory societies to engage key stakeholders (e.g., patient-led organizations, professional societies, and governmental and nongovernmental agencies) while advocating for campaigns and policies to ensure clean air for all; eliminate tobacco use and enhance coverage for treatment of nicotine dependence; and improve access to early case finding, diagnosis, and treatment for all patients, including underserved and vulnerable populations.
Keywords
Humans, Pulmonary Disease, Chronic Obstructive, Health Services Accessibility, Societies, Medical, Latin America, Canada, Americas, United States, Spirometry, COPD, management, the Americas, health disparities, treatment
Published Open-Access
yes
Recommended Citation
Polverino, Francesca; Bhutani, Mohit; Zabert, Gustavo; et al., "Access to Treatment for Chronic Obstructive Pulmonary Disease in the Americas: A Call for Action. A Joint Perspective from the Brazilian Thoracic Society, Canadian Thoracic Society, Latin American Thoracic Society, and the American Thoracic Society." (2024). Faculty and Staff Publications. 4796.
https://digitalcommons.library.tmc.edu/baylor_docs/4796
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Critical Care Commons, Health Services Research Commons, Medical Sciences Commons, Pulmonology Commons, Sleep Medicine Commons