Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland

Background: Interstitial lung diseases form a group of chronic diseases associated with a significant worsening of the quality of life. Proper management of these diseases involves the recognition and treatment of comorbidities, so it implies high direct and indirect costs of therapy. The lack of ep...

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Main Authors: Ewa Niewiadomska, Małgorzata Kowalska, Jan E. Zejda
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2016-12-01
Series:Medycyna Pracy
Subjects:
Online Access:http://medpr.imp.lodz.pl/Choroby-wspolistniejace-nw-przypadku-srodmiazszowych-chorob-pluc-u-doroslych-mieszkancow-wojewodztwa-slaskiego,63036,0,2.html
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spelling doaj-b20391ba29a6437f8a1a07ce57da51a92020-11-24T21:02:18ZengNofer Institute of Occupational MedicineMedycyna Pracy0465-58932353-13392016-12-0167675176310.13075/mp.5893.00487Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, PolandEwa NiewiadomskaMałgorzata KowalskaJan E. ZejdaBackground: Interstitial lung diseases form a group of chronic diseases associated with a significant worsening of the quality of life. Proper management of these diseases involves the recognition and treatment of comorbidities, so it implies high direct and indirect costs of therapy. The lack of epidemiological data on the total incidence of interstitial diseases in Poland, as well as of information on their increasing incidence in other European countries justify investigations into epidemiological situation in the Silesian voivodeship (the southern region of Poland). Material and Methods: In a descriptive study registered data provided by the National Health Found in 2006–2010 were used to assess the temporal variability of standardized incidence rates. A data set included interstitial lung diseases and comorbidities in adults aged ≥ 19 years, residents of the Silesian voivodeship. Results: In the period under study standardized incidence ratios for interstitial lung disease declined from 9.7/100 000 adult population to 7.8/100 000 adult population. The most prevalent comorbidities included cardio-vascular diseases, chronic and infectious respiratory diseases, metabolic diseases and musculoskeletal and connective tissue diseases. Comorbidities were found more frequently in older people ≥ 65 years, except for sarcoidosis, which was four times more prevalent in younger people (19–64 years) compared to older patients. The estimated costs of treatment of the analysed diseases reached more than 50 mln zlotys (12 mln dollars) per year. Conclusions: A small but systematic decrease in the value of the standardized incidence rate for interstitial lung disease has been shown within the range of 9.7–7.8/100 000 adult inhabitants. The most frequent comorbidities included cardiovascular or chronic and infectious respiratory diseases. The high cost of therapy of interstitial lung diseases was largely related to simultaneous treatment of comorbidities. Med Pr 2016;67(6):751–763http://medpr.imp.lodz.pl/Choroby-wspolistniejace-nw-przypadku-srodmiazszowych-chorob-pluc-u-doroslych-mieszkancow-wojewodztwa-slaskiego,63036,0,2.htmlinterstitial lung diseasecoexisting diseasesepidemiological descriptive studyidiopathic pulmonary fibrosissarcoidosisdrug-induced and iatrogenic pulmonary fibrosis
collection DOAJ
language English
format Article
sources DOAJ
author Ewa Niewiadomska
Małgorzata Kowalska
Jan E. Zejda
spellingShingle Ewa Niewiadomska
Małgorzata Kowalska
Jan E. Zejda
Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland
Medycyna Pracy
interstitial lung disease
coexisting diseases
epidemiological descriptive study
idiopathic pulmonary fibrosis
sarcoidosis
drug-induced and iatrogenic pulmonary fibrosis
author_facet Ewa Niewiadomska
Małgorzata Kowalska
Jan E. Zejda
author_sort Ewa Niewiadomska
title Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland
title_short Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland
title_full Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland
title_fullStr Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland
title_full_unstemmed Comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the Silesian voivodeship, Poland
title_sort comorbidity diseases in adults with diagnosed interstitial lung diseases among inhabitants of the silesian voivodeship, poland
publisher Nofer Institute of Occupational Medicine
series Medycyna Pracy
issn 0465-5893
2353-1339
publishDate 2016-12-01
description Background: Interstitial lung diseases form a group of chronic diseases associated with a significant worsening of the quality of life. Proper management of these diseases involves the recognition and treatment of comorbidities, so it implies high direct and indirect costs of therapy. The lack of epidemiological data on the total incidence of interstitial diseases in Poland, as well as of information on their increasing incidence in other European countries justify investigations into epidemiological situation in the Silesian voivodeship (the southern region of Poland). Material and Methods: In a descriptive study registered data provided by the National Health Found in 2006–2010 were used to assess the temporal variability of standardized incidence rates. A data set included interstitial lung diseases and comorbidities in adults aged ≥ 19 years, residents of the Silesian voivodeship. Results: In the period under study standardized incidence ratios for interstitial lung disease declined from 9.7/100 000 adult population to 7.8/100 000 adult population. The most prevalent comorbidities included cardio-vascular diseases, chronic and infectious respiratory diseases, metabolic diseases and musculoskeletal and connective tissue diseases. Comorbidities were found more frequently in older people ≥ 65 years, except for sarcoidosis, which was four times more prevalent in younger people (19–64 years) compared to older patients. The estimated costs of treatment of the analysed diseases reached more than 50 mln zlotys (12 mln dollars) per year. Conclusions: A small but systematic decrease in the value of the standardized incidence rate for interstitial lung disease has been shown within the range of 9.7–7.8/100 000 adult inhabitants. The most frequent comorbidities included cardiovascular or chronic and infectious respiratory diseases. The high cost of therapy of interstitial lung diseases was largely related to simultaneous treatment of comorbidities. Med Pr 2016;67(6):751–763
topic interstitial lung disease
coexisting diseases
epidemiological descriptive study
idiopathic pulmonary fibrosis
sarcoidosis
drug-induced and iatrogenic pulmonary fibrosis
url http://medpr.imp.lodz.pl/Choroby-wspolistniejace-nw-przypadku-srodmiazszowych-chorob-pluc-u-doroslych-mieszkancow-wojewodztwa-slaskiego,63036,0,2.html
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