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Quality of Life Measures in Elderly Patients with Chronic Obstructive Pulmonary Disease: Japanese Perspectives

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Handbook of Disease Burdens and Quality of Life Measures

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Abstract:

Chronic obstructive pulmonary disease (COPD) is a common disease with increasing prevalence, which tends to show accelerated progression in patients over 65 years old, consequently becoming a major public health problem among elderly populations worldwide. Patients experience a progressive deterioration up to end-stage COPD, characterized by airflow limitation, a severely limited and declining performance status with chronic respiratory failure, advanced age, and various comorbidities due to systemic manifestations. These are mainly attributed to a delay in diagnosis, leading to additional and unexpected comorbidities during the clinical course. These comorbidities can be divided into three major groups: one is a COPD-specific group such as lung cancer; the second group comprises comorbidities generally observed at an advanced age, such as aspiration pneumonia or cognitive impairment; and the third group is made up of a mixture of these, such as osteoporosis, stroke, or ischemic heart disease.

The majority of elderly patients with COPD are managed by primary care physicians who still may not be aware of the recent clinical guidelines; thus, these patients are unlikely to receive proper management in the long term. The culmination of a delayed clinical diagnosis and poor management results in the reduction of activities of daily living (ADL), repeated exacerbations, a poor quality of life (QOL), and high mortality rate in the elderly with COPD, leading to an increasing socio-economic burden. The management of COPD in elderly patients requires multidisciplinary holistic care with a comprehensive approach based on home respiratory care. In this regard, the role of primary care cannot be overestimated, and cooperation between specialist groups and primary care physicians, along with the support of local health care professionals, is critical. Therefore, treatment improvements and a team approach regarding COPD and its comorbidities are urgently needed in terms of health care for elderly COPD patients in our aging society.

We have described problems concerning elderly COPD patients through our experiences in Japan, particularly from the aspect of the health-related QOL and its perspectives.

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Abbreviations

6MWD:

6-minute walking distance

11-Q:

pre-interview questionnaire with 11 questions

ADL:

activities of daily living

AQ:

airways questionnaire

ATS:

American Thoracic Society

BPQ:

breathing problems questionnaire

COPD:

chronic obstructive pulmonary disease

CRQ:

chronic respiratory questionnaire

FEV1:

forced expiratory volume in 1 s

GERD:

gastroesophageal reflux disorders

GOLD:

Global initiative for Chronic Obstructive Lung Disease

HOT:

home oxygen therapy

HMV:

home mechanical ventilation

HRQOL:

health-related quality of life

IADL:

instrumental activities of daily living

ICF:

international classification of functioning, disability, and health

ICIDH-I:

international classification of impairments, disabilities, and handicaps

LTOT:

long-term oxygen therapy

LVRS:

lung volume reduction surgery

OCD:

oxygen cost diagram

OSAS:

obstructive sleep apnea syndrome

QOL:

quality of life

QOL-RIQ:

quality of life for respiratory illness questionnaire

QOL scale:

questionnaires for quality of life using a linear analog scale

SAS:

self-administered standardized

SF-36:

36-item short-form health survey

SGRQ:

St George’s respiratory questionnaire

SIP:

sickness impact profile

URI:

upper respiratory infection

VAS:

visual analogue scale

WHO:

World Health Organization

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Author information

Authors and Affiliations

  1. Department of Pulmonary Medicine, Infection, and Oncology, Respiratory Care Clinic, Nippon Medical School, Tokyo, Japan

    K. Kida, T. Motegi, T. Ishii & K. Yamada

Authors
  1. K. Kida
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  2. T. Motegi
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  3. T. Ishii
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  4. K. Yamada
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Editor information

Editors and Affiliations

  1. Dept. Nutrition and Dietetics Nutritional Sciences Research Division School of Biomedical & Health Sciences, King's College London, Franklin‐Wilkins Building 150 Stamford Street, SE1 9NH, London, UK

    Victor R. Preedy (Prof.) (Prof.)

  2. Mel and Enid Zuckerman College of Public Health, University of Arizona, Health Science Center 1295 N. Martin, P.O. Box 245155, 85724-5155, Tucson, AZ

    Ronald R. Watson (Prof.) (Prof.)

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Kida, K., Motegi, T., Ishii, T., Yamada, K. (2010). Quality of Life Measures in Elderly Patients with Chronic Obstructive Pulmonary Disease: Japanese Perspectives. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_161

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  • DOI: https://doi.org/10.1007/978-0-387-78665-0_161

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  • Print ISBN: 978-0-387-78664-3

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