{"doi":"10.2147/copd.s499792","title":"Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study","abstract":"Background and Objective: Despite the second most common cause of disease burden, there are few studies reporting the prevalence, awareness, and treatment rates of COPD in India. Methods: A community-based cross-sectional study was conducted among people aged ≥40 years residing in rural and urban areas of Sonipat district in North India using a multistage random sampling technique. COPD was defined as self-reported physician diagnosed COPD, emphysema, chronic bronchitis or being on treatment for COPD. Additional cases were detected using a validated sequential screening strategy, ie, administering the Lung Function Questionnaire (LFQ) followed by the pocket spirometry and confirmation by post-bronchodilation spirometry. Awareness was defined as self-reported diagnosed cases of COPD or self-reported treatment. Treatment was defined as self-reported intake of oral or inhalational corticosteroids and/or bronchodilators. Trained Community Health Workers interviewed the study participants using a paper-based validated questionnaire, screened for COPD with the LFQ and conducted the pocket spirometry. Confirmation of COPD using post-bronchodilation gold standard spirometry was conducted by trained physician researchers. Age-standardized estimates were calculated for the prevalence, awareness, and treatment of COPD. Results: The overall age-standardised prevalence of COPD in our study was 8.6% (95% CI: 7.5-9.8) with higher prevalence in men and rural population. The overall awareness of COPD was 75.1% (95% CI: 68.5-80.7) with lower awareness among people who ever-smoked [33.9% (32.0-35.8)], currently smoked [29.6% (27.8-31.5)] and among those with post-bronchodilator confirmed diagnosis of mild COPD (4.8%). Less than half (45.7%) of participants with COPD reported taking bronchodilators and/or corticosteroids. Conclusion: The awareness-treatment gap in COPD was high in the study population. There is a need to strengthen the public health system along with systematic training of health care providers to provide appropriate treatment to people with COPD.","journal":"International Journal of COPD","year":2025,"id":523732,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.956,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":735122,"name":"Anastasia Hutchinson","orcid":"0000-0002-0014-689X","position":1,"is_corresponding":false},{"id":735123,"name":"Rajesh Khatkar","orcid":"0000-0002-1004-6702","position":2,"is_corresponding":false},{"id":23230,"name":"Dorairaj Prabhakaran","orcid":"0000-0002-3172-834X","position":3,"is_corresponding":false},{"id":337639,"name":"Sailesh Mohan","orcid":"0000-0003-1853-3596","position":4,"is_corresponding":false},{"id":337642,"name":"Prashant Jarhyan","orcid":"0000-0002-5020-3995","position":0,"is_corresponding":true}],"reference_count":27,"raw_metadata":null,"created_at":"2026-07-19T02:50:07.396155Z","pmid":"40621490","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}