@article {C.:December 2004:1027-3719:1423, author = "C. Zaher", author = "R. Halbert", author = "R. Dubois", author = "D. George", author = "D. Nonikov", title = "Smoking-related diseases: the importance of COPD", journal = "The International Journal of Tuberculosis and Lung Disease", volume = "8", year = "December 2004", abstract = "SETTING: Smoking plays a major role in a variety of diseases. Despite a strong relationship between smoking and chronic obstructive pulmonary disease (COPD), cardiovascular disease and lung cancer attract greater attention.
OBJECTIVE: To assess the burden of illness produced by smoking.DESIGN: Smoking-attributable risk (SAR) and smoking-attributable disease burden (mortality, morbidity, and cost) were estimated for four conditions: COPD, coronary heart disease (CHD), lung cancer, and stroke.RESULTS: Smoking-attributable deaths worldwide were: 1772580 COPD, 1 277000 CHD, 822150 lung cancer, and 788580 stroke. Smoking-attributable disability adjusted life years (DALYs) were: 47232000 COPD, 18106000 CHD, and 11052000 stroke. US smoking-attributable costs were: $26.0 billion CHD, $24.9 billion COPD, and $9.0 billion stroke. US smoking-attributable annual hospitalizations were: 520000 COPD, 460000 CHD, and 183000 stroke.CONCLUSIONS: Cardiovascular disease and lung cancer rank high in absolute estimates of disease burden. However, COPD has a more substantial smoking-attributable disease burden. COPD deserves more attention in the health care sector. Smoking cessation programs, pharmacological interruption of the pathophysiology of smoking-related COPD, and effective management of COPD should be key targets of intervention and research.", pages = "1423-1428(6)", url = "http://www.ingentaconnect.com/content/iuatld/ijtld/2004/00000008/00000012/art00005" }