Metrics details. The prevalence of chronic obstructive pulmonary disease COPD is similar in Japan and China and is increasing due to high rates of smoking in these countries. Reducing COPD is an important public health issue. From to , we examined the factors affecting the health status of Japanese and Chinese populations living in six cities. The physical, psychosocial activities, and pain scores increased significantly as COPD status worsened in Chinese subjects, whereas these scores were not affected by sex, age, or COPD status for Japanese subjects. These results suggest that countermeasures against insufficient health care and smoky environments may improve the health status of Chinese patients with COPD.
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AIM: A study was carried out to determine whether the charts are able to measure the degree of functional impairment associated with acute illness and the improvement in functional ability accompanying the process of recovery.
METHOD: A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany. The charts ask patients to use the timescale of the past two weeks when rating their condition. Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients' measurements of pain intensity on a visual analogue scale, general practitioners' ratings of impairment and patients' measurements of recovery were analysed.
RESULTS: Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and an improvement in functional status at follow up. Two of the other charts indicated a deterioration at follow up. Only the chart measuring change in health was correlated with ratings of pain and impairment at baseline. At follow up, strong correlations were found between general practitioners' assessments of impairment, patients' ratings of pain and patients' ratings of recovery for all scales except for those measuring social activities and daily activities.
This may partly be a result of patients misunderstanding the instructions. It is suggested that patients consider their present complaints when rating their condition. National Center for Biotechnology Information , U. Br J Gen Pract. Author information Copyright and License information Disclaimer.
Copyright notice. This article has been cited by other articles in PMC. The functional status of patients. How can it be measured in physicians' offices? Med Care. Aust Fam Physician.
Measuring functional health status in primary care using the COOP-WONCA charts: acceptability, range of scores, construct validity, reliability and sensitivity to change.
COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?
COOP/WONCA Charts (COOP-C or COOP/WONCA)