You are more likely to contract chronic obstructive lung disease (COLD) if you have a low income and below average education.
In a few years, chronic obstructive lung disease will become the third most important casue of death in the world. Today, 200,000 people in Norway have COLD and another 9000 contract the disease every year. According to the World Helath Organisation (WHO) this disease will probably become one of the most frequent causes of death anywhere in the world within a few years. Long-term smoking is the most usual cause, and more and more women are becoming sufferers.
Scientists at SINTEF Health Research have set themselves the goal of finding out more about this group of patients, and have started a wide-ranging programme of work in this area. They are currently mapping out how COLD patients have been diagnosed and treated; the standard of living of the group will be studied, and the potential of new, improved treatments will be checked out.
Karl-Gerhard Hem is working on the standard of living survey, which aims to find out more about the lifestyle of people in this group in order to customise measures that could help them. Hem is comparing such measures as education, health, occupational status, etc. in COLD patients and a group of normal non-sufferers, as well as in patients with other chronic diseases.
"We can already say that people with COLD who are less than 67 years old have lower levels of income and education than the normal population. As far as social conditions such as contact with family and friends is concerned, however, there are few identifiable differences", says Hem. A further aim of the study is to find out what we do not know about this group at present, and Hems points out that there are many COLD sufferers in Norway who have still not been diagnosed as such. "To find them and offer them treatment is important, so a more highly customised study of COLD patients will be designed in the future".
"Swedish studies have shown that the total cost to society of patients in that country is around nine billion kroner. With a population about half of that of Sweden, we can estimate that it costs Norway about NOK 4 billion", says Tommy Haugan, who leads a project that is surveying courses of treatment for this group of patients. "Identifying success factors for the best treatment of these patients – which would also have an effect on society as a whole - is our aim".
The group has collaborated with a data company in developing software capable of digging out specific types of information from large databases. Five medical practices in Steinkjer and three in Trondheim have opened up their files to the project, and information on 4000 Norwegian patients with COLD, asthma and respiratory problems has been downloaded. Data about the same patients has also been fetched out of databases in hospitals and emergency services.