The Czechia COPD mortality rate declining,but total deaths increasing

Introduction: The mortality burden of COPD continues to be high among Western countries.There is a need to publish valid data related to Eastern Europe. Methods: Population based study in the whole population of the Czech Republic(CZ)using data analyzed by Institute of Health Information and Statistics from 2010 to 2018.The main data source of the analysis is new National Registry of Reimbursed Health Services(NRRHS)containing data of health insurance companies on diagnosed,procedures and administered treatment. Results: Fifty thousand COPD cases(0.5%population)are newly diagnosed each year. 235.574(2.2%pop.)of COPD patients were regularly managed by respiratory physicians. Totally 710.749 individuals (6.7%pop.)had any time history of COPD diagnosis.Life expectancy in COPD population increased significantly from 2012 to 2018 and is comparable to overall life expectancy in the CZ (10.6 million)population.However total number of deaths attributable to COPD increased (23.1/100.000 in 2012;31.6/100.000 in 2018). We have calculated national lost years during two intervals:15,657 lost years(2012-2014),and 10,294 lost years(2015-2017). Therefore 5.362 previously „lost years: of life were prevented.Within the overall CZ population of all living individuals,a significant increase in life expectancy of COPD cohort was noted. Conclusion: Although COPD mortality rate have declined from 2012 to 2018 in the CZ,the total number of deaths due to COPD has increased.