COPD research at NB-IRDT: ​ Phase 1 Results from Canadian Community Health Survey (CCHS PUMFs) ​

1. COPD research at NB-IRDT:
Phase 1 Results from Canadian
Community Health Survey (CCHS PUMFs)
Anat Ziv and Kyle Rogers

2. COPD in New Brunswick
“Breathing is something many people take for granted”
-PHAC 2018
2nd leading cause of hospitalization in NB after childbirth
-NB DH 2016

3. New Brunswick COPD HEALTH INFORMATION
PLATFORM (CHIP)
Provincially comprehensive PFT data linkable to NB-IRDT platform
• Identify individual cases that meet clinical criteria for COPD
• Support advancement in the management of COPD at the system planning,
research, clinical practice and patient levels
• Undertake predictive modeling of incidence and outcomes

4. COPD working group
Comprised of
• Administrators, Clinicians, Researchers, Patients
From
• Department of Health, Horizon, Vitalité, UNB, NB-IRDT
Research goal: Better understand COPD in NB by utilizing the
myriad data sources available at NB-IRDT and UNB Research
Data Centre

5. CCHS
(RDC)
CCHS-DAD
(RDC)
CCDSS
(NB-IRDT)
NB-CHIP
(NB-IRDT)
Full IRDT
platform
Demographics √ √ √* √* √*
Health behaviours √ √
X
√
X
Clinical/medical
characteristics
X X √ √ √
Service use √* √* √ √ √
Geographic
information
√ √ √ √
√
Environmental info √ √ √ √ √
Quality of life
information √ √ X X X
Drug information X X X* √ √
√ denotes available; X denotes not available; * denotes caveat

6. INITIAL RESULTS

7. Self-Reported COPD and Total Population in NB by
Age Group
4%
17%
27%
25%
20%
8%
10%
28%
26%
19%
11%
5%
0%
5%
10%
15%
20%
25%
30%
35-39 40-49 50-59 60-69 70-79 80+
Self-Reported COPD Total population in NB

8. Self-Reported COPD and Total Population in NB
Among Women
60% 60% 59%
56%
47%
52% 53% 53% 51% 51%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Zone 1 Zone 2 Zone 3 Zone 4+5 Zone 6+7
Women with COPD Women in NB

9. Self-Reported COPD and Total Population in NB by
Highest level of Education
28%
15%
3%
54%
17%
15%
4%
64%
0%
10%
20%
30%
40%
50%
60%
70%
Less than secondary grad Secondary grad Some post secondary post secondary
Self-reported COPD Total population in NB

10. Has Asthma by Health Zone
38%
26%
33%
39%
40%
8% 7% 7% 7% 8%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Zone 1 Zone 2 Zone 3 Zone 4+5 Zone 6+7
Self-reported COPD Total population in NB

11. Help needed for tasks (Activities of Daily Living)
41.7% 40.7% 39.9%
46.2%
37.1%
16.4% 17.2%
15.5%
19.9%
16.6%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Zone 1 Zone 2 Zone 3 Zone 4+5 Zone 6+7
Has COPD Total population in NB

12. Type of Smoker
33%
3%
35%
28%
23%
3%
34%
40%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Daily Occasional Former Daily Never Smoked
Self-reported COPD Total population in NB

13. Evaluating CCHS PUMFs
Strengths
• Quick access time
• Multiple risk factors and covariates to explore
• Nationally consistent
Limitations
• Sample size
• Not annual
• Limited to health zone analyses