Prevalence of chronic obstructive pulmonary disease (%)

Albania

Ministry of Health.

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.

Austria

Data are not available.

Belgium

Source: National health Interview Survey (http://www.wiv-isp.be/epidemio/epien/index4.htm;
http://www.wiv-isp.be/epidemio/hisia/index.htm). Persons aged 15 years and over; the number was
calculated by applying the prevalence from the Survey to the mid-year population.

Bosnia and Herzegovina

Public Health Institute - Annual hospital report. Public Health Institute of Federation of B&H;
Public Health Institute of Republic of Srpska. Annual report of health facilities.
Department for Health of Brcko District

Croatia

Hospital discharges only.

Cyprus

No data are available

Czechia

Source: Institute of Health Information and Statistics of CR (IHIS CR), Survey on activity of health
establishment in out-patient-care (TB and respiratory diseases).
Coverage: Data relates to followed-up patients for diagnoses J41-J47 (ICD-10) in ambulatory
departments for TB and respiratory diseases.
In 2014 data not available

Denmark

N/A

Estonia

Not available.

Finland

Source: Social Insurance Institution.

France

Data are not available.

Georgia

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)

Germany

Source: Federal Statistical Office, Hospital statistics - diagnostic data of the hospital patients
and diagnostic data of the prevention and rehabilitation facilities patients, special evaluation by
the Federal Statistical Office.
http://www.destatis.de or http://www.gbe-bund.de
Deviation from the definition: Data on all cases does not exist. Data contains the number of
patients with chronic obstructive pulmonary diseases (ICD-9: 490-494, 496; ICD-10: J40-J47)
discharged from hospital. The number of discharges includes deaths in hospitals, but excludes
same-day separations and transfers to other care units within the same institutions.
Break in time series: Up to and including the reporting year 2002, data only include discharges in
general hospitals and mental health hospitals. From reporting year 2003, data include additionally
discharges in preventive and rehabilitative hospitals, however discharges of these institutions with
less than 100 beds are not included. The years before 2003 are therefore not comparable to the
following years.
From the reporting year 2000, for the first time, data have been collected according to ICD-10.

Greece

The total number of discharged patients that were hospitalized in public hospitals and private
clinics.

Hungary

Source: Dispensary Register of the National Institute of Pulmolology. In contrast to the range of
diagnoses (ICD-10: J40-J47) defined by HFA, the data are for the diagnoses of emphysema and chronic
obstructive bronchitis (ICD-10: J43.1-J44.9). Bronchitis without obstruction and asthma bronchiale
(ICD-10: J45.0-J45.9) are also excluded.

Iceland

Based on discharge data from all hospitals.
Source: The Directorate of Health.

Ireland

Deviation from the definition: Data on the cumulative number of patients with chronic obstructive
pulmonary diseases are not available. Data are provided instead on the number of inpatient
discharges with COPD from publicly funded acute hospitals.
Source: The data presented are derived from the HIPE (Hospital In-Patient Enquiry) data set, which
records data on discharges from all publicly funded acute hospitals. The Healthcare Pricing Office
(HPO) manages the HIPE system. See www.hpo.ie.

Coverage:
HIPE data covers all in-patients and day cases receiving curative and rehabilitative care in
publicly funded acute hospitals in the State.
For historical reasons, a small number of non-acute hospitals are included in the database. This
activity represents less than 0.5% of total activity in HIPE.
HIPE data do not include private hospitals. Activity data for private hospitals is not available,
however based on a household survey carried out by the Central Statistics Office in 2010 it is
estimated that approximately 15% of all hospital inpatient activity in Ireland is undertaken in
private hospitals. It should be emphasized that this is an estimate only and so should be
interpreted with caution.
The data coverage in HIPE exceeds 96%, i.e. overall approximately 4% of activity in publicly funded
acute general hospitals is missing from HIPE.
The definition of day case is a patient who is formally admitted with the intention of discharging
the patient on the same day, and where the patient is in fact discharged as scheduled (i.e.
excluding deaths and emergency transfers) on the same day. All other patients, including those who
are admitted or discharged as emergencies on the same day, are considered in-patients. In accordance
with WHO guidelines, day cases have been excluded from the data presented for discharges. This
definition is the same as that used in submission of data to the OECD and Eurostat. This ensures
consistency in HIPE data reported by international organisations.
Break in time series:
Data for 1994-2004 were classified using ICD-9-CM. All HIPE discharges from 2005 are now coded using
ICD-10-AM (the Australian Modification of ICD-10 incorporating the Australian Classification of
Health Interventions). The change from ICD-9-CM to ICD-10-AM has resulted in some minor changes in
the classification of diagnoses and procedures. This means for certain categories comparisons of
data between years can be difficult. For more information on the introduction of ICD-10-AM in
Ireland see http://www.esri.ie/health_information/hipe/clinical_coding/classifications/.

Latvia

ICD-9; 490-493 for 1990-1995.

Lithuania

Source: Up to 2005: LHIC annual report data. From 2006: HI HIC data from Compulsory Health Insurance
Database.
Coverage: the number of persons with chronic obstructive pulmonary diseases diagnosis registered in
primary, inpatient and outpatient health care institutions during the year.

Luxembourg

Data are not available.

Malta

Source: Public acute hospitals (MDH, GGH).

Montenegro

Data are not available.

Netherlands

Source of data: For year 2011: calculations of RIVM, the Institute of Public Health and the
Environment, on data of LINH, an episode based General Practitioners network. Data refer to ICPC
codes R91 and R95 (comparable with ICD10 codes J40-J44 + J47).
Note: As Statistics Netherlands is in the process of calculating prevalence rates for several groups
of diseases based on LINH, provisional estimates will be supplied in the coming years. This means
that the figure will be changed.

Norway

Source of data: The Norwegian Patient Register.
Deviation from the definition: Data on the cumulative number of patients with chronic obstructive
pulmonary diseases are not available. Data are provided instead on the number of inpatient
discharges with COPD from all hospitals, taken from the Norwegian Patient Register.
Coverage: all hospitals.

Poland

Data are not available.

Romania

Source of data: Routine reporting system data (data collected from family physician).

Serbia

No data are available.

Slovakia

Source. National Health Information Centre (NIC)
Web page: http://www.nczisk.sk/Publikacie/Edicia_Zdravotnicka_statistika/Pages/default.aspx

Slovenia

Data are not available from NIJZ databases.

Spain

Representative sample of the population aged 15 years and above. Source: Ministry of Health, Social
Services and Equality ? National Statistics Institute (INE). National Health Survey (2011).
(http://www.msssi.gob.es/estadEstudios/estadisticas/encuestaNacional/home.htm) European Health
Survey in Spain (2014) (www.ine.es ).

Sweden

Data are not available. The actual number of cases of COLD is very different from the number treated
in hospitals for COLD, which is a minority of usually very serious cases. Many are diagnosed in
primary care and many are undetected. The national health care quality register does not provide an
estimate of the actual number of cases.

Switzerland

Based on hospital discharge data. The series have been corrected to restrict the figures to
inpatient cases (exclusion of day cases). Source of data: FSO Federal Statistical Office, Neuchatel;
Medical Statistics of Hospitals; yearly census.
Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day cases
since 2002. Due to a modification of the legislation, day cases are not collected in 2009 anymore.
Deviation from the definition:
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.

Türkiye

No data are available.

Turkmenistan

Source of data: Administrative medical statistics, forms: 5 ?Report on morbidity? and 025-2/y
?Statistical card of a patient?.

Ukraine

Total number patients registered at the end of the year. Before 2000: ICD-9 491-496. From 2000:
ICD10 J40-J47.
Source: Centre of Health Statistics, Ministry of Health.
992975 - Hospital discharges, digestive system diseases
See 992971. Chapter IX of ICD-9 and chapter XI of ICD-10
Country specific sources and methods
Source: Centre of Health Statistics, Ministry of Health.
Coverage: Included only data from public hospitals under Ministry of Health.
992976 - Hospital discharges, musculoskeletal system & connective tissue disease
See 992971. Chapter XIII of ICD-9/10.
Country specific sources and methods
Source: Centre of Health Statistics, Ministry of Health.
Coverage: Included only data from public hospitals under Ministry of Health.
992978 - Hospital discharges, injury and poisoning
See 992971. Chapter XVII of ICD-9 and chapter XIX of ICD-10
Country specific sources and methods
Included only data from public hospitals under Ministry of Health.
Source: Centre of Health Statistics, Ministry of Health.

United Kingdom

Source of Data: Quality & Outcomes Framework (QOF).
Coverage: Data is for patients who are registered with a GP practice and is collected voluntarily
with 90+% participation rate.

Deviation from the Definition: Data in England as at end June in respective years. Data for
Scotland, Wales & N. Ireland as at end of March in respective years.

Estimation Method: Data for Wales prior to 2007 not available so has been approximated on a pro rata
basis using its contribution to the UK total between 2007 and 2009.
Wales (2014) - Numbers for a few financial years were amended due to incorrect entries last year.