| Comparison of a network of primary care physicians and an open spirometry programme for COPD diagnosis. | |
| | |
MedLine Citation:
|
PMID: 20663655 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Early diagnosis of Chronic Obstructive Pulmonary Disease (COPD) remains the cornerstone for effective management. In this study we compared an open spirometry programme and a case-finding programme providing spirometry to high-risk subjects selected by primary care physicians. METHODS: A network of primary care physicians was created after invitation and all participants received training on COPD and spirometry. The study team visited 12 primary care settings in each programme in a 1-year period. Spirometry was performed in all eligible participants. COPD diagnosis and classification was based on GOLD guidelines and evaluation by a chest physician. RESULTS: Patients with acceptable spirometry were evaluated (n = 201 in the case-finding and n = 905 in the open spirometry programme). The proportion of newly diagnosed COPD was 27.9% in the case-finding programme compared to 8.4% in the open spirometry programme (p < 0.0001). The numberneeded-to-screen (NNS) for a new diagnosis of COPD was 3.6 in the case-finding programme compared to 11.9 in the open spirometry programme. The majority of newly diagnosed patients were classified in GOLD stages I an II. The average cost for a new diagnosis of COPD was 173€ in the open spirometry programme and 102€ in the case-finding programme. CONCLUSIONS: A case-finding programme involving primary care physicians was more cost-effective for the identification of new cases of COPD compared to an open spirometry programme. The development of networks of primary care physicians with access to good quality spirometry and specialist consultation for early diagnosis of COPD is justified. |
| | |
Authors:
|
Vaya Konstantikaki; Konstantinos Kostikas; Markos Minas; Georgios Batavanis; Zoe Daniil; Konstantinos I Gourgoulianis; Chrissi Hatzoglou |
Related Documents
:
|
2295435 - Nonpsychotic morbidity in a general hospital: early detection based on presenting compl... 15968445 - What barriers do primary care physicians face in the management of patients with chroni... 7310345 - Recognition of a heritable disorder. 8722135 - Primary health care physicians' treatment of psychosocial problems: implications for so... 437165 - Epididymal extravasation following vasectomy as a cause for failure of vasectomy reversal. 2295435 - Nonpsychotic morbidity in a general hospital: early detection based on presenting compl... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Respiratory medicine Volume: 105 ISSN: 1532-3064 ISO Abbreviation: Respir Med Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-01-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8908438 Medline TA: Respir Med Country: England |
Other Details:
|
Languages: eng Pagination: 274-81 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Respiratory Medicine Department, University of Thessaly Medical School, Larissa, Greece. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effects of interval exercise training on respiratory drive in patients with chronic heart failure.
Next Document: Treatment of mature landfill leachate by biofilters and Fenton oxidation.