| Survey on the handling of chronic obstructive pulmonary disease by annual health check in Japan. | |
| | |
MedLine Citation:
|
PMID: 18854630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Since mild COPD can be detected in the annual health check by lung function tests, we conducted a questionnaire survey on how such examinations are used to assess chronic obstructive pulmonary disease (COPD). METHODS: We mailed questionnaires to 633 facilities performing comprehensive medical check-up from June to July 2005 and obtained responses from 254 (40.1%). RESULTS: At participating facilities, the proportion of full or part-time physicians specializing in respiratory diseases was low [40 of 366 full timers (10.9%) and 114 of 2,044 part-timers (5.6%)], with very few physicians certified by the Japanese Respiratory Society (6.8%). Non respiratory physicians were involved in evaluating the results of thoracic diagnostic imaging at 32 facilities. Lung function tests were carried out at 98.2% of facilities though relatively few facilities evaluated test results with COPD in mind. All stages (mild, moderate, severe) of COPD were diagnosed in patients at 85 facilities (39.2%), while only severe COPD was targeted by chest imaging at 97 facilities (44.7%), disregarding mild and moderate cases. Counseling for smoking cessation was provided at 113 facilities (20.6%), while 30 facilities (14.4%) provided no form of smoking cessation. CONCLUSION: At most facilities performing a comprehensive medical check-up, there was not a sufficient number of respirologists to ensure early diagnosis of COPD and this may have compromised COPD diagnosis. The newly proposed Japan Society of Comprehensive Medical Check-up (Ningen-dock) Standards based on the Japanese Respiratory Society may be useful to reveal early stages of COPD. |
| | |
Authors:
|
Yuko Komase; Tadashi Abe; Keita Kasahara; Takeshi Kaneko; Hiroshi Takahashi; Masanori Nishikawa; Ichiro Kuwahira |
Publication Detail:
|
Type: Journal Article; Multicenter Study Date: 2008-10-15 |
Journal Detail:
|
Title: Internal medicine (Tokyo, Japan) Volume: 47 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2008 |
Date Detail:
|
Created Date: 2008-10-15 Completed Date: 2009-01-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
|
Languages: eng Pagination: 1791-6 Citation Subset: IM |
Affiliation:
|
St. Marianna University School of Medicine, Yokohama-City Seibu Hospital, Yokohama. yukomase@marianna-u.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Health Surveys Humans Japan Physical Examination Physician's Practice Patterns / statistics & numerical data* Pulmonary Disease, Chronic Obstructive / diagnosis*, physiopathology Pulmonary Medicine / manpower* Questionnaires Respiratory Function Tests Severity of Illness Index Smoking Cessation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Long-term follow-up of plasma cells in bone marrow and serum free light chains in primary systemic A...
Next Document: Endoscopic removal of an accidentally swallowed toothbrush.