Evidence map›Paper›PMID 15006126›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2004

Early detection of COPD in primary care: screening by invitation of smokers aged 40 to 55 years.

Georgios Stratelis, Per Jakobsson, Siguard Molstad, Olle Zetterstrom

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Case finding for chronic obstructive pulmonary disease in primary care: a pilot randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Risk stratification for COPD diagnosis through an active search strategy in primary care.International journal of chronic obstructive pulmonary disease · 2016
    Observational
  10. Article
  11. Article
  12. Health and social impacts of COPD and the problem of under-diagnosis.Multidisciplinary respiratory medicine · 2014
    Review
  13. Review
  14. Early detection of COPD in general practice: implementation, workload and socioeconomic status. A mixed methods observational study.Primary care respiratory journal : journal of the General Practice Airways Group · 2013
    Observational
  15. Article
  16. Article
  17. Should chest examination be reinstated in the early diagnosis of chronic obstructive pulmonary disease?International journal of chronic obstructive pulmonary disease · 2013
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Georgios StratelisInstitution of Health and Society, University Hospital, Linkoping, Sweden. Georgios.Stratelis@lio.se
Per Jakobsson
Siguard Molstad
Olle Zetterstrom

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of chronic obstructive pulmonary disease (COPD) is increasing in developed countries, as is the mortality rate. The main cause of COPD is smoking, and COPD is usually diagnosed at a late stage.

aimTo evaluate a method to detect COPD at an early stage in smokers in a young age group (40-55 years). DESIGN OF STUDY: Prospective descriptive study.

settingThe city of Motala (45,000 inhabitants) and its surrounding rural areas (43,000 inhabitants) in south-east Sweden. Nineteen thousand, seven hundred and fifty subjects were between 40 and 55 years of age. According to Swedish statistics, approximately 27% of this population are smokers.

methodSmokers aged between 40 and 55 years were invited to have free spirometry testing in primary healthcare centres. Placards were placed in pharmacies and health centres and advertising was carried out locally twice a year.

resultsA total of 512 smokers responded. The prevalence of COPD was 27% (n = 141). The COPD was classified as mild obstruction in 85% (n = 120), moderate in 13% (n = 18) and severe in 2% (n = 3) according to the European Respiratory Society classification. Knowledge of the disease COPD was acknowledged by 39% of the responders to the questionnaire. Logistic regression analysis showed that age, male sex, number of pack years, dyspnoea and symptoms of chronic bronchitis significantly increased the odds of having COPD. The adjusted odds ratio was significant for having > 30 pack years.

conclusionsThis method of inviting relatively young smokers selected a population of smokers with a high incidence of COPD, and may be one way of identifying smokers with COPD in the early stages.

Indexed as

AdultEpidemiologic MethodsFemaleHumansMaleMass ScreeningMiddle AgedPrimary Health CarePulmonary Disease, Chronic ObstructiveSmokingSpirometrySweden

Identifiers

PMID15006126
PMCPMC1314831

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.