ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2007
The validity of diagnostic support of an asthma/COPD service in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- The use of a direct bronchial challenge test in primary care to diagnose asthma.NPJ primary care respiratory medicine · 2020Observational
- Quality of spirometry and related diagnosis in primary care with a focus on clinical use.NPJ primary care respiratory medicine · 2020Article
- Prevalence of Asthma Characteristics in COPD Patients in a Dutch Well-Established Asthma/COPD Service for Primary Care.International journal of chronic obstructive pulmonary disease · 2020Article
- The contribution of an asthma diagnostic consultation service in obtaining an accurate asthma diagnosis for primary care patients: results of a real-life study.NPJ primary care respiratory medicine · 2017Article
- Development of a diagnostic decision tree for obstructive pulmonary diseases based on real-life data.ERJ open research · 2016Article
- Most Italians attending a congress on health of elderly people do not know and do not recognize respiratory diseases.Multidisciplinary respiratory medicine · 2016Article
- Feasibility and effectiveness of an asthma/COPD service for primary care: a cross-sectional baseline description and longitudinal results.NPJ primary care respiratory medicine · 2015Article
- Pneumocafé project: an inquiry on current COPD diagnosis and management among General Practitioners in Italy through a novel tool for professional education.Multidisciplinary respiratory medicine · 2014Article
- Overtreatment of COPD with inhaled corticosteroids--implications for safety and costs: cross-sectional observational study.PloS one · 2013Observational
- Consultation performance of general practitioners when supported by an asthma/COPDC-service.BMC research notes · 2012Article
- The impact of 2011 and 2017 Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) guidelines on allocation and pharmacological management of patients with COPD in Taiwan: Taiwan Obstructive Lung Disease (TOLD) study.International journal of chronic obstructive pulmonary diseaseArticle
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo support GPs in diagnosing and monitoring their patients with asthma/chronic obstructive pulmonary disease (COPD), 'asthma/COPD services' have been developed. Within these services, pulmonologists perform structured diagnostic and therapeutic assessments based on the combination of written history data and spirometry.
aimThis study determines the validity of the diagnosis and advice when assessed using only written information. DESIGN OF STUDY: The results of the diagnostic procedures of an asthma/COPD service were compared with the results of regular office consultations by pulmonologists.
settingFrom January until August 2004, two pulmonologists examined 80 randomly selected patients referred to an asthma/COPD service in Eindhoven, the Netherlands.
methodConcordance was analysed between diagnosis and advice based on written spirometry and history data, with assessments based on live consultations with the same patients by pulmonologists.
resultsThe validity of the assessed diagnosis was high (Cohen's kappa = 0.82). When the diagnosis was uncertain, the advice for medical treatment scored low in validity (Cohen's kappa = 0.39). The advice for additional diagnostic examinations had a high internal validity: in half of the patients, uncertainty in diagnosis turned into a definite diagnosis of asthma/COPD, or another cause for the complaints of the patient was revealed; in the other half, the diagnosis of asthma/COPD could be rejected.
conclusionsA structured asthma/COPD service offering diagnosis and diagnostic advice assessed from written spirometry and history data is a new and valid facility that can support the GP who faces the complicated diagnostic procedures in a progressive number of patients with asthma/COPD.
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