ArticleInternational journal of chronic obstructive pulmonary disease2008
Knowledge and attitudes of family physicians coming to COPD continuing medical education.
Article in International journal of chronic obstructive pulmonary disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.
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Who cites it
61 citing papers in PubMed.
- Pulmonary specialist health coach consultation model: a randomized controlled trial.Annals of the American Thoracic Society · 2026Trial
- Improved prediction of COPD in at-risk patients using lung function pre-screening in primary care: a real-life study and cost-effectiveness analysis.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Trial
- Recognising the family physician in asthma and COPD guidelines: a necessary step for effective primary care implementation.NPJ primary care respiratory medicine · 2026Article
- [Use of long-acting triple therapy for chronic obstructive pulmonary disease (COPD) in practice: The ELETHON physicians' survey].Pneumologie (Stuttgart, Germany) · 2025Article
- Twelve barriers to COPD diagnosis in France: a comparative qualitative study.BMJ open respiratory research · 2025Article
- Article
- The role of the physician associate in the United Kingdom.Future healthcare journal · 2024Article
- The 2021 Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) guidelines and the outpatient management: Examining physician adherence and its effects on patient outcome.Journal of family medicine and primary care · 2024Article
- Reductions in inhaler greenhouse gas emissions by addressing care gaps in asthma and chronic obstructive pulmonary disease: an analysis.BMJ open respiratory research · 2023Article
- Access to Pulmonary Rehabilitation among Medicare Beneficiaries with Chronic Obstructive Pulmonary Disease.Annals of the American Thoracic Society · 2023Article
- Reply to:Journal of market access & health policy · 2023Article
- Are We Missing the Opportunity to Disseminate GOLD Recommendations Through AECOPD Discharge Letters?International journal of chronic obstructive pulmonary disease · 2023Article
- Beyond Access: Factors Associated With Spirometry Underutilization Among Patients With a Diagnosis of COPD in Urban Tertiary Care Centers.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022Article
- Artificial intelligence to differentiate asthma from COPD in medico-administrative databases.BMC pulmonary medicine · 2022Article
- A qualitative assessment of the pulmonary rehabilitation decision-making needs of patients living with COPD.NPJ primary care respiratory medicine · 2022Article
- Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective.Advances in therapy · 2022Article
- Increased reliance on physician assistants: an access-quality tradeoff?Journal of market access & health policy · 2022Article
- Targeting exertional breathlessness to improve physical activity: the role of primary care.NPJ primary care respiratory medicine · 2021Review
- Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
- Impact of Proactive Integrated Care on Chronic Obstructive Pulmonary Disease.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
2 authors.
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Abstract
purposeCOPD remains under-recognized and under-treated. Much of early COPD care is given by primary care physicians but only when COPD is recognized. This survey explores the attitudes, beliefs, and knowledge related to COPD recognition, diagnosis, and treatment from family physicians and nurse practitioners (NPs) and physician assistants (PAs) working in primary care.
methodsWe completed a survey of family physicians, and NPs/PAs attending one of three CME programs on five common chronic conditions including COPD.
resultsReturn rate was 62% (n = 284) including 178 physicians and 100 NPs/PAs. Fewer than half of the respondents reported knowledge of or use of COPD guidelines. The barriers to recognition and diagnosis of COPD they reported included the multiple morbidities of most COPD patients, failure of patients to report COPD symptoms, as well as lack of knowledge and inadequate training in COPD diagnosis and management. Three quarters (74%) of respondents reported use of spirometry to diagnose COPD but only 32% said they included reversibility assessment. COPD was incorrectly assessed as a disease primarily of men (78% ofrespondents) that appeared after age 60 (61%). Few respondents reported that they believed COPD treatment was useful or very useful for improving symptoms (15%) or decreasing exacerbations (3%) or that pulmonary rehabilitation was helpful (3%), but 13% reported they thought COPD treatment could extend longevity.
conclusionsPrimary care physicians and NPs/PAs working in primary care continue to report lack of awareness and use of COPD guidelines, as well as correct information related to COPD epidemiology or potential benefits of available treatments including pulmonary rehabilitation. It is unlikely that diagnosis and management of COPD will improve in primary care until these knowledge gaps and discrepancies with published efficacy of therapy issues are addressed.
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Registered trials
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.