Observational studyPrimary care respiratory journal : journal of the General Practice Airways Group2013
Early detection of COPD in general practice: implementation, workload and socioeconomic status. A mixed methods observational study.
Observational study in Primary care respiratory journal : journal of the General Practice Airways Group, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Economic evaluations of screening and case-finding for Chronic Obstructive Pulmonary Disease (COPD): a systematic review.NPJ primary care respiratory medicine · 2026Pooled it
- Pooled it
- Effectiveness of case finding strategies for COPD in primary care: a systematic review and meta-analysis.NPJ primary care respiratory medicine · 2015Pooled it
- Point of care microspirometry to facilitate the COPD diagnostic process in primary care: a clustered randomised trial.NPJ primary care respiratory medicine · 2018Trial
- Enhancing the use of Asthma and COPD Assessment Tools in Balearic Primary Care (ACATIB): a region-wide cluster-controlled implementation trial.NPJ primary care respiratory medicine · 2016Trial
- Early detection of COPD in general practice: patient or practice managed? A randomised controlled trial of two strategies in different socioeconomic environments.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Trial
- Improving case-finding of long-term health problems in disadvantaged communities: A Policy-focused Evidence Brief.Public health in practice (Oxford, England) · 2026Article
- Chronic Obstructive Pulmonary Disease in Singapore: Current Perspectives on Prevalence, Disease Burden, and Treatment.International journal of chronic obstructive pulmonary disease · 2026Review
- Qualitative emphysema and risk of COPD hospitalization in a multicenter CT lung cancer screening cohort study.Respiratory medicine · 2021Article
- External validation of the PUMA COPD diagnostic questionnaire in a general practice sample and the PLATINO study population.International journal of chronic obstructive pulmonary disease · 2019Article
- The physical, mental, and social impact of COPD in a population-based sample: results from the Longitudinal Aging Study Amsterdam.NPJ primary care respiratory medicine · 2018Article
- Do not do in COPD: consensus statement on overuse.International journal of chronic obstructive pulmonary disease · 2018Article
- A qualitative study of GP, nurse and practice manager views on using targeted case-finding to identify patients with COPD in primary care.NPJ primary care respiratory medicine · 2017Article
- [Perceptions of patients and health professionals about the quality of care provided to chronic obstructive pulmonary disease patients].Atencion primaria · 2016Article
- An innovative COPD early detection programme in general practice: evaluating barriers to implementation.NPJ primary care respiratory medicine · 2014Article
- Validation of the COPD Diagnostic Questionnaire in an Australian general practice cohort: a cross-sectional study.Primary care respiratory journal : journal of the General Practice Airways Group · 2014Article
- New developments in the assessment of COPD: early diagnosis is key.International journal of chronic obstructive pulmonary disease · 2014Review
- Insight into Best Variables for COPD Case Identification: A Random Forests Analysis.Chronic obstructive pulmonary diseases (Miami, Fla.)Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic obstructive pulmonary disease (COPD) is underdiagnosed in general practice. Our aim was to implement a population-based approach for the early detection of COPD and to assess its impact on primary care workload and costs, and the influence of socioeconomic status (SES).
methodsAn observational study with mixed methods was performed in 10 Dutch general practices of either low or moderate to high SES. The Respiratory Health Screening Questionnaire was posted during a three-month period to all persons aged 45, 55, and 65 years (one age group per month). The practices calculated the risk, and patients at high risk of COPD were invited for spirometry at the practice. The general practitioner used the spirometric results and a consultation to establish a clinical diagnosis. Qualitative and quantitative data on workload, cost, and barriers were evaluated.
resultsTen practices returned 293 (35.3%) COPD risk tests for the three age groups. Participants from low SES practices responded better than those from moderate to high SES practices (40.8% vs. 30.5%). In practices with low SES 17.9% of the tests indicated high risk compared with 16.1% in practices with moderate to high SES. Nine patients (23%) were newly diagnosed with COPD. The healthcare providers' extra workload averaged 18.5 hours during the three months for one standard practice. The average cost of this survey programme (three age groups in three months) was €520 for low SES practices and €398 for moderate to high SES practices. All healthcare providers affirmed that the extra workload in this survey model is acceptable and feasible when finances are compensated.
conclusionsEarly detection of COPD is feasible in daily life primary care. In moderate to high SES practices the costs of detecting COPD were less than in low SES practices.
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