Evidence map›Paper›PMID 23966214›Full record

Trial reportPrimary care respiratory journal : journal of the General Practice Airways Group2013

Early detection of COPD in general practice: patient or practice managed? A randomised controlled trial of two strategies in different socioeconomic environments.

Joseph A M Dirven, Huibert J Tange, Jean W M Muris, Karin M A van Haaren, Gerrit Vink, Onno C P van Schayck

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to trial NCT03355677 (A Clinical Interventional Study Into Airways Disease Case Finding and Complex Case Management), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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.

NCT03355677 nacompletednot on this mapstarted 2017, after this paper: background citation

A Clinical Interventional Study Into Airways Disease Case Finding and Complex Case Management

TypeinterventionalSponsorUniversity of SouthamptonRan2017 to 2019Enrolled327ConditionsCOPD, AsthmaArmsCase finding Clinic, At Risk Case Clinics, Usual Care
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Article
  7. Article
  8. Article
  9. Article
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  12. Chronic obstructive pulmonary disease and comorbidities: a large cross-sectional study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  13. Article
  14. Risk factors for FEVInternational journal of chronic obstructive pulmonary disease · 2017
    Article
  15. Defining and targeting health disparities in chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2016
    Review
  16. Article
  17. Case finding for COPD in primary care: a qualitative study of the views of health professionals.International journal of chronic obstructive pulmonary disease · 2015
    Article
  18. Article
  19. 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 · 2014
    Article
  20. Review
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

6 authors.

Joseph A M DirvenCaphri School of Public Health and Primary Care, Department of General Practice, Maastricht University Medical Centre, Maastricht, The Netherlands.
Huibert J Tange
Jean W M Muris
Karin M A van Haaren
Gerrit Vink
Onno C P van Schayck

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of chronic obstructive pulmonary disease (COPD) is high. Health benefits can be gained in primary care by early detection and preventive measures.

aimsTo compare the effectiveness of two strategies for population-based early detection of COPD, taking into account different socioeconomic status (SES) settings.

methodsPractices were randomised on strategy and stratified on SES setting. The Respiratory Health Screening Questionnaire (RHSQ) was distributed to all participants. In the practice-managed condition, the practice was responsible for the whole procedure, while in the patient-managed condition, patients were responsible for calculating their RHSQ risk score and applying for a spirometry test. The main outcome measure was the rate of COPD diagnoses after screening.

resultsMore new COPD patients were detected in the practice-managed condition (36%) than in the patient-managed condition (18%). In low SES practices, more high-risk patients were found (16%) than in moderate-to-high SES practices (9%). Recalculated for a standard Dutch practice (2,350 patients), the yield would be 8.9 new COPD diagnoses, which is a 20% increase of known cases.

conclusionsThe practice-managed variant of this screening procedure shows a substantial yield of new COPD diagnoses for both low and moderate-to-high SES practices.

Indexed as

Diagnostic Self EvaluationAdultAgedEarly DiagnosisFemaleHumansMaleMass ScreeningMiddle AgedPrimary Health CarePulmonary Disease, Chronic ObstructiveRisk AssessmentSocial ClassSpirometrySurveys and Questionnaires

Identifiers

PMID23966214
PMCPMC6442827

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.