ArticleNPJ primary care respiratory medicine2015
Feasibility and effectiveness of an asthma/COPD service for primary care: a cross-sectional baseline description and longitudinal results.
Article in NPJ primary care respiratory medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Specialist to non-specialist teleconsultations in chronic respiratory disease management: A systematic review.Journal of global health · 2021Pooled it
- Feasibility, quality and added value of unsupervised at-home spirometry in primary care.NPJ primary care respiratory medicine · 2025Article
- Treatable Traits in Patients with Obstructive Lung Diseases in a Well-Established Asthma/COPD Service for Primary Care.International journal of chronic obstructive pulmonary disease · 2025Article
- Scoping Review of Pulmonary Telemedicine Consults: Current Knowledge and Research Gaps.Annals of the American Thoracic Society · 2023Article
- Improved health status of severe COPD patients after being included in an integrated primary care service: A prospective cohort study.The European journal of general practice · 2022Article
- Effectiveness, usability and acceptability of a smart inhaler programme in patients with asthma: protocol of the multicentre, pragmatic, open-label, cluster randomised controlled ACCEPTANCE trial.BMJ open respiratory research · 2022Article
- Intensive Intervention Improves Outcomes for Chronic Obstructive Pulmonary Disease Patients: A Medical Consortium-Based Management.Canadian respiratory journal · 2022Article
- Aeroallergen sensitization for detecting asthma in primary care: A diagnostic test accuracy study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021Article
- The use of a direct bronchial challenge test in primary care to diagnose asthma.NPJ primary care respiratory medicine · 2020Observational
- Prevalence of modifiable factors limiting treatment efficacy of poorly controlled asthma patients: EFIMERA observational study.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
- Defining high probability when making a diagnosis of asthma in primary care: mixed-methods consensus workshop.BMJ open · 2020Review
- 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
- Qualitative study of practices and challenges when making a diagnosis of asthma in primary care.NPJ primary care respiratory medicine · 2019Article
- Control of Allergic Rhinitis and Asthma Test with 1-week recall: Validation of paper and electronic version.Allergy · 2018Article
- Assessing the Needs and Perspectives of Patients With Asthma and Chronic Obstructive Pulmonary Disease on Patient Web Portals: Focus Group Study.JMIR formative research · 2018Article
- Stability of the frequent COPD exacerbator in the general population: A Danish nationwide register-based study.NPJ primary care respiratory medicine · 2017Article
- Development of an allergy management support system in primary care.Journal of asthma and allergy · 2017Article
- Morning and night symptoms in primary care COPD patients: a cross-sectional and longitudinal study. An UNLOCK study from the IPCRG.NPJ primary care respiratory medicine · 2016Article
- Development of a diagnostic decision tree for obstructive pulmonary diseases based on real-life data.ERJ open research · 2016Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2007, an Asthma/chronic obstructive pulmonary disease (COPD) (AC) service was implemented in the North of the Netherlands to support General Practitioners (GPs) by providing advice from pulmonologists on a systematic basis.
aimsTo evaluate the feasibility and effectiveness of this service on patient-related outcomes.
methodsWe report baseline data on 11,401 patients and follow-up data from 2,556 patients. GPs can refer all patients with possible obstructive airway disease (OAD) to the service, which is conducted by the local laboratory. Patients are assessed in the laboratory using questionnaires and spirometry. Pulmonologists inspect the data through the internet and send the GP diagnosis and management advice.
resultsA total of 11,401 patients were assessed by the service, covering almost 60% of all adult patients with projected asthma or COPD in the area. In all, 46% (n = 5,268) of the patients were diagnosed with asthma, 18% (n = 2,019) with COPD and 7% (n = 788) with the overlap syndrome. A total of 740 (7%) patients were followed up after 3 months because the GP advised them to change medication. In this group, the proportion of unstable COPD patients (Clinical COPD Questionnaire (CCQ) ⩾ 1) decreased from 63% (n = 92) at baseline to 49% (n = 72). The proportion of patients with uncontrolled asthma (Asthma Control Questionnaire (ACQ) ⩾ 1.5) decreased from 41% (n = 204) to 23% (n = 115). In all, 938 (8%) patients were followed up after 12 months. From these patients, the proportion of unstable COPD patients (CCQ ⩾ 1) decreased from 47% (n = 115) to 44% (n = 107). The proportion of patients with uncontrolled asthma (ACQ⩾1.5) decreased from 16% (n = 95) to 14% (n = 85).
conclusionThe AC service assessed a considerable proportion of patients with OAD in the area, improved patients' outcomes, and is considered to be feasible and effective.
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