ArticleAtencion primaria2015
[Are health district prevalence studies useful in family practice? Report of a case: chronic obstructive pulmonary disease].
Article in Atencion primaria, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Family Functioning Assessment Instruments in Adults with a Non-Psychiatric Chronic Disease: A Systematic Review.Nursing reports (Pavia, Italy) · 2021Review
- [Prevalence of Chronic Obstructive Pulmonary Disease in a Rural Area of Guadalajara, Spain].Revista espanola de salud publica · 2016Article
- [Author's reply].Atencion primaria · 2015Article
- [Family and community medicine and chronic obstructive pulmonary disease].Atencion primaria · 2015Article
- [Tobacco and morbi-mortality during the last 20 years in Spain in relation to chronic obstructive pulmonary disease and ischemic cardiomyopathy].Atencion primariaArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the prevalence of COPD and smoking in a Health District, to correlate real, registered, and extrapolated morbidity. To determine personal, family and social profiles. To determine the validity of the lung function questionnaire.
designPrevalence study. LOCATION: Urban District Health.
participantsRandom selection of 233 people aged 40-75years. MAIN MEASUREMENTS: Age, sex, pack/years, spirometry, pulse-oximetry, medication, income. TESTS: Fagerström, Richmond, MOS, APGAR, and lung function.
resultsMean age was 53.7+7.6years, with 57.9% women. Registered morbidity for COPD 1.2% (0.5-3.9%). Prevalence 4.7% (1.5% female, 9.2% male), extrapolated prevalence: 10.2%. Registered morbidity for Smoking 10.7% (1-19.4%); prevalence: 18.5% (20% female, 16.3% male), extrapolated prevalence 23.95%. Lung function questionnaire: positive likelihood ratio 3.18; negative 0.1. High probability of COPD (59.5%) in >30 packs/year smokers. Smokers consume a mean of 20.8 packs/year. Women showed higher physical dependence (36% versus 21%). More probability of achieving successful smoking cessation in men (57.1% versus 44%). There was 14.7% perceived family dysfunction; 6.9% have a low global index of social support, and 9.1% in COPD subjects. More than two-thirds (70%) of COPD patients had never been hospitalized. There were 10% polymedicated patients compared to 60% in identified COPDs.
conclusionsPrevalence of COPD and smoking (indicator of avoidable morbidity attributable to primary care) are substantially lower than the reference data. The lung function questionnaire is valid. There was evidence of inter-professional variability. Women smoke more, are more dependent and are less motivated to quit. Their family and social perception is worse. These investigations are essentials for community intervention and operational planning.
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