Evidence map›Paper›PMID 28082365›Full record

ArticleBMJ open2017

Effectiveness of diagnostic screening tests in mass screening for COPD using a cooperative regional system in a region with heavy air pollution: a cross-sectional study.

Kenji Kotaki, Hisao Ikeda, Takeshi Fukuda, Fumiko Yuki, Kanehiro Hasuo, Yuhei Kawano, Masayuki Kawasaki

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

7 authors at 1 institution in 1 country.

Kenji KotakiDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Hisao IkedaDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Takeshi FukudaDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Fumiko YukiDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Kanehiro HasuoDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Yuhei KawanoDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Masayuki KawasakiDepartment of Physical Therapy, Faculty of Fukuoka Medical Technology, Teikyo University, Fukuoka, Japan.
Teikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the effectiveness of a cooperative healthcare model for early detection and diagnosis of chronic obstructive pulmonary disease (COPD).

methodsThis was a cross-sectional observational study. We performed diagnosis of COPD at 4 public health centres in Ōmuta, Japan from March 2015 to March 2016, by adding screening for COPD at the time of routine medical evaluations. All patients aged over 40 years were eligible to participate. Among 397 eligible patients, 293 agreed to participate in the study.

resultsThe estimated prevalence of COPD in Ōmuta was 10% among patients aged over 40 years and was 17% among smokers. Among those who were screened, over half of them had questionnaire scores over the cut-off of 17 points and decreased FEV1/FVC%, indicating COPD (p>0.05). 30 patients with suspected COPD were referred for further investigation at a local central hospital, but only 6 underwent further medical examinations.

conclusionsThe combination of a COPD questionnaire and medical examination is effective as a COPD screening tool. Future research should investigate behavioural interventions for smoking cessation that can be offered in a cooperative model, as well as for improving participation in COPD screening and for encouraging early presentation for treatment in those suspected of having COPD.

Indexed as

Mass ScreeningAgedAir PollutionCross-Sectional StudiesEarly DiagnosisEnvironmental ExposureFemaleHumansJapanMaleMiddle AgedPrevalencePulmonary Disease, Chronic ObstructiveSmokingSpirometryVital CapacityCOPDdiagnosisPRIMARY CARE

Identifiers

PMID28082365
PMCPMC5253520
OpenAlexW2571631225

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.