ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Inaccurate diagnosis of COPD: the Welsh National COPD Audit.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- GOLD Science Committee recommendations for the use of pre- and post-bronchodilator spirometry for the diagnosis of COPD.The European respiratory journal · 2025Guideline
- Undiagnosed and 'overdiagnosed' COPD using postbronchodilator spirometry in primary healthcare settings: a systematic review and meta-analysis.BMJ open respiratory research · 2023Pooled it
- Ethnic differences in healthcare utilisation and diagnosis after first presentation with breathlessness: a retrospective cohort study using UK primary care records.NPJ primary care respiratory medicine · 2026Article
- Joint statement from GOLD/GLI regarding the use of spirometry to define airflow obstruction and diagnose COPD.The European respiratory journal · 2026Article
- Lung NR3C1Communications biology · 2025Article
- Prevalence, diagnostic accuracy, and healthcare utilization patterns in patients with COPD in primary healthcare: a population-based study.NPJ primary care respiratory medicine · 2025Review
- A service evaluation following the implementation of computer guided consultation software to support primary care reviews for chronic obstructive pulmonary disease.NPJ primary care respiratory medicine · 2025Article
- Article
- Chronic Obstructive Pulmonary Disease Overdiagnosis and Overtreatment: A Meta-Analysis.Journal of clinical medicine · 2023Review
- Clinical Management of COPD in the Real World: Can Studies Reveal Errors in Management and Pathways to Improve Patient Care?Pragmatic and observational research · 2023Review
- Identifying airway obstruction in primary care: is there a role for physiotherapists?BMC primary care · 2022Article
- Accuracy of the COPD diagnostic questionnaire as a screening tool in primary care.BMC primary care · 2022Article
- A snapshot of chronic obstructive pulmonary disease management in general practice in Ireland.Irish journal of medical science · 2021Article
- Article
- Predictive value of spirometry in early detection of lung disease in adults: a cohort study.BJGP open · 2020Article
- GPs should not try to detect mild COPD.NPJ primary care respiratory medicine · 2020Article
- Prognostic indicators for in-hospital mortality in COPD with acute exacerbation in Thailand: a retrospective cohort study.BMJ open respiratory research · 2020Article
- Quantification of inaccurate diagnosis of COPD in primary care medicine: an analysis of the COACH clinical audit.International journal of chronic obstructive pulmonary disease · 2019Observational
- Assessment of Work Ability of Patients with COPD in Relation to the Workplace.Indian journal of occupational and environmental medicineArticle
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
backgroundThe diagnosis of chronic obstructive pulmonary disease (COPD) is confirmed with spirometry demonstrating persistent airflow obstruction.
aimTo evaluate the clinical characteristics and management of patients in primary care on COPD registers with spirometry incompatible with COPD. DESIGN AND
settingA primary care audit of Welsh COPD Read-Coded patient data from the Quality and Outcomes Framework (QOF) COPD register in Wales.
methodPatients on the QOF COPD register with incompatible spirometry (post-bronchodilator forced expiratory lung volume in 1 second/forced vital capacity [FEV1/FVC] ratio ≥0.70) were compared with those with compatible spirometry (FEV1/FVC <0.70).
resultsThis audit included 63% of Welsh practices contributing 48 105 patients. Only 19% (
conclusionPatients on the COPD QOF register with spirometry incompatible with COPD are symptomatic and managed using significant resources. If quality of care and effective resource use are to be improved, focus must be given to correct diagnosis in this group.
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