ArticleMultidisciplinary respiratory medicine2019
Diagnosing COPD in primary care: what has real life practice got to do with guidelines?
Article in Multidisciplinary respiratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Community-Based Case-Finding for Chronic Obstructive Pulmonary Disease and Self-Management Education in Partnership with Faith-Based Organizations.International journal of chronic obstructive pulmonary disease · 2026Article
- Prevalence, diagnostic accuracy, and healthcare utilization patterns in patients with COPD in primary healthcare: a population-based study.NPJ primary care respiratory medicine · 2025Review
- FEV1/FEV6 Cutoff Points to Avoid False Negatives When Using Portable Devices, PICO-6Journal of clinical medicine · 2025Article
- Improving Patient-Centric COPD Management.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Impact of observability period on the classification of COPD diagnosis timing among Medicare beneficiaries with lung cancer.PLOS digital health · 2024Article
- Mapping the Common Barriers to Optimal COPD Care in High and Middle-Income Countries: Qualitative Perspectives from Clinicians.International journal of chronic obstructive pulmonary disease · 2024Article
- Chronic Obstructive Pulmonary Disease Overdiagnosis and Overtreatment: A Meta-Analysis.Journal of clinical medicine · 2023Review
- Comparison of the Diagnostic Performance of Five Clinical Questionnaires for Chronic Obstructive Pulmonary Disease.Canadian respiratory journal · 2023Article
- Identifying airway obstruction in primary care: is there a role for physiotherapists?BMC primary care · 2022Article
- Lung Cancer Screening in Individuals With and Without Lung-Related Comorbidities.JAMA network open · 2022Article
- Reversible Airflow Obstruction Predicts Future Chronic Obstructive Pulmonary Disease Development in the SPIROMICS Cohort: An Observational Cohort Study.American journal of respiratory and critical care medicine · 2022Observational
- Characteristics of Patients with Chronic Obstructive Pulmonary Disease Treated with Long-Acting Bronchodilators in a Real-World Setting in Singapore: A Single-Center Observational Study.International journal of chronic obstructive pulmonary disease · 2022Observational
- Retrospective observational study of asthma and chronic obstructive pulmonary disease prevalence and associated healthcare resource utilization in a large, integrated healthcare system.Proceedings (Baylor University. Medical Center) · 2022Article
- COPD - do the right thing.BMC family practice · 2021Review
- A snapshot of chronic obstructive pulmonary disease management in general practice in Ireland.Irish journal of medical science · 2021Article
- Understanding Practice Patterns of COPD: A Survey of Physicians in Nepal, Sri Lanka and Malaysia.Pulmonary therapy · 2021Article
- Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases.Tuberculosis and respiratory diseases · 2021Article
- Treatable traits qualifying for nonpharmacological interventions in COPD patients upon first referral to a pulmonologist: the COPD sTRAITosphere.ERJ open research · 2020Article
- Continuing professional education for general practitioners on chronic obstructive pulmonary disease: feasibility of a blended learning approach in Bangladesh.BMC family practice · 2020Article
- Baseline patient demographics for TETRIS: a prospective, noninterventional study to characterize the use of triple therapy for COPD in Germany.Therapeutic advances in respiratory diseaseObservational
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of primary care physician in COPD management varies in different health care systems. According to the researches in various countries, extent of spirometry use in diagnosing and grading COPD frequently remains insufficient. Inaccurate diagnosis results in mistreatment and disease progression.The aims of our study were to investigate the accuracy of COPD diagnosis, grading, and treatment according to guidelines in daily practice of primary care.
methodsA retrospective analysis of ambulatory records in a large primary care center was conducted. Digital medical records of current patients were screened for ICD-10-AM codes J44.0, J44.1, J44.8 and J44.9. All medical records starting from the first visit in this primary care center were reviewed.
resultsTwo hundred twenty-eight patients diagnosed with COPD were included in the study, 118 male, mean age 67 yrs. (SD 14). A spirometry report was available to 58% of the patients, 75% of them met the guidelines for COPD diagnosis. The grade was correct for 56.8% of the patients. 54% were consulted by the pulmonologist at least once. After re-analyzing spirometry, correcting the diagnosis, and grading, it was determined that only 70% of the patients were receiving appropriate treatments. Sixteen per cent of patients were undertreated and 14% were overtreated.
conclusionsCOPD care in primary practice remains suboptimal. Incorrect approach often leads to incorrect grading and mistreatment. Points for improvement should be identified in further studies.
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