ArticleChronic respiratory disease
The quality of COPD care in German general practice-A cross-sectional study.
Article in Chronic respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 10 citations in OpenAlex.
- Defining disease stability in chronic obstructive pulmonary disease: evidence from phase 3 clinical trials.American journal of respiratory and critical care medicine · 2026Trial
- GOLD-concordant inhaled maintenance therapy at hospital discharge after hospitalisation for severe COPD exacerbation: a multicentre retrospective observational study.The Lancet regional health. Europe · 2026Article
- Determinants of digital home spirometer use and quality parameters in management of patients with chronic obstructive respiratory disease and asthma in general practice: a mixed methods study.BMC health services research · 2026Article
- COPD Management in Primary Care: Underutilisation of Nursing Consultations.Journal of clinical nursing · 2026Observational
- Between-practice variation in chronic obstructive pulmonary disease diagnosis guideline compliance: an observational study.BJGP open · 2026Article
- Unmet needs of patients with COPD in Germany: a retrospective, cross-sectional study.ERJ open research · 2025Article
- Single-Inhaler Triple Therapy in Primary Care Across Europe: Expert Panel Consensus on the Consequences of Payer-Driven Access Rules and Call to Action.International journal of chronic obstructive pulmonary disease · 2025Review
- Reductions in inhaler greenhouse gas emissions by addressing care gaps in asthma and chronic obstructive pulmonary disease: an analysis.BMJ open respiratory research · 2023Article
- Prevalence of Spirometry Testing among Patients with Asthma and COPD in German General Practices.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Documentation of the patient's smoking status in common chronic diseases - analysis of medical narrative reports using the ULMFiT based text classification.European clinical respiratory journal · 2021Article
- Spotlight on primary care management of COPD: Electronic health records.Chronic respiratory diseaseArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesChronic Obstructive Pulmonary Disease (COPD) is a common health problem to be dealt with in primary care. Little is known about the quality of care provided for patients with COPD in Germany. Therefore, we wanted to assess the current quality of care delivered by a primary care network (PCN) for patients with COPD.
methodsA cross-sectional study was conducted in collaboration with a primary care network (PCN). All patients of the PCN aged 40 years and older with a diagnosis of COPD were identified through electronic health records (EHR). A set of quality indicators (QIs) developed in accordance with current COPD-guidelines were appraised through numerical data retrieved from the EHR.
resultsIn total, 2,568 patients with COPD were identified. Their mean age was 67 (SD±12) years, 49% were male. Thirty-five percent had a parallel diagnosis of asthma. There was no documentation of any spirometry for 54% of patients; 29% had a spirometry within the previous year. An influenza vaccination was documented for 37% within the preceding 12 months; 12% received a pneumococcal vaccination in the last 6 years. Smoking status was documented for 44% within the last year.
conclusionThe quality of care for patients with COPD in the PCN seemed suboptimal, despite the presence of a Disease Management Program (DMP). This finding is likely to apply widely to German general practice. Quality assessment through currently available EHR data was challenging due to non-standardized and insufficient documentation.
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