Evidence map›Paper›PMID 33403094›Full record

ArticleTherapeutic advances in chronic disease2020

Active screening for COPD among hospitalized smokers - a feasibility study.

Katarzyna Mycroft, Piotr Korczynski, Piotr Jankowski, Mikolaj Kutka, Olga Zelazna, Marcin Zagaja, Kornelia Wozniczko, Urszula Szafranska, Lukasz Koltowski, Grzegorz Opolski and 2 more

Abstract read
In one paragraph

Article in Therapeutic advances in chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Implementation of a screening and management pathway for chronic obstructive pulmonary disease in patients with atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  4. 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

12 authors.

Katarzyna MycroftDepartment of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland.
Piotr KorczynskiDepartment of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland.
Piotr JankowskiDepartment of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland.
Mikolaj KutkaStudents' Research Group "Alveolus", Medical University of Warsaw, Warsaw, Poland.
Olga ZelaznaStudents' Research Group "Alveolus", Medical University of Warsaw, Warsaw, Poland.
Marcin ZagajaStudents' Research Group "Alveolus", Medical University of Warsaw, Warsaw, Poland.
Kornelia WozniczkoStudents' Research Group "Alveolus", Medical University of Warsaw, Warsaw, Poland.
Urszula SzafranskaStudents' Research Group "Alveolus", Medical University of Warsaw, Warsaw, Poland.
Lukasz Koltowski1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Grzegorz Opolski1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Rafal KrenkeDepartment of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland.
Katarzyna GorskaDepartment of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Banacha 1a, Warsaw, 02-097, Poland.ORCID https://orcid.org/0000-0003-4686-910X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpirometry is a primary tool for early chronic obstructive pulmonary disease (COPD) detection in patients with risk factors, for example, cigarette smoking. The aim of this study was to evaluate the strategy of an active screening for COPD among smokers admitted to the pulmonary and cardiology department.

methodsThis prospective study was conducted between February and March 2019. All hospitalized smokers aged 40 years and older completed an original questionnaire and had spirometry measurement with a bronchial reversibility test (if applicable) performed by medical students using a portable spirometer.

resultsOne hundred and eighty-eight patients were eligible to participate in the study. Seventy (37%) subjects refused to participate. Eventually, 116 (62%) patients were included in the final analysis and 94 (81%) performed spirometry correctly. In total, 32 (34 %) patients were found to have COPD. Nine (28%) of these patients were newly diagnosed, 89% of them had mild-to-moderate airway obstruction. Patients with newly diagnosed COPD were significantly younger [age 63 (56-64)

conclusionThe proposed diagnostic strategy can be successfully used to improve COPD detection in the inpatient setting. The majority of the newly diagnosed COPD patients had mild-to-moderate airway obstruction. Patients who should be particularly screened for COPD include ex-smokers with less pronounced respiratory symptoms.

Indexed as

chronic obstructive pulmonary diseasefixed airway obstructionmisdiagnosisportable spirometryscreening

Identifiers

PMID33403094
PMCPMC7739207

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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.