AIMS: To evaluate the prevalence and severity of COPD in a primary care population participating in a spirometry program. Differences between newly and previously diagnosed COPD patients were identified. METHODS: A spirometry program was conducted in 15 primary care centres. Visitors aged over 30 years who were willing to perform spirometry were included in this program. RESULTS: A total of 1,526 subjects provided acceptable spirometries. COPD prevalence in our population was 18.4%, of whom 69.0% were newly diagnosed. Most patients were classified as GOLD stages I and II (26.0% and 54.0%, respectively). COPD diagnosis was related to gender (men), age (older subjects), history of repeated respiratory infection in childhood, smoking (>10 pack-years) and presence of symptoms (cough, dyspnoea, wheezing). Variables related to newly diagnosed COPD were younger age and absence of chronic cough. CONCLUSIONS: A primary care spirometry program may identify a large proportion of undiagnosed COPD patients especially in the early stages of the disease. Newly diagnosed COPD patients were of younger age and presented with less symptoms. These results support the need for spirometry programs in primary care for early COPD detection.
AIMS: To evaluate the prevalence and severity of COPD in a primary care population participating in a spirometry program. Differences between newly and previously diagnosed COPDpatients were identified. METHODS: A spirometry program was conducted in 15 primary care centres. Visitors aged over 30 years who were willing to perform spirometry were included in this program. RESULTS: A total of 1,526 subjects provided acceptable spirometries. COPD prevalence in our population was 18.4%, of whom 69.0% were newly diagnosed. Most patients were classified as GOLD stages I and II (26.0% and 54.0%, respectively). COPD diagnosis was related to gender (men), age (older subjects), history of repeated respiratory infection in childhood, smoking (>10 pack-years) and presence of symptoms (cough, dyspnoea, wheezing). Variables related to newly diagnosed COPD were younger age and absence of chronic cough. CONCLUSIONS: A primary care spirometry program may identify a large proportion of undiagnosed COPDpatients especially in the early stages of the disease. Newly diagnosed COPDpatients were of younger age and presented with less symptoms. These results support the need for spirometry programs in primary care for early COPD detection.
Authors: MeiLan K Han; Anna W Steenrod; Elizabeth D Bacci; Nancy K Leidy; David M Mannino; Byron M Thomashow; R G Barr; Barry J Make; Russ P Bowler; Stephen I Rennard; Julia F Houfek; Barbara P Yawn; Catherine A Meldrum; John W Walsh; Fernando J Martinez Journal: Chronic Obstr Pulm Dis Date: 2015
Authors: Graciane Laender Moreira; Beatriz Martins Manzano; Mariana Rodrigues Gazzotti; Oliver Augusto Nascimento; Rogelio Perez-Padilla; Ana Maria Baptista Menezes; José Roberto Jardim Journal: J Bras Pneumol Date: 2014 Jan-Feb Impact factor: 2.624
Authors: Barbara P Yawn; Yunfeng Li; Haijun Tian; Jie Zhang; Steve Arcona; Kristijan H Kahler Journal: Int J Chron Obstruct Pulmon Dis Date: 2013-06-27
Authors: Lucas M A Goossens; Christine L Baker; Brigitta U Monz; Kelly H Zou; Maureen P M H Rutten-van Mölken Journal: Int J Chron Obstruct Pulmon Dis Date: 2011-12-06
Authors: Nancy K Leidy; Katherine Kim; Elizabeth D Bacci; Barbara P Yawn; David M Mannino; Byron M Thomashow; R Graham Barr; Stephen I Rennard; Julia F Houfek; Meilan K Han; Catherine A Meldrum; Barry J Make; Russ P Bowler; Anna W Steenrod; Lindsey T Murray; John W Walsh; Fernando Martinez Journal: NPJ Prim Care Respir Med Date: 2015-04-16 Impact factor: 2.871