José Luis Izquierdo1, Marc Miravitlles2, Cristina Esquinas3, Maite Pérez4, Myriam Calle5, José Luis López Campos6, José Miguel Rodríguez González-Moro7, Ciro Casanova8, Cristóbal Esteban9, Pilar de Lucas10. 1. Neumología, Hospital Universitario de Guadalajara, Guadalajara, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, España. Electronic address: jlizquierdo@sescam.org. 2. Departamento de Neumología, Hospital Universitari Vall d'Hebron, Barcelona, España; CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España. 3. Departamento de Neumología, Hospital Universitari Vall d'Hebron, Barcelona, España. 4. Departamento médico, AstraZeneca Farmacéutica, Barcelona, España. 5. Departamento de Neumología, Hospital Clínico San Carlos, Departamento de Medicina, Facultad de Medicina, Universidad Complutente de Madrid, Madrid, España. 6. CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España; Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocio/Universidad de Sevilla, Sevilla, España. 7. Servicio de Neumología, Hospital Universitario Principe de Asturias, Alcalá de Henares, Madrid, España. 8. Hospital Universitario Nuestra Señora de Candelaria, Universidad de La Laguna, Santa Cruz de Tenerife, España. 9. Servicio de Neumologia, Hospital Galdakao-Usansolo, Galdakao, Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), España. 10. Hospital General Universitario Gregorio Marañón, Madrid, España.
Abstract
INTRODUCTION: The objective of this study was to analyze the clinical characteristics of COPD patients attending general respiratory clinics, adherence to clinical guidelines, classification accuracy, and therapeutic management. METHOD: Multicenter, cross-sectional study, with the primary objective of describing the number, intensity, and variability of symptoms in COPD patients. Data were collected in 2015 by 300 pulmonologists who evaluated a total of 3,010 patients, of which 2,669 (88.6%) were eligible for analysis. RESULTS: A total of 22% were active smokers, notably 21% and 17% of GOLD groups C and D, and 17% and 19% of exacerbators in the GesEPOC classification; 62.3% had associated comorbidities. The diagnostic process was characterized by limited use of tests such as diffusion capacity or lung volumes, even in the more severe GOLD groups or the GesEPOC exacerbator phenotypes. The use of multidimensional scales, such as BODE (12%), and specific rehabilitation protocols was also rare. Treatment was based on different combinations of bronchodilators and inhaled corticosteroids. Methylxanthines were used in very few patients (7%). CONCLUSIONS: A large proportion of COPD patients seen in respiratory clinics have non-complex disease and pulmonology tests are rarely performed. Our study confirms a slight change in treatments and the frequent association with comorbidities that can modify the clinical presentation of the patient.
INTRODUCTION: The objective of this study was to analyze the clinical characteristics of COPDpatients attending general respiratory clinics, adherence to clinical guidelines, classification accuracy, and therapeutic management. METHOD: Multicenter, cross-sectional study, with the primary objective of describing the number, intensity, and variability of symptoms in COPDpatients. Data were collected in 2015 by 300 pulmonologists who evaluated a total of 3,010 patients, of which 2,669 (88.6%) were eligible for analysis. RESULTS: A total of 22% were active smokers, notably 21% and 17% of GOLD groups C and D, and 17% and 19% of exacerbators in the GesEPOC classification; 62.3% had associated comorbidities. The diagnostic process was characterized by limited use of tests such as diffusion capacity or lung volumes, even in the more severe GOLD groups or the GesEPOC exacerbator phenotypes. The use of multidimensional scales, such as BODE (12%), and specific rehabilitation protocols was also rare. Treatment was based on different combinations of bronchodilators and inhaled corticosteroids. Methylxanthines were used in very few patients (7%). CONCLUSIONS: A large proportion of COPDpatients seen in respiratory clinics have non-complex disease and pulmonology tests are rarely performed. Our study confirms a slight change in treatments and the frequent association with comorbidities that can modify the clinical presentation of the patient.
Authors: Melanie Schroeder; Nicole Benjamin; Laura Atienza; Chandroday Biswas; Alan Martin; John D Whalen; José Luis Izquierdo Alonso; Juan Antonio Riesco Miranda; Juan José Soler-Cataluña; Alicia Huerta; Afisi S Ismaila Journal: Int J Chron Obstruct Pulmon Dis Date: 2020-07-10
Authors: Jennifer K Quint; Jukka Montonen; Daina B Esposito; Xintong He; Leslie Koerner; Laura Wallace; Alberto de la Hoz; Marc Miravitlles Journal: Adv Ther Date: 2021-03-15 Impact factor: 3.845
Authors: María Abad-Arranz; Ana Moran-Rodríguez; Enrique Mascarós Balaguer; Carmen Quintana Velasco; Laura Abad Polo; Sara Núñez Palomo; Jaime Gonzálvez Rey; Ana María Fernández Vargas; Antonio Hidalgo Requena; Jose Manuel Helguera Quevedo; Marina García Pardo; Jose Luis Lopez-Campos Journal: Int J Chron Obstruct Pulmon Dis Date: 2019-06-06
Authors: Elena García Castillo; Tamara Alonso Pérez; Julio Ancochea; Maria Teresa Pastor Sanz; Pere Almagro; Pablo Martínez-Camblor; Marc Miravitlles; Mónica Rodríguez-Carballeira; Annie Navarro; Bernd Lamprecht; Ana S Ramírez-García Luna; Bernhard Kaiser; Inmaculada Alfageme; Ciro Casanova; Cristóbal Esteban; Juan J Soler-Cataluña; Juan P de-Torres; Bartolomé R Celli; Jose M Marín; Gerben Ter Riet; Patricia Sobradillo; Peter Lange; Judith Garcia-Aymerich; Josep M Anto; Alice M Turner; MeiLan K Han; Arnulf Langhammer; Sigrid Anna Aalberg Vikjord; Alice Sternberg; Linda Leivseth; Per Bakke; Ane Johannessen; Toru Oga; Borja G Cosío; Andrés Echazarreta; Nicolás Roche; Pierre-Régis Burgel; Don D Sin; Milo A Puhan; Jose Luis López-Campos; Laura Carrasco; Joan B Soriano Journal: ERJ Open Res Date: 2020-11-02
Authors: Marc Miravitlles; Alexandra Solé; Helena Aguilar; Ana Ampudia; Jaume Costa-Samarra; Maria Mallén-Alberdi; Diana Nieves Journal: Int J Chron Obstruct Pulmon Dis Date: 2021-11-16