Underdiagnosis and undertreatment of COPD in primary care settings
Underdiagnosis and undertreatment of COPD in primary care settings
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DOI：
10.1046/j.1440-1843.2003.00501.x
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发表时间：
2003-12-01
期刊：
影响因子：
6.9
通讯作者：
Takishima, T
中科院分区：
文献类型：
--
作者：
Takahashi, TU;Ichinose, M;Takishima, T
目的：本研究的目的是提高在初级保健环境中的COPD的检测，并评估这些患者的后续管理由全科医生。方法：一个两步的协议如下：患者进行筛选气道阻塞和随后的管理状态审查。在56个初级保健机构（23家医院和33家全科诊所）进行了筛查肺量测定。筛选受试者的入选标准为：（i）≥ 40岁的吸烟者（当前和既往吸烟者）和/或（ii）≥ 40岁的慢性咳嗽和咳痰呼吸道症状患者。排除了既往诊断为呼吸系统疾病的患者。研究的第二部分是对呼吸道阻塞性改变（FEV 1/FVC）的诊断和后续处理情况的研究，
Objective: The aim of this study was to improve the detection of COPD in a primary care setting and to evaluate the subsequent management of these patients by general practitioners.Methodology: A two-step protocol was followed: patients were screened for airway obstruction and their subsequent management status reviewed. Screening spirometry was performed in 56 primary care settings (23 hospitals and 33 general practices). Inclusion criteria for screening subjects were: (i) greater than or equal to40-year-old smokers (both current and past smokers) and/or (ii) greater than or equal to40-year-old patients with respiratory symptoms of chronic cough and sputum. Patients with a previously diagnosed respiratory disease were excluded. In the second part of the study, the diagnosis and the subsequent management status of subjects with airway obstructive changes (FEV1/FVC