Abstract
Community pharmacies (CP) have access to subjects at high-risk of suffering Chronic Obstructive Pulmonary Disease (COPD). We investigated if a COPD case finding program in CP could be a new strategy to reduce COPD underdiagnosis. Prospective, cross-sectional, descriptive, uncontrolled, remotely supported study in 100 CP in Barcelona, Spain. Pharmacists were trained in a four-day workshop on spirometry and COPD, and each was provided with a spirometer for 12 weeks. The program included questionnaires and forced spirometry measurements, whose quality was controlled and monitored by web-assistance. Overall 2295 (73.5%), of 3121 CP customers invited to participate in the program accepted, and 1.456 (63.4%) were identified as "high risk" for COPD using the GOLD questionnaire. Only 33 could not conduct spirometry, and a pre-bronchodilator airflow limitation (FEV1/FVC ratio <0.7) was confirmed in 282 (19.8%); 244 of these were referred to their primary care (PC) physician for further diagnostic and therapeutic work-up, but only 39 of them (16%) fed-back this information to the pharmacist. Clinically acceptable quality spirometries (grade A or B) were obtained in 69.4% of the cases. This study shows that adequately trained and supporte...Continue Reading
References
Apr 18, 2000·Chest·G T FergusonM W Higgins
Mar 13, 2001·Chest·J ZieliñskiUNKNOWN Know the Age of Your Lung Study Group
Aug 14, 2001·American Journal of Respiratory and Critical Care Medicine·D B CoultasE Lydick
Jun 8, 2002·BMJ : British Medical Journal·C P Van SchayckG J Wesseling
Aug 2, 2005·The European Respiratory Journal·M R MillerUNKNOWN ATS/ERS Task Force
Nov 29, 2005·Lancet·Ana Maria B MenezesUNKNOWN PLATINO Team
Apr 26, 2006·Respirology : Official Journal of the Asian Pacific Society of Respirology·Julia A E WaltersDavid P Johns
Aug 16, 2006·Respiratory Medicine·Jan VandevoordeWalter Vincken
Jan 26, 2007·Thorax·Carol ArmourKay Stewart
Nov 21, 2007·Thorax·J A WaltersR Wood-Baker
Jan 2, 2008·The European Respiratory Journal·E DeromM Decramer
May 22, 2008·Thorax·I CerveriR de Marco
Feb 10, 2009·Respiratory Medicine·D CastilloUNKNOWN FARMAEPOC group
Jun 26, 2009·Thorax·M MiravitllesJ Ancochea
Sep 1, 2009·Lancet·Joan B SorianoDavid Price
Nov 6, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Tjard R J SchermerWillem R Pieters
Dec 10, 2009·The European Respiratory Journal·J B SorianoV Sobradillo-Peña
Apr 8, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kylie HillMatthew B Stanbrook
Jun 5, 2010·Thorax·Rachel E JordanPeymané Adab
Sep 17, 2010·Revista clínica española·R Alvarez-Sala
Nov 15, 2011·The European Respiratory Journal·Felip BurgosUNKNOWN e-Spir@p Group
Dec 2, 2011·The European Respiratory Journal·P S BakkeUNKNOWN European Respiratory Society Task Force
Dec 24, 2011·Chest·Steven B NelsonByron M Thomashow
Jan 24, 2012·The European Respiratory Journal·Sara MaioUNKNOWN European Respiratory Society/European Lung Foundation Spirometry Tent Working Group
Apr 25, 2012·International Journal of Clinical Pharmacy·David BrownPaul Rutter
Jun 30, 2012·The European Respiratory Journal·Anamika JithooUNKNOWN BOLD Collaborative Research Group
Dec 19, 2012·Lancet·Theo VosZiad A Memish
Jan 31, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nuria Marina MalandaJuan B Gáldiz
Citations
Oct 24, 2015·Respirology : Official Journal of the Asian Pacific Society of Respirology·José Luis López-CamposJoan B Soriano
Jul 6, 2015·Archivos de bronconeumología·Diego CastilloM Pilar Gascón
Jun 3, 2016·NPJ Primary Care Respiratory Medicine·Claudia VargasJosep Roca
Nov 3, 2016·British Journal of Clinical Pharmacology·Thys van der MolenPablo Altman
Jan 5, 2016·PloS One·Cristina Represas-RepresasUNKNOWN study group of “Validity of COPD-6 in non-specialized healthcare settings”
Jul 28, 2016·Scientific Reports·Qun ZhangJianming Wang
Oct 28, 2018·International Journal of Clinical Pharmacy·Mar Saavedra-MitjansJean-François Bussières
Jul 25, 2017·Irish Journal of Medical Science·J SehlA O'Regan
Aug 22, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Yuqi HuHao Hu
Jan 28, 2017·NPJ Primary Care Respiratory Medicine·Gertraud WeissM Studnicka
Dec 10, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Yuqi HuCarolina Oi Lam Ung
Jan 31, 2021·NPJ Digital Medicine·Isabella Friis Jørgensen, Søren Brunak
Jul 28, 2021·PloS One·Mohanad OdehMutazbellah Alzu'bi