Diagnosis and management of chronic obstructive pulmonary disease (COPD) in a primary care clinic

COPD
Pompeyo C Chavez, Navkiran K Shokar

Abstract

Chronic Obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality in the United States and internationally. The purpose of this study was to describe spirometry use in the diagnosis of COPD and to evaluate the management of COPD occurring in a primary care clinic. Two hundred patients with a diagnosis of COPD attending a university-based family medicine clinic were randomly chosen for a retrospective medical record review. Pulmonary function testing, provision of smoking cessation advice and pharmacological management were compared to the recommendations of the Global Initiative for Chronic Obstructive Lung Disease. Mean age was 65.4 years, 48% were male and 72% were Caucasian. Overall, 58.5% (n = 117) of patients had pulmonary function testing, with 60.7% acknowledged in the outpatient record; 55% (n = 110) were receiving medications in combinations that are recommended; and 40% of patients were receiving stage appropriate medications. 67.8% of current smokers were offered smoking cessation advice or treatment. Overall there was low use of recommended medication combinations and stage appropriate treatment, with better observance of diagnostic and risk factor reduction guidelines. In order to improv...Continue Reading

References

Feb 16, 2000·Chest·S D SullivanT A Lee
Feb 7, 2002·The European Respiratory Journal·N RocheP Terrioux
Nov 25, 2003·Respirology : Official Journal of the Asian Pacific Society of Respirology·Tsuneyuki TakahashiTamotsu Takishima
Apr 13, 2004·Journal of Rehabilitation Research and Development·Scott E ShermanElizabeth M Yano
Jun 29, 2004·The European Respiratory Journal·B R CelliUNKNOWN ATS/ERS Task Force
Mar 15, 2005·Respiratory Medicine·C E BoltonD J Shale
May 19, 2006·American Journal of Health Promotion : AJHP·Jeannine S Schiller, Hanyu Ni

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Citations

May 4, 2013·The Nurse Practitioner·Kathryn A Blair, Andrew J Evelo
Feb 2, 2013·Clinical and Translational Medicine·Xiaocong FangChunxue Bai
May 9, 2012·International Journal of Chronic Obstructive Pulmonary Disease·Zaurbek AisanovGrant Waterer
May 8, 2014·International Journal of Family Medicine·Nathalie SaadJean Bourbeau
Apr 8, 2014·International Journal of Environmental Research and Public Health·Dana S MowlsMelissa D Zullo
May 15, 2013·Current Medical Research and Opinion·Daniel BellettiJenifer Wogen
Jan 24, 2014·Current Medical Research and Opinion·S MaioUNKNOWN COMODHES study group
Apr 27, 2013·Chest·Earl S FordWayne H Giles
Jan 31, 2012·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·G J Díaz-GrávalosI Casado-Górriz
Jun 18, 2011·Respiratory Medicine·Anja FritzscheAndreas von Leupoldt
Sep 28, 2010·Respiratory Medicine·Anand A DalalPallavi Rane
Oct 18, 2011·Respiratory Medicine·Xavier PerezIan M Kronish
Sep 14, 2016·Annual Review of Pharmacology and Toxicology·Kim L LavoieTavis S Campbell
Jul 29, 2016·British Journal of Nursing : BJN·Isimat Temitayo Orisasami, Omorogieva Ojo
Sep 24, 2013·Annals of the American Thoracic Society·Shawn P E NishiGulshan Sharma
Jan 11, 2022·Expert Review of Respiratory Medicine·Arschang ValipourNikolay Yanev

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