Over diagnosis of chronic obstructive pulmonary disease in an underserved patient population

International Journal of Chronic Obstructive Pulmonary Disease
Christian GhattasMagdi H Awad

Abstract

While cross-national studies have documented rates of chronic obstructive pulmonary disease (COPD) misdiagnosis among patients in primary care, US studies are scarce. Studies investigating diagnosis among uninsured patients are lacking. The purpose of this study is to identify patients who are over diagnosed and thus, mistreated, for COPD in a federally qualified health center. A descriptive study was conducted for a retrospective cohort from February 2011 to June 2012. Spirometry was performed by trained personnel following American Thoracic Society recommendations. Patients were referred for spirometry to confirm previous COPD diagnosis or to assess uncontrolled COPD symptoms. Airway obstruction was defined as a forced expiratory volume in the first second of expiration (FEV1) to forced vital capacity ratio less than 0.7. Reversibility was defined as a postbronchodilator increase in FEV1 greater than 200 mL and greater than 12%. Eighty patients treated for a previous diagnosis of COPD (n = 72) or on anticholinergic inhalers (n = 8) with no COPD diagnosis were evaluated. The average age was 52.9 years; 71% were uninsured. Only 17.5% (14/80) of patients reported previous spirometry. Spirometry revealed that 42.5% had no obstruc...Continue Reading

References

Mar 22, 2003·Respiratory Medicine·M T HalpernR Borker
Sep 23, 2003·BMJ : British Medical Journal·Hannah Jackson, Richard Hubbard
Aug 18, 2004·Lancet·Peter J Barnes, Sabine Kleinert
Mar 15, 2005·Respiratory Medicine·C E BoltonD J Shale
Aug 2, 2005·The European Respiratory Journal·M R MillerUNKNOWN ATS/ERS Task Force
Sep 15, 2005·JAMA : the Journal of the American Medical Association·Ahmedin JemalMichael Thun
Nov 3, 2005·The European Respiratory Journal·R PellegrinoJ Wanger
Feb 2, 2006·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·David G TinkelmanR J Halbert
Mar 23, 2007·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Lazaros SichletidisDimitros Patakas
Sep 4, 2007·Lancet·A Sonia BuistUNKNOWN BOLD Collaborative Research Group
Dec 6, 2007·The Journal of Allergy and Clinical Immunology·UNKNOWN National Asthma Education and Prevention Program
Feb 10, 2009·Respiratory Medicine·Gabriella AverameUNKNOWN "Alliance Project" Study Group
Jun 21, 2011·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Julia A WaltersRichard Wood-Baker
Nov 19, 2011·Respiration; International Review of Thoracic Diseases·Johan BuffelsMarc Decramer
Dec 3, 2011·International Journal of Chronic Obstructive Pulmonary Disease·Hasse MelbyeAnders Ostrem

❮ Previous
Next ❯

Citations

May 26, 2012·The Annals of Thoracic Surgery·Michael M MadaniStuart W Jamieson
Nov 23, 2013·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Alexandre Le RouxLorrie Gaschen
Jan 12, 2017·Ciência & saúde coletiva·Ana Teresa Fernandes BarbosaAntônio Prates Caldeira
Mar 7, 2019·Breathe·Terence HoOm P Kurmi
Jul 7, 2018·American Journal of Respiratory and Critical Care Medicine·Nermin DiabShawn D Aaron
Mar 15, 2016·Annals of the American Thoracic Society·Suchit KumbhareCharlie Strange

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.