Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease.
<h4>Backgrounds</h4>In China, the prevalence of chronic obstructive pulmonary disease (COPD) in persons 40 years of age or older is estimated at 8.2%, but this is likely a substantial underestimate.<h4>Methods</h4>Eight secondary hospitals which didn't have spirometries...
| প্রধান লেখক: | , , , , , , , , |
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| বিন্যাস: | প্রবন্ধ |
| ভাষা: | English |
| প্রকাশিত: |
Public Library of Science (PLoS)
2015-01-01
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| মালা: | PLoS ONE |
| অনলাইন ব্যবহার করুন: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0117348&type=printable |
| _version_ | 1826586515445121024 |
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| author | Shan Cai Li Qin Lynn Tanoue Anmei Hu Xiujie Jia Hong Luo Yan Chen Ping Chen Hong Peng |
| author_facet | Shan Cai Li Qin Lynn Tanoue Anmei Hu Xiujie Jia Hong Luo Yan Chen Ping Chen Hong Peng |
| author_sort | Shan Cai |
| collection | DOAJ |
| description | <h4>Backgrounds</h4>In China, the prevalence of chronic obstructive pulmonary disease (COPD) in persons 40 years of age or older is estimated at 8.2%, but this is likely a substantial underestimate.<h4>Methods</h4>Eight secondary hospitals which didn't have spirometries were chosen randomly in Hunan province of central south China. Physician subjects at these hospitals underwent a one-hour training course on the Chinese COPD guidelines. Physicians answered questionnaires assessing their knowledge of the guidelines before and after the training session. The mean correct scores of questionnaires were compared before and after training. Four out of the eight hospitals were given access to spirometry. Eligible patient subjects underwent spirometry testing prior to the physician visit. After seeing the patient, physicians were asked to answer a questionnaire relating to the diagnosis and severity of COPD. Physicians were then given the results of the spirometry, and asked to answer the same questionnaire. Physicians' responses before and after receiving the spirometry results were compared.<h4>Results</h4>225 physicians participated in the training session. 207 questionnaires were completed. Mean scores (out of 100) before and after the training were 53.1 ± 21.7 and 93.3 ± 9.8, respectively. 18 physicians and 307 patient subjects participated in the spirometry intervention. Based on spirometric results, the prevalence of COPD was 38.8%. Physicians correctly identified the presence of COPD without spirometric data in 85 cases (76.6%); this increased to 117 cases (97.4%) once spirometric data were available. Without spirometric data, physicians incorrectly diagnosed COPD in 38 patients; this decreased to 6 patients once spirometric data were available. Spirometric data also improved the ability of physicians to correctly grade COPD severity.<h4>Conclusions</h4>Simple educational training can substantially improve physicians' knowledge relating to COPD. Spirometry combined with education improves the ability of physicians to diagnose COPD and to assess its severity. |
| first_indexed | 2024-12-11T18:29:23Z |
| format | Article |
| id | doaj.art-1025a5a7f1114f40b704b24f70a1aa6b |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2025-03-14T16:10:46Z |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-1025a5a7f1114f40b704b24f70a1aa6b2025-02-23T05:32:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01102e011734810.1371/journal.pone.0117348Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease.Shan CaiLi QinLynn TanoueAnmei HuXiujie JiaHong LuoYan ChenPing ChenHong Peng<h4>Backgrounds</h4>In China, the prevalence of chronic obstructive pulmonary disease (COPD) in persons 40 years of age or older is estimated at 8.2%, but this is likely a substantial underestimate.<h4>Methods</h4>Eight secondary hospitals which didn't have spirometries were chosen randomly in Hunan province of central south China. Physician subjects at these hospitals underwent a one-hour training course on the Chinese COPD guidelines. Physicians answered questionnaires assessing their knowledge of the guidelines before and after the training session. The mean correct scores of questionnaires were compared before and after training. Four out of the eight hospitals were given access to spirometry. Eligible patient subjects underwent spirometry testing prior to the physician visit. After seeing the patient, physicians were asked to answer a questionnaire relating to the diagnosis and severity of COPD. Physicians were then given the results of the spirometry, and asked to answer the same questionnaire. Physicians' responses before and after receiving the spirometry results were compared.<h4>Results</h4>225 physicians participated in the training session. 207 questionnaires were completed. Mean scores (out of 100) before and after the training were 53.1 ± 21.7 and 93.3 ± 9.8, respectively. 18 physicians and 307 patient subjects participated in the spirometry intervention. Based on spirometric results, the prevalence of COPD was 38.8%. Physicians correctly identified the presence of COPD without spirometric data in 85 cases (76.6%); this increased to 117 cases (97.4%) once spirometric data were available. Without spirometric data, physicians incorrectly diagnosed COPD in 38 patients; this decreased to 6 patients once spirometric data were available. Spirometric data also improved the ability of physicians to correctly grade COPD severity.<h4>Conclusions</h4>Simple educational training can substantially improve physicians' knowledge relating to COPD. Spirometry combined with education improves the ability of physicians to diagnose COPD and to assess its severity.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0117348&type=printable |
| spellingShingle | Shan Cai Li Qin Lynn Tanoue Anmei Hu Xiujie Jia Hong Luo Yan Chen Ping Chen Hong Peng Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease. PLoS ONE |
| title | Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease. |
| title_full | Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease. |
| title_fullStr | Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease. |
| title_full_unstemmed | Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease. |
| title_short | Effects of one-hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease. |
| title_sort | effects of one hour training course and spirometry on the ability of physicians to diagnose and treat chronic obstructive pulmonary disease |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0117348&type=printable |
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