The use of COPD maintenance therapy following spirometry in General Practice
Background: Several studies have shown that the use of pulmonary medication is widespread and often initiated without initial spirometry. Early detection of chronic obstructive pulmonary disease (COPD) by spirometry in General Practice is essential for an early and correct implementation of medical...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2016-06-01
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| Series: | European Clinical Respiratory Journal |
| Subjects: | |
| Online Access: | http://www.ecrj.net/index.php/ecrj/article/view/30232/47302 |
| _version_ | 1818239920695672832 |
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| author | Vibeke Gottlieb Anne Marie Lyngsø Ditte Sæbye Anne Frølich Vibeke Backer |
| author_facet | Vibeke Gottlieb Anne Marie Lyngsø Ditte Sæbye Anne Frølich Vibeke Backer |
| author_sort | Vibeke Gottlieb |
| collection | DOAJ |
| description | Background: Several studies have shown that the use of pulmonary medication is widespread and often initiated without initial spirometry. Early detection of chronic obstructive pulmonary disease (COPD) by spirometry in General Practice is essential for an early and correct implementation of medical treatment. Aim: The aim of the present study was to evaluate the use of regular therapy following diagnostic spirometry for COPD in General Practice from February 2008 to February 2009. Method: Spirometry data and results were linked through Statistics Denmark with information from the Register of Medicinal Product Statistics using the unique personal identification code. Data were analysed to evaluate the impact of screening on use of regular COPD therapy. Primary outcome was initiation of regular therapy following COPD diagnosis with spirometry. Results: In a population of 3,376 individuals at risk, 1,458 underwent spirometric assessment with 631 being diagnosed with COPD; 110 of those received regular therapy before assessment with this figure increasing to 161 after spirometry. Of 827 participants not receiving a COPD diagnosis, 36 received regular therapy prior to assessment and 42 received regular therapy after spirometry despite no established COPD diagnosis. Conclusion: There is a significant chance of receiving regular therapy after being diagnosed with COPD. However, a large proportion of subjects diagnosed with COPD did not receive regular therapy following diagnosis. Efforts should be made to ensure correct diagnosis and correct medical treatment according to guidelines in individuals with COPD. |
| first_indexed | 2024-12-12T13:05:13Z |
| format | Article |
| id | doaj.art-1c570bf80a3742b19e60b8b23cabdad0 |
| institution | Directory Open Access Journal |
| issn | 2001-8525 |
| language | English |
| last_indexed | 2024-12-12T13:05:13Z |
| publishDate | 2016-06-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Clinical Respiratory Journal |
| spelling | doaj.art-1c570bf80a3742b19e60b8b23cabdad02022-12-22T00:23:41ZengTaylor & Francis GroupEuropean Clinical Respiratory Journal2001-85252016-06-01301610.3402/ecrj.v3.3023230232The use of COPD maintenance therapy following spirometry in General PracticeVibeke Gottlieb0Anne Marie Lyngsø1Ditte Sæbye2Anne Frølich3Vibeke Backer4 Respiratory Research Unit, Department of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen, Denmark Research Unit for Chronic Conditions, Bispebjerg and Frederiksberg University Hospital, Copenhagen, Denmark Institute of Preventive Medicine, Frederiksberg University Hospital, Frederiksberg, Denmark Research Unit for Chronic Conditions, Bispebjerg and Frederiksberg University Hospital, Copenhagen, Denmark Respiratory Research Unit, Department of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen, DenmarkBackground: Several studies have shown that the use of pulmonary medication is widespread and often initiated without initial spirometry. Early detection of chronic obstructive pulmonary disease (COPD) by spirometry in General Practice is essential for an early and correct implementation of medical treatment. Aim: The aim of the present study was to evaluate the use of regular therapy following diagnostic spirometry for COPD in General Practice from February 2008 to February 2009. Method: Spirometry data and results were linked through Statistics Denmark with information from the Register of Medicinal Product Statistics using the unique personal identification code. Data were analysed to evaluate the impact of screening on use of regular COPD therapy. Primary outcome was initiation of regular therapy following COPD diagnosis with spirometry. Results: In a population of 3,376 individuals at risk, 1,458 underwent spirometric assessment with 631 being diagnosed with COPD; 110 of those received regular therapy before assessment with this figure increasing to 161 after spirometry. Of 827 participants not receiving a COPD diagnosis, 36 received regular therapy prior to assessment and 42 received regular therapy after spirometry despite no established COPD diagnosis. Conclusion: There is a significant chance of receiving regular therapy after being diagnosed with COPD. However, a large proportion of subjects diagnosed with COPD did not receive regular therapy following diagnosis. Efforts should be made to ensure correct diagnosis and correct medical treatment according to guidelines in individuals with COPD.http://www.ecrj.net/index.php/ecrj/article/view/30232/47302COPDscreeningtreatment |
| spellingShingle | Vibeke Gottlieb Anne Marie Lyngsø Ditte Sæbye Anne Frølich Vibeke Backer The use of COPD maintenance therapy following spirometry in General Practice European Clinical Respiratory Journal COPD screening treatment |
| title | The use of COPD maintenance therapy following spirometry in General Practice |
| title_full | The use of COPD maintenance therapy following spirometry in General Practice |
| title_fullStr | The use of COPD maintenance therapy following spirometry in General Practice |
| title_full_unstemmed | The use of COPD maintenance therapy following spirometry in General Practice |
| title_short | The use of COPD maintenance therapy following spirometry in General Practice |
| title_sort | use of copd maintenance therapy following spirometry in general practice |
| topic | COPD screening treatment |
| url | http://www.ecrj.net/index.php/ecrj/article/view/30232/47302 |
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