Underestimation of respiratory symptoms by smokers: a thorn in chronic obstructive pulmonary disease diagnosis

Abstract Primary care centers are ideal positions to identify chronic obstructive pulmonary disease (COPD). We determined the COPD prevalence among ever-smokers aged 40–65 years attending a 2-year program conducted in 22 Greek primary healthcare centers and made comparisons between genders, patients...

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Main Authors: Evdoxia Gogou, Ourania S. Kotsiou, Dimitra S. Siachpazidou, Maria Pinaka, Charalampos Varsamas, Fotini Bardaka, Irini Gerogianni, Chrysi Hatzoglou, Konstantinos I. Gourgoulianis
Format: Article
Language:English
Published: Nature Portfolio 2021-03-01
Series:npj Primary Care Respiratory Medicine
Online Access:https://doi.org/10.1038/s41533-021-00226-y
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Summary:Abstract Primary care centers are ideal positions to identify chronic obstructive pulmonary disease (COPD). We determined the COPD prevalence among ever-smokers aged 40–65 years attending a 2-year program conducted in 22 Greek primary healthcare centers and made comparisons between genders, patients less than or greater than 55 years, and newly or previously diagnosed COPD patients. A total of 117 persons, after studying 1100 people, were diagnosed with previously unknown or known COPD, providing a COPD prevalence of 10.6% among the study population. In all, 7.5% of the participants were newly diagnosed with COPD. Women with COPD reported smoking less but experienced worse respiratory and depressive symptoms than men. A total of 19% of the COPD population below 55 years experienced wheezing and exacerbations more frequently than older patients. Newly diagnosed COPD patients were significantly younger, reported a significant burden of symptoms without seeking medical help. Primary health care has a crucial role in the early detection of COPD among unsuspecting smokers.
ISSN:2055-1010