Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District
BackgroundTo compare whether the general population, especially those without characteristic symptoms, need spirometry screening for chronic obstructive pulmonary disease (COPD).MethodsResidents aged > 40 years old in Minhang, Shanghai, China, filled out screening questionnaires and underwent...
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| Format: | Article |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1102509/full |
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| author | Xin Yin Zixuan Zheng Zixuan Zheng Yue Dong Yue Dong Yue Dong Junqing Li Junqing Li Shuang Yang Shuang Yang Qian Xu Shanshan Hou Yi Zang Heyuan Ding Juan Xie Juan Xie Zhijun Jie Zhijun Jie Qingwu Jiang Jindong Shi Jindong Shi Na Wang |
| author_facet | Xin Yin Zixuan Zheng Zixuan Zheng Yue Dong Yue Dong Yue Dong Junqing Li Junqing Li Shuang Yang Shuang Yang Qian Xu Shanshan Hou Yi Zang Heyuan Ding Juan Xie Juan Xie Zhijun Jie Zhijun Jie Qingwu Jiang Jindong Shi Jindong Shi Na Wang |
| author_sort | Xin Yin |
| collection | DOAJ |
| description | BackgroundTo compare whether the general population, especially those without characteristic symptoms, need spirometry screening for chronic obstructive pulmonary disease (COPD).MethodsResidents aged > 40 years old in Minhang, Shanghai, China, filled out screening questionnaires and underwent spirometry. The structured questionnaire integrating COPD population screening and COPD screening questionnaire was designed to obtain data on demographic characteristics, risk factors of COPD, respiratory symptoms, lifestyle habits, and comorbidities. We assessed the correlations between variables and COPD and the impact factors of FEV1% predicted.ResultsA total of 1,147 residents were included with a newly diagnosed mild to moderate COPD prevalence of 9.4% (108/1,147); half of the patients (54/108) were asymptomatic. Multivariate analysis did not reveal any significant differences in symptoms or lifestyle factors between newly diagnosed COPD patients and non-COPD participants. However, according to the generalized linear model, older age (β = −0.062, p < 0.001), male sex (β = −0.031, p = 0.047), and respiratory symptoms (β = −0.025, p = 0.013) were associated with more severe airflow limitation.ConclusionNewly diagnosed COPD patients had few differences compared with the general population, which suggests that a targeted case finding strategy other than general screening was currently preferred. More attention should be paid to respiratory symptoms when making a diagnosis and exploring new therapies and interventions for COPD in the early stage. |
| first_indexed | 2024-04-10T06:30:52Z |
| format | Article |
| id | doaj.art-7c9cd668495d487bb5c8d688d08e75ee |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T06:30:52Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-7c9cd668495d487bb5c8d688d08e75ee2023-03-01T07:36:59ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.11025091102509Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang DistrictXin Yin0Zixuan Zheng1Zixuan Zheng2Yue Dong3Yue Dong4Yue Dong5Junqing Li6Junqing Li7Shuang Yang8Shuang Yang9Qian Xu10Shanshan Hou11Yi Zang12Heyuan Ding13Juan Xie14Juan Xie15Zhijun Jie16Zhijun Jie17Qingwu Jiang18Jindong Shi19Jindong Shi20Na Wang21Department of Epidemiology, School of Public Health, Fudan University, Shanghai, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People‘s Hospital, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People‘s Hospital, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaLingang Laboratory, Shanghai, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People‘s Hospital, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaDepartment of General Medicine, Jiangchuan Community Healthcare Service Center of Minhang District, Shanghai, ChinaCenter for Disease Control and Prevention of Xuhui District, Shanghai, ChinaDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, ChinaLingang Laboratory, Shanghai, ChinaDepartment of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaDepartment of General Medicine, Shanghai Fifth People's Hospital, Fudan University, Shanghai, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People‘s Hospital, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, ChinaDepartment of Respiratory and Critical Care Medicine, Shanghai Fifth People‘s Hospital, Fudan University, Shanghai, ChinaCenter of Community-Based Health Research, Fudan University, Shanghai, ChinaDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, ChinaBackgroundTo compare whether the general population, especially those without characteristic symptoms, need spirometry screening for chronic obstructive pulmonary disease (COPD).MethodsResidents aged > 40 years old in Minhang, Shanghai, China, filled out screening questionnaires and underwent spirometry. The structured questionnaire integrating COPD population screening and COPD screening questionnaire was designed to obtain data on demographic characteristics, risk factors of COPD, respiratory symptoms, lifestyle habits, and comorbidities. We assessed the correlations between variables and COPD and the impact factors of FEV1% predicted.ResultsA total of 1,147 residents were included with a newly diagnosed mild to moderate COPD prevalence of 9.4% (108/1,147); half of the patients (54/108) were asymptomatic. Multivariate analysis did not reveal any significant differences in symptoms or lifestyle factors between newly diagnosed COPD patients and non-COPD participants. However, according to the generalized linear model, older age (β = −0.062, p < 0.001), male sex (β = −0.031, p = 0.047), and respiratory symptoms (β = −0.025, p = 0.013) were associated with more severe airflow limitation.ConclusionNewly diagnosed COPD patients had few differences compared with the general population, which suggests that a targeted case finding strategy other than general screening was currently preferred. More attention should be paid to respiratory symptoms when making a diagnosis and exploring new therapies and interventions for COPD in the early stage.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1102509/fullchronic obstructive pulmonary diseasespirometryscreeningasymptomaticgeneral population |
| spellingShingle | Xin Yin Zixuan Zheng Zixuan Zheng Yue Dong Yue Dong Yue Dong Junqing Li Junqing Li Shuang Yang Shuang Yang Qian Xu Shanshan Hou Yi Zang Heyuan Ding Juan Xie Juan Xie Zhijun Jie Zhijun Jie Qingwu Jiang Jindong Shi Jindong Shi Na Wang Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District Frontiers in Public Health chronic obstructive pulmonary disease spirometry screening asymptomatic general population |
| title | Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District |
| title_full | Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District |
| title_fullStr | Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District |
| title_full_unstemmed | Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District |
| title_short | Comparison of newly diagnosed COPD patients and the non-COPD residents in Shanghai Minhang District |
| title_sort | comparison of newly diagnosed copd patients and the non copd residents in shanghai minhang district |
| topic | chronic obstructive pulmonary disease spirometry screening asymptomatic general population |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1102509/full |
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