Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care
Joint Authors
Lee, Linda
Patel, Tejal
Hillier, Loretta M.
Milligan, James
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Chronic Obstructive Pulmonary Disease (COPD) is underdiagnosed in primary care.
Aim.
To explore the utility of proactive identification of COPD in patients 75 years of age and older in a Canadian primary care setting.
Methods.
Canadian Thoracic Society (CTS) screening questions were administered to patients with a smoking history of 20 pack-years or more; those with a positive screen were referred for postbronchodilator spirometry.
Results.
A total of 107 patients (21%), of 499 screened, had a 20-pack-year smoking history; 105 patients completed the CTS screening.
Forty-four (42%) patients were positive on one or more questions on the screening; significantly more patients with a previous diagnosis of COPD (64%) were positive on the CTS compared to those without a previous diagnosis of COPD (30%).
Of those who were not previously diagnosed with COPD (N = 11), four (36%) were newly diagnosed with COPD.
Conclusion.
A systematic two-stage method of screening for COPD, using CTS screening questions followed by spirometric confirmation, is feasible in the context of a busy primary care setting.
More research is needed to assess the value of restricting screening to patients with a smoking history of 20 pack-years and on the sensitivity and specificity of these measures.
American Psychological Association (APA)
Lee, Linda& Patel, Tejal& Hillier, Loretta M.& Milligan, James. 2016. Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care. Canadian Respiratory Journal،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1103160
Modern Language Association (MLA)
Lee, Linda…[et al.]. Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care. Canadian Respiratory Journal No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1103160
American Medical Association (AMA)
Lee, Linda& Patel, Tejal& Hillier, Loretta M.& Milligan, James. Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care. Canadian Respiratory Journal. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1103160
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103160