1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2147/COPD.S45693" target="_blank" rel="noreferrer noopener">http://doi.org/10.2147/COPD.S45693</a>
Pages
545–549
Volume
8
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Over diagnosis of chronic obstructive pulmonary disease in an underserved patient population.
Publisher
An entity responsible for making the resource available
International journal of chronic obstructive pulmonary disease
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
1905-07
Subject
The topic of the resource
Adult; Female; Humans; Male; Middle Aged; Retrospective Studies; Risk Factors; Predictive Value of Tests; Prevalence; *Diagnostic Errors; *Medically Underserved Area; Ohio/epidemiology; *Vulnerable Populations; *Spirometry; Bronchodilator Agents/administration & dosage; Cholinergic Antagonists/administration & dosage; chronic obstructive pulmonary disease; COPD; Forced Expiratory Volume; Lung/drug effects/*physiopathology; Medically Uninsured; misdiagnosis; over diagnosis; Smoking/adverse effects/epidemiology; spirometry; underserved; uninsured; Vital Capacity; Administration; Pulmonary Disease; Inhalation; Chronic Obstructive/*diagnosis/drug therapy/epidemiology/physiopathology
Creator
An entity primarily responsible for making the resource
Ghattas Christian; Dai Allen; Gemmel David J; Awad Magdi H
Description
An account of the resource
INTRODUCTION: While cross-national studies have documented rates of chronic obstructive pulmonary disease (COPD) misdiagnosis among patients in primary care, US studies are scarce. Studies investigating diagnosis among uninsured patients are lacking. OBJECTIVE: The purpose of this study is to identify patients who are over diagnosed and thus, mistreated, for COPD in a federally qualified health center. METHODS: A descriptive study was conducted for a retrospective cohort from February 2011 to June 2012. Spirometry was performed by trained personnel following American Thoracic Society recommendations. Patients were referred for spirometry to confirm previous COPD diagnosis or to assess uncontrolled COPD symptoms. Airway obstruction was defined as a forced expiratory volume in the first second of expiration (FEV1) to forced vital capacity ratio less than 0.7. Reversibility was defined as a postbronchodilator increase in FEV1 greater than 200 mL and greater than 12%. RESULTS: Eighty patients treated for a previous diagnosis of COPD (n = 72) or on anticholinergic inhalers (n = 8) with no COPD diagnosis were evaluated. The average age was 52.9 years; 71% were uninsured. Only 17.5% (14/80) of patients reported previous spirometry. Spirometry revealed that 42.5% had no obstruction, 22.5% had reversible obstruction, and 35% had non-reversible obstruction. CONCLUSION: Symptoms and smoking history are insufficient to diagnose COPD. Prevalence of COPD over diagnosis among uninsured patient populations may be higher than previously reported. Confirming previous COPD diagnosis with spirometry is essential to avoid unnecessary and potentially harmful treatment.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2147/COPD.S45693" target="_blank" rel="noreferrer noopener">10.2147/COPD.S45693</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Diagnostic Errors
*Medically Underserved Area
*Spirometry
*Vulnerable Populations
2013
Administration
Adult
Awad Magdi H
Bronchodilator Agents/administration & dosage
Cholinergic Antagonists/administration & dosage
chronic obstructive pulmonary disease
Chronic Obstructive/*diagnosis/drug therapy/epidemiology/physiopathology
COPD
Dai Allen
Department of Pharmacy Practice
Female
Forced Expiratory Volume
Gemmel David J
Ghattas Christian
Humans
Inhalation
International journal of chronic obstructive pulmonary disease
Lung/drug effects/*physiopathology
Male
Medically Uninsured
Middle Aged
misdiagnosis
NEOMED College of Pharmacy
Ohio/epidemiology
over diagnosis
Predictive Value of Tests
Prevalence
Pulmonary Disease
Retrospective Studies
Risk Factors
Smoking/adverse effects/epidemiology
Spirometry
underserved
uninsured
Vital Capacity