Desktop Helper No. 13 - Achieving earlier diagnosis of COPD

This desktop helper reviews the evidence for the benefits of earlier detection and diagnosis of COPD and provides healthcare practitioners (HCPs) with tools they can use to achieve this for the patients in their care.

Authors: Alan Kaplan, Miguel Roman Rodriguez, Siân Williams

Reviewers: Ioanna Tsiligianni, Sundeep Salvi

Editor: Patima Tanapat (Integrity Continuing Education, Inc) and Tracey Lonergan (IPCRG)

Additional administrative support was provided by Stefani Chiarolanza and Samuel Ciociola (Integrity Continuing Education, Inc) and Russel Emeny (IPCRG).

Date published: July 2023

Desktop Helper No.13 - Achieving earlier diagnosis of COPD is also available in: Brazilian Portuguese, German, Spanish, Portuguese and Greek

20 Sep 2023

References

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Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023. Available from http://www.goldcopd.org.
Lamprecht B, et al. Determinants of underdiagnosis of COPD in national and international surveys. Chest 2015;148:971–85.
Colak Y, et al. Prognosis of asymptomatic and symptomatic, undiagnosed COPD in the general population in Denmark: a prospective cohort study. Lancet Respir Med 2017;5;426-34.
Koch M, et al. Characteristics and health burden of the undiagnosed population at risk of chronic obstructive pulmonary disease in China. BMC Public Health 2019;19:1727.
Alhabeeb FF, et al. Disease burden in individuals with symptomatic undiagnosed asthma or COPD. Respir Med 2022;200:106917.
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Bednarek M, et al. Smokers with airway obstruction are more likely to quit smoking. Thorax 2006;61:869.
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van Schayck OCP, et al. IPCRG Consensus Statement: Tackling the smoking epidemic – practical guidance for primary care. Prim Care Respir J 2008;17:185–93.
Johansson G, et al. Bronchodilator efficacy of tiotropium in patients with mild to moderate COPD. Prim Care Respir J 2008;17:169–75.
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Soler-Cataluna JJ, et al. Severe acute exacerbations and mortality in patients with chronic obstructive pulmonary disease. Thorax 2005;60:925–31.
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Kaplan A. The COPD action plan. Can Fam Physician 2009;55:58–9.
Habraken JM, et al. The silence of patients with end-stage COPD: a qualitative study. Br J Gen Pract 2008;58:844–9.
Chapman KR, et al. Gender bias in the diagnosis of COPD. Chest 2001;119:1691–5.
Martins S, et al. Accuracy of COPD screening strategies among hypertensive patients in Brazil: A Breathe Well Study. Eur Respir J 2021;58:PA3639.
Pan Z, et al. Accuracy and cost-effectiveness of different screening strategies for identifying undiagnosed COPD among primary care patients (≥40 years) in China: a cross-sectional screening test accuracy study: findings from the Breathe Well group. BMJ Open 2021;11:e051811.
Siddharthan T, et al. Discriminative accuracy of chronic obstructive pulmonary disease screen instruments in 3 low- and middle income country settings. JAMA 2022;327:151–60.
Lee TA, et al. Spirometry use in clinical practice following diagnosis of COPD. Chest 2006;129:1509–15.
Yarnall KS, et al. Family physicians as team leaders: “time” to share care. Prev Chron Dis 2009;6:A59.
Pinto L, Banka R. A systematic review of the accuracy of microspirometry for screening of adults for COPD. Eur Respir J 2017;50:PA397.
O’Donnell D, et al. Canadian Thoracic Society recommendations for management of chronic obstructive pulmonary disease – 2008 update – highlights for primary care. Can REsp J 2008;15(Suppl A):1A–8A.
Gu Y, et al. Performance of COPD population screener questionnaire in COPD screening: a validated study and meta-analysis. Ann Med 2021;53:1198-206.
Martinez FJ, et al. A new approach for identifying patients with undiagnosed chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2017;195:748–56.
Siddharthan T, et al. A novel case-finding instrument for chronic obstructive pulmonary disease in low- and middle-income country settings. Int J Chron Obstruct Pulm Dis 2020;15:2769–77.

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Desktop Helper No. 13 - Achieving earlier diagnosis of COPD

IPCRG DTH13 - Obtenção de um diagnóstico precoce da DPOC - Brazilian

IPCRG DTH13 - Frühzeitige Diagnose von COPD - GERMAN

IPCRG DTH No.13 Diagnóstico precoz de la EPOC - SPANISH

IPCRG DTH13 - Alcançar o diagnóstico precoce de DPOC - Portuguese

IPCRG DTH 13 Επίτευξη έγκαιρης διάγνωσης της ΧΑΠ - GREEK

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