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Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice

Received: 20 September 2016     Accepted: 22 November 2016     Published: 27 December 2016
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Abstract

Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.

Published in Journal of Family Medicine and Health Care (Volume 3, Issue 1)
DOI 10.11648/j.jfmhc.20170301.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Chronic Obstructive Pulmonary Diseases, Spirometry, GOLD Guidelines, Family Practice

References
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[2] British Thoracic Society guidelines for the management of the chronic obstructive pulmonary disease. The COPD Guidelines Group of the Standards of Care Committee of the BTS. Thorax 1997; 52: S1–28.
[3] Murray C and Lopez A.: Mortality by cause for eight regions of the world. Global Burden of Disease Study. Lancet 1997; 349: 1269–1276.
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[6] Dirven J, Tange H, Muris J, van Haaren K, Vink G, van Schayck O. Early detection of COPD in general practice: patient or practice managed? A randomized controlled trial of two strategies in different socioeconomic environments. Prim Care Respir J. 2013;22(3):331–337.
[7] Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of COPD 2013. Available online: http://www.goldcopd.org/
[8] Price D, Freeman D, Cleland J, Kaplan A, Cerasoli F. Earlier diagnosis and earlier treatment of COPD in primary care. Prim Care Respir J. 2011;20(1):15–22.
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[10] Vestbo J, Hurd S, Agustí A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit CareMed.2013;187(4):347–365.
[11] Lin K, Watkins B, Johnson T, Rodriguez J, and Barton M, “Screening for chronic obstructive pulmonary disease using spirometry: summary of the evidence for the U. S. preventive services task force,” Annals of Internal Medicine, vol. 148, no. 7, pp. 535–543, 2008.
[12] National Institute for Clinical Excellence. Chronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care. 2010 update. Available from: http://guidance.nice.org.uk/CG101. Last accessed 16 July 2010.
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[14] Schermer T, Verweij E, Cretier R, Pellegrino A, Crockett A, and Poels P, “Accuracy and precision of desktop spirometers in general practices,” Respiration, vol. 83, no. 4, pp. 344–352, 2012.
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  • APA Style

    Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar. (2016). Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. Journal of Family Medicine and Health Care, 3(1), 1-5. https://doi.org/10.11648/j.jfmhc.20170301.11

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    ACS Style

    Hani A. Jokhdar; Mohammed A. Garout; Mohammad M. Alkot; Rana H. El-Helbawy; Jehad O. Albitar. Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. J. Fam. Med. Health Care 2016, 3(1), 1-5. doi: 10.11648/j.jfmhc.20170301.11

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    AMA Style

    Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar. Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. J Fam Med Health Care. 2016;3(1):1-5. doi: 10.11648/j.jfmhc.20170301.11

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  • @article{10.11648/j.jfmhc.20170301.11,
      author = {Hani A. Jokhdar and Mohammed A. Garout and Mohammad M. Alkot and Rana H. El-Helbawy and Jehad O. Albitar},
      title = {Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice},
      journal = {Journal of Family Medicine and Health Care},
      volume = {3},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.jfmhc.20170301.11},
      url = {https://doi.org/10.11648/j.jfmhc.20170301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20170301.11},
      abstract = {Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice
    AU  - Hani A. Jokhdar
    AU  - Mohammed A. Garout
    AU  - Mohammad M. Alkot
    AU  - Rana H. El-Helbawy
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    Y1  - 2016/12/27
    PY  - 2016
    N1  - https://doi.org/10.11648/j.jfmhc.20170301.11
    DO  - 10.11648/j.jfmhc.20170301.11
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20170301.11
    AB  - Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Community Medicine and Pilgrimage Health Care Department, Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia

  • Community Medicine and Pilgrimage Health Care Department, Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia

  • Family Medicine Department, Menoufia University, Shebien Elkoum, Egypt

  • Chest Department, Menoufia University, Shebien Elkoum, Egypt

  • Internship, Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia

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