Care-Seeking Behavior Among Subjects With Early Chronic Obstructive Lung Disease Identified Through a Community Spirometry Screening Program: Findings From the Respiratory Health Promotion Study (Rhps)

Menzin, Joseph; Brown, Jerry; Guadagno, Lisa; Friedman, M.; Kitch, BT; Marton, J.; Best, Carolyn; Boulanger, Luke; Xuan, Jianwei

doi:10.1378/chest.130.4_meetingabstracts.170s-a

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“…Niski odsetek zgłaszających się do lekarza chorych z objawami POChP jest spowodowany znaczną nieświadomością chorych na temat choroby. Szacuje się, że około 30% chorych na POChP nie ma żadnej wiedzy dotyczącej tej choroby [16]. W Polsce sytuacja ta dotyczy aż 80% chorych na POChP [12].…”

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“…Uważa się, że na świecie mniej niż 6% chorych na POChP ma rozpoznaną chorobę [19]. Najczęściej są to pacjenci już w późnym stadium zaawansowania choroby, tymczasem największe niedodiagnozowanie POChP dotyczy chorych w I i II stopniu zaawansowania [20,16]. W Polsce wśród pacjentów podstawowej opieki zdrowotnej najwięcej chorych na POChP jest właśnie w I i II stadium zaawansowania zmian chorobowych (ok. 70-80%) [21,22].…”

Section: Omówienieunclassified

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Patients with Chronic Obstructive Pulmonary Disease in the Primary Care Setting

Siatkowska

Kozielski²,

Ziora³

2010

Advances in Respiratory Medicine

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Introduction: Chronic obstructive pulmonary disease (COPD) is one of the most important public health problems due to its high prevalence, progressive nature, and costs of treatment and care. Material and methods: We enrolled 1026 patients in our study (86.3% of the registered patients) to assess the incidence and severity of COPD, the degree of underdiagnosis, the association with smoking, and the presence of co-morbidities. Results: COPD was diagnosed in 8.1% of the subjects over the age of 40, most of whom were current or former smokers (90.3%). More than half of the subjects (61.3%) presented with mild disease, 35.5% with moderate disease, and 3.2% with severe disease. The development of COPD is most affected by the number of pack-years and age. In women, the development of COPD is associated with a smaller number of pack-years. Conclusions: We found that COPD is underdiagnosed in the primary care setting, as only 1% of the subjects carried the correct diagnosis. One of the reasons why COPD goes underdiagnosed is that doctors do not perform spirometry often enough. Cardiovascular disease is significantly more prevalent in patients with COPD.

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