Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care

Abstract COPD remains largely undiagnosed or is diagnosed late in the course of disease. We report findings of a specialist outreach programme to identify undiagnosed COPD in primary care. An electronic case-finding algorithm identified 1602 at-risk patients from 12 practices who were invited to att...

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Autores principales:	Emma Ray, David Culliford, Helen Kruk, Kate Gillett, Mal North, Carla M. Astles, Alexander Hicks, Matthew Johnson, Sharon Xiaowen Lin, Rosanna Orlando, Mike Thomas, Rachel E. Jordan, David Price, Mita Konstantin, Tom M. A. Wilkinson
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/ed79b0f95a4a4899bda89f9c6ca57999
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spelling	oai:doaj.org-article:ed79b0f95a4a4899bda89f9c6ca579992021-12-02T12:14:49ZSpecialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care10.1038/s41533-021-00219-x2055-1010https://doaj.org/article/ed79b0f95a4a4899bda89f9c6ca579992021-02-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00219-xhttps://doaj.org/toc/2055-1010Abstract COPD remains largely undiagnosed or is diagnosed late in the course of disease. We report findings of a specialist outreach programme to identify undiagnosed COPD in primary care. An electronic case-finding algorithm identified 1602 at-risk patients from 12 practices who were invited to attend the clinic. Three hundred and eighty-three (23.9%) responded and 288 were enrolled into the study. Forty-eight (16.6%) had undiagnosed mild and 28 (9.7%) had moderate airway obstruction, meeting spirometric diagnostic criteria for COPD. However, at 12 months only 8 suspected COPD patients (10.6%) had received a diagnostic label in their primary care record. This constituted 0.38% of the total patient population, as compared with 0.31% of control practices, p = 0.306. However, if all patients with airway obstruction received a coding of COPD, then the diagnosis rate in the intervention group would have risen by 0.84%. Despite the low take-up and diagnostic yield, this programme suggests that integrated case-finding strategies could improve COPD recognition.Emma RayDavid CullifordHelen KrukKate GillettMal NorthCarla M. AstlesAlexander HicksMatthew JohnsonSharon Xiaowen LinRosanna OrlandoMike ThomasRachel E. JordanDavid PriceMita KonstantinTom M. A. WilkinsonNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Emma Ray David Culliford Helen Kruk Kate Gillett Mal North Carla M. Astles Alexander Hicks Matthew Johnson Sharon Xiaowen Lin Rosanna Orlando Mike Thomas Rachel E. Jordan David Price Mita Konstantin Tom M. A. Wilkinson Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
description	Abstract COPD remains largely undiagnosed or is diagnosed late in the course of disease. We report findings of a specialist outreach programme to identify undiagnosed COPD in primary care. An electronic case-finding algorithm identified 1602 at-risk patients from 12 practices who were invited to attend the clinic. Three hundred and eighty-three (23.9%) responded and 288 were enrolled into the study. Forty-eight (16.6%) had undiagnosed mild and 28 (9.7%) had moderate airway obstruction, meeting spirometric diagnostic criteria for COPD. However, at 12 months only 8 suspected COPD patients (10.6%) had received a diagnostic label in their primary care record. This constituted 0.38% of the total patient population, as compared with 0.31% of control practices, p = 0.306. However, if all patients with airway obstruction received a coding of COPD, then the diagnosis rate in the intervention group would have risen by 0.84%. Despite the low take-up and diagnostic yield, this programme suggests that integrated case-finding strategies could improve COPD recognition.
format	article
author	Emma Ray David Culliford Helen Kruk Kate Gillett Mal North Carla M. Astles Alexander Hicks Matthew Johnson Sharon Xiaowen Lin Rosanna Orlando Mike Thomas Rachel E. Jordan David Price Mita Konstantin Tom M. A. Wilkinson
author_facet	Emma Ray David Culliford Helen Kruk Kate Gillett Mal North Carla M. Astles Alexander Hicks Matthew Johnson Sharon Xiaowen Lin Rosanna Orlando Mike Thomas Rachel E. Jordan David Price Mita Konstantin Tom M. A. Wilkinson
author_sort	Emma Ray
title	Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
title_short	Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
title_full	Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
title_fullStr	Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
title_full_unstemmed	Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
title_sort	specialist respiratory outreach: a case-finding initiative for identifying undiagnosed copd in primary care
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/ed79b0f95a4a4899bda89f9c6ca57999
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Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care

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