Diagnosing COPD: advances in training and practice - a
systematic review

J 2016

Diagnosing COPD: advances in training and practice - a systematic review

KOBLÍŽEK, Vladimír; Barbora NOVOTNÁ; Zuzana ZBOŽÍNKOVÁ a Karel HEJDUK

Základní údaje

Originální název

Diagnosing COPD: advances in training and practice - a systematic review

Autoři

KOBLÍŽEK, Vladimír; Barbora NOVOTNÁ; Zuzana ZBOŽÍNKOVÁ a Karel HEJDUK

Vydání

Advances in medical education and practice, Auckland, Dove Medical Press, 2016, 1179-7258

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30203 Respiratory systems

Stát vydavatele

Nový Zéland

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/16:00089783

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

education; inhaled technique; overdiagnosis; primary care; spirometry; underdiagnosis

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 14. 7. 2016 12:06, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung syndrome, caused by long-term inhalation of noxious gases and particles, which leads to gradual airflow limitation. All health care professionals who care for COPD patients should have full access to high-quality spirometry testing, as postbronchodilator spirometry constitutes the principal method of COPD diagnosis. One out of four smokers 45 years or older presenting respiratory symptoms in primary care, have non-fully reversible airflow limitation compatible with COPD and are mostly without a known diagnosis. Approximately 50.0%–98.3% of patients are undiagnosed worldwide. The majority of undiagnosed COPD patients are isolated at home, are in nursing or senior-assisted living facilities, or are present in oncology and cardiology clinics as patients with lung cancers and coronary artery disease. At this time, the prevalence and mortality of COPD subjects is increasing, rapidly among women who are more susceptible to risk factors. Since effective management strategies are currently available for all phenotypes of COPD, correctly performed and well-interpreted postbronchodilator spirometry is still an essential component of all approaches used. Simple educational training can substantially improve physicians’ knowledge relating to COPD diagnosis. Similarly, a physician inhaler education program can improve attitudes toward inhaler teaching and facilitate its implementation in routine clinical practices. Spirometry combined with inhaled technique education improves the ability of predominantly nonrespiratory physicians to correctly diagnose COPD, to adequately assess its severity, and to increase the percentage of correct COPD treatment used in a real-life setting.

Citovat

KOBLÍŽEK, Vladimír; Barbora NOVOTNÁ; Zuzana ZBOŽÍNKOVÁ a Karel HEJDUK. Diagnosing COPD: advances in training and practice - a systematic review. Advances in medical education and practice. Auckland: Dove Medical Press, 2016, roč. 7, "neuvedeno", s. 219-231. ISSN 1179-7258. Dostupné z: https://doi.org/10.2147/AMEP.S76976.

@article{1343655,
   author = {Koblížek, Vladimír and Novotná, Barbora and Zbožínková, Zuzana and Hejduk, Karel},
   article_location = {Auckland},
   article_number = {"neuvedeno"},
   doi = {https://doi.org/10.2147/AMEP.S76976},
   keywords = {education; inhaled technique; overdiagnosis; primary care; spirometry; underdiagnosis},
   language = {eng},
   issn = {1179-7258},
   journal = {Advances in medical education and practice},
   title = {Diagnosing COPD: advances in training and practice - a systematic review},
   volume = {7},
   year = {2016}
}

TY  - JOUR
ID  - 1343655
AU  - Koblížek, Vladimír - Novotná, Barbora - Zbožínková, Zuzana - Hejduk, Karel
PY  - 2016
TI  - Diagnosing COPD: advances in training and practice - a systematic review
JF  - Advances in medical education and practice
VL  - 7
IS  - "neuvedeno"
SP  - 219-231
EP  - 219-231
PB  - Dove Medical Press
SN  - 11797258
KW  - education
KW  - inhaled technique
KW  - overdiagnosis
KW  - primary care
KW  - spirometry
KW  - underdiagnosis
N2  - Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung syndrome, caused by long-term inhalation of noxious gases and particles, which leads to gradual airflow limitation. All health care professionals who care for COPD patients should have full access to high-quality spirometry testing, as postbronchodilator spirometry constitutes the principal method of COPD diagnosis. One out of four smokers 45 years or older presenting respiratory symptoms in primary care, have non-fully reversible airflow limitation compatible with COPD and are mostly without a known diagnosis. Approximately 50.0%–98.3% of patients are undiagnosed worldwide. The majority of undiagnosed COPD patients are isolated at home, are in nursing or senior-assisted living facilities, or are present in oncology and cardiology clinics as patients with lung cancers and coronary artery disease. At this time, the prevalence and mortality of COPD subjects is increasing, rapidly among women who are more susceptible to risk factors. Since effective management strategies are currently available for all phenotypes of COPD, correctly performed and well-interpreted postbronchodilator spirometry is still an essential component of all approaches used. Simple educational training can substantially improve physicians’ knowledge relating to COPD diagnosis. Similarly, a physician inhaler education program can improve attitudes toward inhaler teaching and facilitate its implementation in routine clinical practices. Spirometry combined with inhaled technique education improves the ability of predominantly nonrespiratory physicians to correctly diagnose COPD, to adequately assess its severity, and to increase the percentage of correct COPD treatment used in a real-life setting.
ER  -

KOBLÍŽEK, Vladimír; Barbora NOVOTNÁ; Zuzana ZBOŽÍNKOVÁ a Karel HEJDUK. Diagnosing COPD: advances in training and practice - a systematic review. \textit{Advances in medical education and practice}. Auckland: Dove Medical Press, 2016, roč.~7, ''neuvedeno'', s.~219-231. ISSN~1179-7258. Dostupné z: https://doi.org/10.2147/AMEP.S76976.

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