Show simple item record

 
dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorCalle, Myriam
dc.contributor.authorRodriguez Hermosa, Juan Luis
dc.contributor.authorMiravitlles Fernández, Marc
dc.contributor.authorLópez-Campos Bodineau, José Luis
dc.date.accessioned2022-09-07T11:37:22Z
dc.date.available2022-09-07T11:37:22Z
dc.date.issued2022-05
dc.identifier.citationCalle Rubio M, Rodríguez Hermosa JL, Miravitlles M, López-Campos JL. Determinants in the Underdiagnosis of COPD in Spain-CONOCEPOC Study. J Clin Med. 2022 May;11(9):2670.
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/11351/8048
dc.descriptionRespiratory symptoms; Spirometry; Underdiagnosis
dc.description.abstractFactors such as seeking medical attention for respiratory symptoms and health professionals ordering spirometry come into play in the underdiagnosis of chronic obstructive pulmonary disease (COPD). The objective of this study was to analyze seeking medical attention and the use of spirometry in individuals with chronic respiratory symptoms and to compare these results with those obtained in the 2005 and 2011 surveys. Material and Methods: A cross-sectional, observational, epidemiological study was conducted via phone interview in December 2020 in Spain, with a representative sample from 17 autonomous communities. The study design was identical to that of the studies carried out in 2005 and 2011 to evaluate the changes that have occurred in seeking medical attention and performing spirometry in Spain, as well as the variability between autonomous communities. Results: From 89,601 phone contacts, a total of 6534 respondents were obtained. A total of 24.8% reported having some chronic respiratory symptom, and 17.9% reported a respiratory disease. Only 51.6% of those who had some chronic respiratory symptom had seen their doctor, which was less likely among current smokers (OR: 0.599, 95% CI: 0.467–0.769, p < 0.001) and those living in a rural setting (OR: 0.797, 95% CI: 0.651–0.975, p = 0.027). A total of 68.7% of the individuals who saw a doctor reported having undergone spirometry, most frequently males (OR: 1.535, 95% CI: 2.074–1.136, p < 0.005), former smokers (OR: 1.696, 95% CI: 2.407–1.195, p < 0.003), and those seen by a pulmonologist (OR: 6.151, 95% CI: 8.869–4.265, p < 0.001). With respect to the 2005 survey, more frequent use of spirometry has been observed (42.6 vs. 68.7%), without any change in seeking medical attention for respiratory symptoms. There is a clear variability according to the autonomous community (p < 0.05). Conclusions: Many individuals with chronic respiratory symptoms do not seek medical attention and although the use of spirometry has increased in the past 15 years, it is still an important area that needs improving in the primary care setting, especially among women. Both of these factors can be determinants in the underdiagnosis of COPD and its variability between autonomous communities.
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesJournal of Clinical Medicine;11(9)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectEspirometria
dc.subjectPulmons - Malalties obstructives - Diagnòstic
dc.subject.meshPulmonary Disease, Chronic Obstructive
dc.subject.mesh/diagnosis
dc.subject.meshSpirometry
dc.titleDeterminants in the Underdiagnosis of COPD in Spain—CONOCEPOC Study
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3390/jcm11092670
dc.subject.decsenfermedad pulmonar obstructiva crónica
dc.subject.decs/diagnóstico
dc.subject.decsespirometría
dc.relation.publishversionhttps://doi.org/10.3390/jcm11092670
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Calle Rubio M, Rodríguez Hermosa JL] Pulmonology Department, Research Institute of Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain. Department of Medicine, School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain. [Miravitlles M] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, 28029 Madrid, Spain. [López-Campos JL] CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, 28029 Madrid, Spain. Respiratory Disease Medical-Surgical Unit, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/Universidad de Sevilla, 41013 Sevilla, Spain
dc.identifier.pmid35566796
dc.identifier.wos000794455200001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record