Diagnostic Labeling of COPD in five Latin American cities

Diagnostic Labeling of COPD in five Latin American cities

Author Talamo, Carlos Google Scholar
Montes de Oca, Maria Google Scholar
Halbert, Ron Google Scholar
Perez-Padilla, Rogelio Google Scholar
Jardim, José Roberto B. Autor UNIFESP Google Scholar
Muino, Adriana Google Scholar
Lopez, Maria Victorina Google Scholar
Valdivia, Gonzalo Google Scholar
Pertuze, Julio Google Scholar
Moreno, Dolores Google Scholar
Menezes, Ana Maria B. Google Scholar
PLATINO Team Google Scholar
Institution Hosp Univ Caracas
Univ Calif Los Angeles
Inst Resp Dis
Universidade Federal de São Paulo (UNIFESP)
Univ Republica
Pontificia Univ Catolica Chile
Fed Univ Pelotas
Abstract Background: COPD is a major worldwide problem with a rising prevalence. Despite its importance, there is a lack of information regarding underdiagnosis and misdiagnosis of COPD in different countries. As part of the Proyecto Latinoamericano de Investigacion en Obstruccion Pulmonar study, we examined the relationship between prior diagnostic label and airway obstruction in the metropolitan areas of five Latin American cities (S (a) over tildeo Paulo, Santiago, Mexico City, Montevideo, and Caracas).Methods: A two-stage sampling strategy was used in each of the five areas to obtain probability samples of adults aged 40 years. Participants completed a questionnaire that included questions on prior diagnoses, and prebronchodilator and postbronchodilator spirometry. A study diagnosis of COPD was based on airway obstruction, defined as a postbronchodilator FEV1/FVC < 0.70.Results: Valid spirometry and prior diagnosis information was obtained for 5,303 participants; 758 subjects had a study diagnosis of COPD, of which 672 cases (88.7%) had not been previously diagnosed. the prevalence of undiagnosed COPD was 12.7%, ranging from 6.9% in Mexico City to 18.2% in Montevideo. Among 237 subjects with a prior COPD diagnosis, only 86 subjects (36.3%) had postbronchodilator FEV1/FVC < 0.7, while 151 subjects (63.7%) had normal spirometric values. in the same group of 237 subjects, only 34% reported ever undergoing spirometry prior to our study.Conclusions: Inaccurate diagnostic labeling of COPD represents an important health problem in Latin America. One possible explanation is the low rate of spirometry for COPD diagnosis.
Keywords COPD
diagnostic errors
Language English
Date 2007-01-01
Published in Chest. Northbrook: Amer Coll Chest Physicians, v. 131, n. 1, p. 60-67, 2007.
ISSN 0012-3692 (Sherpa/Romeo, impact factor)
Publisher Amer Coll Chest Physicians
Extent 60-67
Origin http://dx.doi.org/10.1378/chest.06-1149
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000243548100012
URI http://repositorio.unifesp.br/handle/11600/29346

Show full item record


File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)




My Account