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Title: Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world
Authors: Aisanov, Zaurbek
Bai, Chunxue
Bauerle, Otto
Colodenco, Federico D.
Feldman, Charles
Hashimoto, Shu
Jardim, Jose Roberto [UNIFESP]
Lai, Christopher K. W.
Laniado-Laborin, Rafael
Nadeau, Gilbert
Sayiner, Abdullah
Shim, Jae Jeong
Tsai, Ying Huang
Walters, Richard D.
Waterer, Grant
Pulmonol Res Inst
Fudan Univ
Ctr Med Amer
Hosp Rehabil Resp Maria Ferrer
Charlotte Maxeke Johannesburg Hosp
Univ Witwatersrand
Nihon Univ
Universidade Federal de São Paulo (UNIFESP)
Chinese Univ Hong Kong
Univ Autonoma Baja California
Ege Univ
Korea Univ
Chang Gung Mem Hosp
Univ Western Australia
Keywords: COPD
Issue Date: 1-Jan-2012
Publisher: Dove Medical Press Ltd
Citation: International Journal of Chronic Obstructive Pulmonary Disease. Albany: Dove Medical Press Ltd, v. 7, p. 271-282, 2012.
Abstract: Chronic obstructive pulmonary disease (COPD) is a multicomponent disorder that leads to substantial disability, impaired quality of life, and increased mortality. Although the majority of COPD patients are first diagnosed and treated in primary care practices, there is comparatively little information on the management of COPD patients in primary care. A web-based pilot survey was conducted to evaluate the primary care physician's, or general practitioner's (GP's), knowledge, understanding, and management of COPD in twelve territories across the Asia-Pacific region, Africa, eastern Europe, and Latin America, using a 10-minute questionnaire comprising 20 questions and translated into the native language of each participating territory. the questionnaire was administered to a total of 600 GPs (50 from each territory) involved in the management of COPD patients and all data were collated and analyzed by an independent health care research consultant. This survey demonstrated that the GPs' understanding of COPD was variable across the territories, with large numbers of GPs having very limited knowledge of COPD and its management. A consistent finding across all territories was the underutilization of spirometry (median 26%; range 10%-48%) and reliance on X-rays (median 14%; range 5%-22%) for COPD diagnosis, whereas overuse of blood tests (unspecified) was particularly high in Russia and South Africa. Similarly, there was considerable underrecognition of the importance of exacerbation history as an important factor of COPD and its initial management in most territories (median 4%; range 0%-22%). Management of COPD was well below guideline-recommended levels in most of the regions investigated. the findings of this survey suggest there is a need for more ongoing education and information, specifically directed towards GPs outside of Europe and North America, and that global COPD guidelines appear to have limited reach and application in most of the areas studied.
ISSN: 1176-9106
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