Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world

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dc.contributor.authorAisanov, Zaurbek
dc.contributor.authorBai, Chunxue
dc.contributor.authorBauerle, Otto
dc.contributor.authorColodenco, Federico D.
dc.contributor.authorFeldman, Charles
dc.contributor.authorHashimoto, Shu
dc.contributor.authorJardim, Jose Roberto [UNIFESP]
dc.contributor.authorLai, Christopher K. W.
dc.contributor.authorLaniado-Laborin, Rafael
dc.contributor.authorNadeau, Gilbert
dc.contributor.authorSayiner, Abdullah
dc.contributor.authorShim, Jae Jeong
dc.contributor.authorTsai, Ying Huang
dc.contributor.authorWalters, Richard D.
dc.contributor.authorWaterer, Grant
dc.contributor.institutionPulmonol Res Inst
dc.contributor.institutionFudan Univ
dc.contributor.institutionCtr Med Amer
dc.contributor.institutionHosp Rehabil Resp Maria Ferrer
dc.contributor.institutionCharlotte Maxeke Johannesburg Hosp
dc.contributor.institutionUniv Witwatersrand
dc.contributor.institutionNihon Univ
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionChinese Univ Hong Kong
dc.contributor.institutionUniv Autonoma Baja California
dc.contributor.institutionGlaxoSmithKline
dc.contributor.institutionEge Univ
dc.contributor.institutionKorea Univ
dc.contributor.institutionChang Gung Mem Hosp
dc.contributor.institutionUniv Western Australia
dc.date.accessioned2016-01-24T14:17:39Z
dc.date.available2016-01-24T14:17:39Z
dc.date.issued2012-01-01
dc.description.abstractChronic 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.en
dc.description.affiliationPulmonol Res Inst, Moscow, Russia
dc.description.affiliationFudan Univ, Dept Pulm Med, Shanghai 200433, Peoples R China
dc.description.affiliationCtr Med Amer, Merida, Yucatan, Mexico
dc.description.affiliationHosp Rehabil Resp Maria Ferrer, Buenos Aires, DF, Argentina
dc.description.affiliationCharlotte Maxeke Johannesburg Hosp, Dept Internal Med, Johannesburg, South Africa
dc.description.affiliationUniv Witwatersrand, Fac Hlth Sci, Johannesburg, South Africa
dc.description.affiliationNihon Univ, Sch Med, Dept Internal Med, Div Resp Med, Tokyo, Japan
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationChinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Hong Kong, Peoples R China
dc.description.affiliationUniv Autonoma Baja California, Fac Med, Tijuana, Baja California, Mexico
dc.description.affiliationGlaxoSmithKline, Med Affairs, Brentford TW8 9GS, England
dc.description.affiliationEge Univ, Sch Med, Dept Chest Dis, Izmir, Turkey
dc.description.affiliationKorea Univ, Med Ctr, Dept Pulmonol, Guro Hosp, Seoul, South Korea
dc.description.affiliationChang Gung Mem Hosp, Dept Resp Care Med, Chiayi, Taiwan
dc.description.affiliationUniv Western Australia, Sch Med & Pharmacol, Perth, WA 6009, Australia
dc.description.affiliationUnifespUniversidade Federal de São Paulo, EPM, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipGlaxoSmithKline
dc.format.extent271-282
dc.identifierhttp://dx.doi.org/10.2147/COPD.S28059
dc.identifier.citationInternational Journal of Chronic Obstructive Pulmonary Disease. Albany: Dove Medical Press Ltd, v. 7, p. 271-282, 2012.
dc.identifier.doi10.2147/COPD.S28059
dc.identifier.issn1176-9106
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/34394
dc.identifier.wosWOS:000319053100028
dc.language.isoeng
dc.publisherDove Medical Press Ltd
dc.relation.ispartofInternational Journal of Chronic Obstructive Pulmonary Disease
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCOPDen
dc.subjectquestionnaireen
dc.subjectsurveyen
dc.subjectguidelinesen
dc.titlePrimary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the worlden
dc.typeinfo:eu-repo/semantics/article
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