A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice

Lusuardi, Mirco; Benedetto, Fernando De; Paggiaro, Pierluigi; Sanguinetti, Claudio M.; Brazzola, Giancarlo; Ferri, Paolo; Donner, Claudio F.

doi:10.1378/chest.129.4.844

Cited by 110 publications

(98 citation statements)

References 16 publications

(20 reference statements)

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“…In favour of the present study, several studies [51,52] revealed average of basal FVC, FEV1, PEF and FEF25-75 measurements, (represented as percent of expected values), were lower in the study group as compared with the control group, and this was statistically significant. However, the averages of FEV1/FVC ratio of the two groups were similar.…”

Section: Journal Of Clinical Nutrition and Dietetics Issn 2472-1921contrasting

confidence: 65%

Assessment of Nutritional Status of Patients Suffering from Asthma

Jain¹,

Kant²,

Mishra³

2017

J Clin Nutr Diet

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Background and aim: Several studies have suggested that increasing prevalence of asthma could be associated with nutrients intake. These nutrients can play beneficial as well as detrimental role in asthma and may affect the nutritional status of asthma patients. This case-control study was undertaken to assess the nutritional status and differences in dietary intake between a population with and without asthma.

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Section: Journal Of Clinical Nutrition and Dietetics Issn 2472-1921contrasting

confidence: 65%

Assessment of Nutritional Status of Patients Suffering from Asthma

Jain¹,

Kant²,

Mishra³

2017

J Clin Nutr Diet

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“…On the other hand, in a multicentre randomised trial of the feasibility of performing spirometry in the GP surgery and the improvement in COPD/asthma diagnosis compared with conventional evaluation, only 104 out of 570 GPs agreed to participate in the spirometry group while the enrollment rate was remarkably low. 14 The use of simple screening tools for patients at high risk of developing COPD may be more useful for GPs. The International Primary Care Airways Guidelines (IPAG) questionnaire consists of eight simple questions and has been validated in smokers (aged >40 years) as a screening tool for COPD diagnosis.…”

Section: Introductionmentioning

confidence: 99%

A combination of the IPAG questionnaire and PiKo-6® flow meter is a valuable screening tool for COPD in the primary care setting

Sichletidis

Spyratos

Papaioannou

et al. 2011

Primary Care Respiratory Journal

131

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Aims: To investigate the validity of the International Primary Care Airways Guidelines (IPAG) questionnaire and PiKo-6 ® (Ferraris Respiratory Europe Ltd.) flow meter as screening tools for diagnosing chronic obstructive pulmonary disease (COPD) in the primary care setting. Methods:The first 50 patients in 25 general practice offices completed the IPAG questionnaire and underwent spirometry with the handheld PiKo-6 ® flow meter. The results were compared with official spirometry parameters after bronchodilation. All participants had no previous medical diagnosis of respiratory diseases.Results: Data from 1,078 out of 1,250 subjects (462 males, mean age 65.3±11.4 years) were analysed. The percentage of smokers was 48.4% (38±29 pack-years). COPD was diagnosed in 111 (10.3%) patients. In the subgroup of smokers the sensitivity and specificity for COPD diagnosis were 91% and 49%, respectively, for the IPAG questionnaire; 80% and 95% respectively for the PiKo-6 ® spirometer; and 72% and 97% for their combination. The negative predictive value of the questionnaire was 97%, whereas the positive predictive value of the questionnaire/ PiKo-6 ® combination was 82%. Using a cut-off score of 19 points for the IPAG questionnaire, we calculated the best combination of sensitivity (75%) and specificity (72%). Conclusions:The IPAG questionnaire and the hand-held PiKo-6 ® spirometer can be used in combination to increase the possibility of an early and accurate diagnosis of COPD in the primary care setting.

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“…Various reports have been published of the appropriateness, usefulness and accuracy of spirometry performed in primary care [3], and of different ways of providing such a service [4]. However, because of concerns regarding the accuracy and usefulness of spirometry performed in primary care, and some GPs' reluctance to use the technique, one eminent author recently suggested that ' …”

Section: Introductionmentioning

confidence: 99%

Enhancing the accuracy of respiratory diagnoses in primary care: a report on the establishment of a Community Respiratory Assessment Unit

Hassett¹,

Meade²,

Partridge

2006

Primary Care Respiratory Journal

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SummaryAims: To establish a Community Respiratory Assessment Unit and to evaluate its role in enhancing the accuracy of respiratory diagnosis in primary care. Methods: We established a central and peripatetic nurse-led service utilising semi-structured history taking, spirometry, oxygen saturation monitoring and semi-structured reporting, coupled with the provision of educational materials to both primary care physicians and patients. Results: Phased access to the service was offered to 32 general practices. Use varied widely between practices and a total of 364 patients were referred in the first year. The single biggest diagnostic group consisted of patients with definite or suspected COPD, but the diagnosis was often not confirmed. Patient and GP satisfaction with the service was extremely high; without it misdiagnoses and inappropriate therapeutic trials are possible. Conclusion: A community respiratory assessment unit such as this is one way of offering a centrally-directed, quality-controlled, diagnostic support service for primary care physicians.

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A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice

Cited by 110 publications

References 16 publications

Assessment of Nutritional Status of Patients Suffering from Asthma

Assessment of Nutritional Status of Patients Suffering from Asthma

A combination of the IPAG questionnaire and PiKo-6® flow meter is a valuable screening tool for COPD in the primary care setting

Enhancing the accuracy of respiratory diagnoses in primary care: a report on the establishment of a Community Respiratory Assessment Unit

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