Scoring System and Clinical Application of COPD Diagnostic Questionnaires

Price, David; Tinkelman, David G.; Nordyke, Robert J.; Isonaka, Sharon; Halbert, Ronald J.

doi:10.1378/chest.129.6.1531

Cited by 149 publications

(216 citation statements)

References 15 publications

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“…Our results suggest that it may be efficient to employ both spirometry and a questionnaire-based survey at the same time, consistent with the findings of our previous study (5) and another study (19). However, the rate of cough and sputum production, wheezing, or dyspnea on exertion varied greatly between studies I and II.…”

Section: Discussionsupporting

confidence: 90%

“…Simple COPD screening questions should be answered by maximum number of smokers (19,26,27), and spirometry data should be collected to provide a better understanding of COPD. The implementation of studies I and II might have helped promote the prevention or awareness of COPD and may have a more pronounced effect than the use of newspapers, magazines, and the internet; this should be assessed in a future study.…”

Section: Discussionmentioning

confidence: 99%

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Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

et al. 2011

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Objective Early diagnosis is a key factor in the management of chronic obstructive pulmonary disease (COPD). Although mass screening is widely used, little is known about its accuracy and efficacy. This study investigated whether using spirometry during mass screening to detect COPD among community residents might be ineffective because of variability in the training and experience of examiners. Participants and Methods Both spirometry and a self-written questionnaire-based survey, including questions designed to detect respiratory symptoms, were conducted on community residents. Two separate studies were conducted on islanders living in similar environments. Study I was performed from 2004 to 2007 on Hachijyo Island residents, while study II, with a similar study design, was performed in 2003 on Inno Island residents. Results In study I, 3,592 subjects underwent examination over the 4-year study period; of these, 378 subjects underwent repeated examinations. Approximately 25% of the subjects had respiratory symptoms. Acceptable spirometry recordings were obtained for 62.0% (2004) to 84.1% (2006) of the subjects. In study II, 167 of the 254 subjects (65.7%) had respiratory symptoms. Acceptable assessment recordings were achieved in 254 subjects (95.5%). The suitability of the recordings was influenced by the extent/level of training of the examiners and the accompanying thoracic specialists. Conclusion We concluded that the effectiveness of health check-ups for COPD evaluation using spirometry was greatly influenced by the quality of the examiners, even when the subjects had respiratory symptoms. Thus, we recommend caution when screening for early signs of COPD during health check-ups.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

et al. 2011

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“…We combined the Lung Function Questionnaire with maximum laryngeal height, also obtaining a high positive likelihood ratio. Agreeing with Kotz et al 5 but in contrast to Price et al, 6 we consider the COPD questionnaire unhelpful as a diagnostic tool but useful in ruling out COPD when score is <19.5. As did Hanania et al, 7 we concluded that regarding its high sensitivity, the Lung Function Questionnaire could select for patients who should undergo spirometry testing.…”

Section: Discussionmentioning

confidence: 60%

“…Various symptoms and exploratory signs of COPD have been studied, 2,3 but findings from a physical examination are rarely diagnostic. 4 Questionnaires, such as a COPD diagnostic questionnaire 5,6 (which addresses allergies and lower respiratory track symptoms, as well as cough, age, smoking pack-year, body mass index) and the Lung Function Questionnaire 7 (which addresses age, smoking history, frequency of productive cough, chest sounds, and breathing difficulty during physical activity), have been proposed to select individuals for spirometry because of their validity and simple application in family medicine practice. In 2000 laryngeal height began to be evaluated as a diagnostic sign 8 without much continuity.…”

mentioning

confidence: 99%

Laryngeal Measurements and Diagnostic Tools for Diagnosis of Chronic Obstructive Pulmonary Disease

Casado

Navarro

Alvarez

et al. 2015

The Annals of Family Medicine

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PURPOSE The purpose of this study was to evaluate sensitivity, specificity, and positive and negative likelihood ratios of laryngeal height, lung function, and diagnostic questionnaires for screening and diagnosis of chronic obstructive pulmonary disease (COPD). METHODSWe undertook a cross-sectional study of 233 people aged between 40 and 75 years. Measured variables were age, sex, weight, height, body mass index, tobacco use, maximum laryngeal height, and spirometry, and we administered a COPD questionnaire and the Lung Function Questionnaire.RESULTS For laryngeal height, we found a positive likelihood ratio of 5.21, and for the Lung Function Questionnaire, we found a negative likelihood ratio of 0.10. Combining a maximum laryngeal height of ≤4 cm with Lung Function Questionnaire findings of ≤18 yielded a positive likelihood ratio of 29.06, and a negative likelihood ratio of 0.26. CONCLUSIONSThe intrinsic validity of the lung function questionnaire makes it useful for screening. Combining Lung Function Questionnaire results and laryngeal height can help confirm or dismiss COPD. INTRODUCTIONI n addition to having a major socioeconomic impact, 1 chronic obstructive pulmonary disease (COPD) is associated with high morbidity and high mortality. Various symptoms and exploratory signs of COPD have been studied, 2,3 but findings from a physical examination are rarely diagnostic. 4 Questionnaires, such as a COPD diagnostic questionnaire 5,6 (which addresses allergies and lower respiratory track symptoms, as well as cough, age, smoking pack-year, body mass index) and the Lung Function Questionnaire 7 (which addresses age, smoking history, frequency of productive cough, chest sounds, and breathing difficulty during physical activity), have been proposed to select individuals for spirometry because of their validity and simple application in family medicine practice. In 2000 laryngeal height began to be evaluated as a diagnostic sign 8 without much continuity. 9 Because sternal elevation produced by the thoracic hyperinsufflation found in this disease is thought to decrease laryngeal and tracheal heights, laryngeal height, tracheal height, and laryngeal descent are also thought to be diagnostic signs of COPD.Although the validity of examinations that facilitate screening and diagnosis has demonstrated their usefulness, research on exploratory tests is scarce. Our objective was to evaluate the sensitivity, specificity, and positive and negative likelihood ratios of maximum laryngeal height, the Lung Function Questionnaire, and the COPD diagnostic questionnaire for screening and diagnosis in a primary health care population. For this study, we used the maximum laryngeal height, measured from the suprasternal notch to the top of thyroid cartilage at the end of an expiration, as proposed by Strauss and colleagues. 8,9 Verónica Casado, MD METHODSA cross-sectional investigational study was conducted using a random sampling of a general population aged between 40 to 75 years in a basic health area of 26,108 inhabitant...

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“…35 Validated questionnaires have been developed to support the diagnosis of COPD. [159][160][161] Practical experience with these tools is limited and it is not yet clear how such questionnaires can best be used in clinical practice -e.g. to identify patients for spirometry, or to replace spirometry in low income countries where spirometry is not available.…”

Section: Diagnosis Of Copd In Primary Carementioning

confidence: 99%

The International Primary Care Respiratory Group (IPCRG) Research Needs Statement 2010

Pinnock

Thomas

Tsiligianni

et al. 2010

Primary Care Respiratory Journal

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Scoring System and Clinical Application of COPD Diagnostic Questionnaires

Cited by 149 publications

References 15 publications

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

Concerns with the Health Check-up System for Chronic Obstructive Pulmonary Disease on two Japanese Islands

Laryngeal Measurements and Diagnostic Tools for Diagnosis of Chronic Obstructive Pulmonary Disease

The International Primary Care Respiratory Group (IPCRG) Research Needs Statement 2010

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