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Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care

Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care
COPD remains largely undiagnosed or is diagnosed late in the course of disease. We report findings of a specialist outreach programme to identify undiagnosed COPD in primary care. An electronic case-finding algorithm identified 1602 at-risk patients from 12 practices who were invited to attend the clinic. Three hundred and eighty-three (23.9%) responded and 288 were enrolled into the study. Forty-eight (16.6%) had undiagnosed mild and 28 (9.7%) had moderate airway obstruction, meeting spirometric diagnostic criteria for COPD. However, at 12 months only 8 suspected COPD patients (10.6%) had received a diagnostic label in their primary care record. This constituted 0.38% of the total patient population, as compared with 0.31% of control practices, p = 0.306. However, if all patients with airway obstruction received a coding of COPD, then the diagnosis rate in the intervention group would have risen by 0.84%. Despite the low take-up and diagnostic yield, this programme suggests that integrated case-finding strategies could improve COPD recognition.
2055-1010
Ray, Emma
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Culliford, David
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Kruk, Helen
a46d0fd8-3e7a-4e2c-a976-dd0d03783991
Gillett, Kate
302e1eb6-f9a0-470a-83e5-c8b84d473369
North, Mal
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Astles, Carla M.
33633e1e-bdd0-413d-b4af-9fdcd82115e9
Hicks, Alexander
d8d07898-d1ba-4428-b884-f929b65ae9ea
Johnson, Matthew
d272ca76-f017-4457-96f5-daf6a7af6adf
Lin, Sharon Xiaowen
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Orlando, Rosanna
cc20c869-ca7f-4518-ad2d-0fa56caa3c86
Thomas, Mike
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Jordan, Rachel E.
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Price, David
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Konstantin, Mita
552a43bd-3914-4ea3-a61d-3d2b9d0fbc1d
Wilkinson, Tom M. A.
8c55ebbb-e547-445c-95a1-c8bed02dd652
Ray, Emma
22094e4a-5948-4e20-b64d-72a91fdaac5c
Culliford, David
25511573-74d3-422a-b0ee-dfe60f80df87
Kruk, Helen
a46d0fd8-3e7a-4e2c-a976-dd0d03783991
Gillett, Kate
302e1eb6-f9a0-470a-83e5-c8b84d473369
North, Mal
9d5d5ba9-7534-4959-a9a1-298f5a2d0db7
Astles, Carla M.
33633e1e-bdd0-413d-b4af-9fdcd82115e9
Hicks, Alexander
d8d07898-d1ba-4428-b884-f929b65ae9ea
Johnson, Matthew
d272ca76-f017-4457-96f5-daf6a7af6adf
Lin, Sharon Xiaowen
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Orlando, Rosanna
cc20c869-ca7f-4518-ad2d-0fa56caa3c86
Thomas, Mike
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Jordan, Rachel E.
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Price, David
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Konstantin, Mita
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Wilkinson, Tom M. A.
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Ray, Emma, Culliford, David, Kruk, Helen, Gillett, Kate, North, Mal, Astles, Carla M., Hicks, Alexander, Johnson, Matthew, Lin, Sharon Xiaowen, Orlando, Rosanna, Thomas, Mike, Jordan, Rachel E., Price, David, Konstantin, Mita and Wilkinson, Tom M. A. (2021) Specialist respiratory outreach: a case-finding initiative for identifying undiagnosed COPD in primary care. NPJ primary care respiratory medicine, 31 (1), [7]. (doi:10.1038/s41533-021-00219-x).

Record type: Article

Abstract

COPD remains largely undiagnosed or is diagnosed late in the course of disease. We report findings of a specialist outreach programme to identify undiagnosed COPD in primary care. An electronic case-finding algorithm identified 1602 at-risk patients from 12 practices who were invited to attend the clinic. Three hundred and eighty-three (23.9%) responded and 288 were enrolled into the study. Forty-eight (16.6%) had undiagnosed mild and 28 (9.7%) had moderate airway obstruction, meeting spirometric diagnostic criteria for COPD. However, at 12 months only 8 suspected COPD patients (10.6%) had received a diagnostic label in their primary care record. This constituted 0.38% of the total patient population, as compared with 0.31% of control practices, p = 0.306. However, if all patients with airway obstruction received a coding of COPD, then the diagnosis rate in the intervention group would have risen by 0.84%. Despite the low take-up and diagnostic yield, this programme suggests that integrated case-finding strategies could improve COPD recognition.

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More information

Accepted/In Press date: 6 January 2021
e-pub ahead of print date: 11 February 2021

Identifiers

Local EPrints ID: 446687
URI: http://eprints.soton.ac.uk/id/eprint/446687
ISSN: 2055-1010
PURE UUID: 38e913c7-a504-4ee5-a484-9ae2c2b3a057
ORCID for David Culliford: ORCID iD orcid.org/0000-0003-1663-0253
ORCID for Rosanna Orlando: ORCID iD orcid.org/0000-0002-7097-5431

Catalogue record

Date deposited: 17 Feb 2021 17:36
Last modified: 26 Nov 2021 02:48

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Contributors

Author: Emma Ray
Author: David Culliford ORCID iD
Author: Helen Kruk
Author: Kate Gillett
Author: Mal North
Author: Carla M. Astles
Author: Alexander Hicks
Author: Matthew Johnson
Author: Sharon Xiaowen Lin
Author: Rosanna Orlando ORCID iD
Author: Mike Thomas
Author: Rachel E. Jordan
Author: David Price
Author: Mita Konstantin

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