Quality of spirometry and related diagnosis in primary care with a focus on clinical use
| Autor: | Janwillem W. H. Kocks, Tjard Schermer, N.E. Doornewaard, T. van der Molen, J.W.K. van den Berg, Irene Steenbruggen, B. M. J. Flokstra-de Blok, Hendrik-Jan Baretta, S.J. van de Hei, E.C.M. Ruberg, K.W. Patberg |
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| Přispěvatelé: | Groningen Research Institute for Asthma and COPD (GRIAC) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Spirometry Lung Diseases Male medicine.medical_specialty IMPACT media_common.quotation_subject Respiratory System Primary care Article 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine General & Internal Medicine Surveys and Questionnaires Diagnosis medicine Humans Quality (business) 030212 general & internal medicine Pulmonologists Asthma media_common Quality of Health Care lcsh:RC705-779 Observer Variation Respiratory tract diseases Science & Technology medicine.diagnostic_test Primary Health Care business.industry STATEMENT DISABILITY Public Health Environmental and Occupational Health lcsh:Diseases of the respiratory system Middle Aged medicine.disease 030228 respiratory system Outcomes research Usual care Physical therapy Inflammatory diseases Radboud Institute for Health Sciences [Radboudumc 5] ASTHMA Female business Life Sciences & Biomedicine |
| Zdroj: | NPJ Primary Care Respiratory Medicine Npj Primary Care Respiratory Medicine, 30 Primary Care Respiratory Medicine, 30(1):22. SPRINGERNATURE Npj Primary Care Respiratory Medicine, 30, 1 npj Primary Care Respiratory Medicine, Vol 30, Iss 1, Pp 1-7 (2020) |
| ISSN: | 2055-1010 |
| Popis: | American and European societies' (ATS/ERS) criteria for spirometry are often not met in primary care. Yet, it is unknown if quality is sufficient for daily clinical use. We evaluated quality of spirometry in primary care based on clinical usefulness, meeting ATS/ERS criteria and agreement on diagnosis between general practitioners (GPs) and pulmonologists. GPs included ten consecutive spirometry tests and detailed history questionnaires of patients who underwent spirometry as part of usual care. GPs and two pulmonologists assessed the spirometry tests and questionnaires on clinical usefulness and formulated a diagnosis. In total, 149 participants covering 15 GPs were included. Low agreements were found on diagnosis between GPs and pulmonologists 1 (κ = 0.39) and 2 (κ = 0.44). GPs and pulmonologists rated >88% of the tests as clinically useful, although 13% met ATS/ERS criteria. This real-life study demonstrated that clinical usefulness of routine primary care spirometry tests was high, although agreement on diagnosis was low. ispartof: NPJ PRIMARY CARE RESPIRATORY MEDICINE vol:30 issue:1 ispartof: location:England status: published |
| Databáze: | OpenAIRE |
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