Abstract
Introduction:On-Sint is a retrospective cohort study that aims to evaluate the clinical and functional presentation of chronic obstructive pulmonary disease(COPD)at the moment of diagnosis and its progression in time,both in primary(PC)and Specialized(SC)care.The present work shows the attitude of participating physicians to the use of spirometry,quality of life questionnaires and multidimensional indexes.
Method:Observational non-intervention study to generate a retrospective cohort in which 329 primary care physicians or pulmonologists included 1214 smokers or former smokers diagnosed with COPD.In the present study we asked the investigator on the use of quality of life questionnaires,multidimensional indexes,spirometry and the frequency of medical visits.
Results:In the study, 258(78.4%) completed the research survey (73 in PC and 185 in SC),of which 91.5% reported having≥10 years of experience,74.4% in urban areas,95.4% seeing ≥30 (16.7±11.9) patients/week.Medical consultation on demand was inversely proportional to the severity of COPD.In SC,spirometry was performed at each visit in 56.2%,while in PC the majority(47.6%) made them annually(p<0.001).34.1% reported using quality of life questionnaires in their usual practice,mainly the CAT (20.9%).We found differences between SP and PC in the use of indexes (84.9% vs 47.6%,p<0.001).33.3% reported to use the MRC scale and 28.7% the BODE in their usual practice.
Conclusions:The results of this survey show a more optimistic panorama in comparison with other studies in using quality of life questionnaires and multidimensional indexes. It is necessary to compare the results of this survey with the use of these questionnaires in the clinical setting.
- © 2014 ERS
