Abstract
Background: Despite being the 2nd leading cause of death in India, COPD remains poorly diagnosed, investigated and treated. We aimed to study the diagnosis, use of spirometry and patient's satisfaction with treatment received from previous GPs, Ps and Is, in COPD patients visiting a Pulmonologist from the Respiratory Research Network of India.
Methodology: Eight Pulmonologists from different locations in India collected medical records and information of 793 COPD patients from India.
Results: The mean age of 793 COPD subjects was 61.8±9.7yrs, 82% were smokers with males contributing 87%. Their mean FEV1 was 47.66%+14.8%. The common presenting symptoms were: breathlessness (88%), cough (74%), phlegm (47%), wheeze (17%) and chest tightness (12%) The mean number of COPD exacerbations was 1.79+1.62. Diagnosis of COPD was not made in 47% of patients. Spirometry was done in only 15.78% COPD patients. 48.61% of patients visited the pulmonologist because of dissatisfaction with the previous doctor's treatment.
Conclusion: COPD remains poorly diagnosed and treated by GPs and Intensivists in India. There is a need to upgrade the knowledge base and skill set of practicing physicians in India.
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