RT Journal Article
SR Electronic
T1 The Czech National Programme for Early De­tection of Chronic Obstructive Pulmonary Disease – interim results from the pivotal project
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP OA4218
DO 10.1183/13993003.congress-2021.OA4218
VO 58
IS suppl 65
A1 Kristian Brat
A1 Karel Hejduk
A1 Norbert Kral
A1 Jana Skrickova
A1 Stanislav Kos
A1 Ivana Cierna Peterova
A1 Ondrej Ngo
A1 Jan Kouril
A1 Vladimir Koblizek
YR 2021
UL http://erj.ersjournals.com/content/58/suppl_65/OA4218.abstract
AB Aims and Objectives: Estimated prevalence of COPD in Czechia is ca 710,000 cases. However, only ca 250,000 are treated regularly. We aimed to analyze first interim data from the ongoing Czech National Programme for Early De­tection of COPD with emphasis on program effectiveness assessment.Methods: Seventy-three general practitioners (GPs) participate in pre-screening of high-risk patients, i.e., age 40-69 yrs, smoking history of ≥10 pack-years (PY) and perceived dyspnea during physical exercise. Patients screened positive were referred to one of the 32 cooperating pulmonologists where lung function tests, mMRC and CAT were performed. Diagnosis of COPD was established - along with deeper assessment of symptoms and lung functions - in accordance with the international standards. In this interim analysis, we assessed benefits of the ongoing program and the diagnostic yield of GPs' patient referrals compared to patients screened directly by a pulmonologist upon their own will.Results: By 2020 Nov, 966 patients were pre-screened by GPs, of these, 446 (46%) were referred to a pulmonologist. Of the 446 referrals, 59.6% (266 patients) completed respiratory screening, along with 332 patients examined upon their own will. Of the 538 patients examined by a pulmonologist, 180 (33.5%) were newly diagnosed with COPD. The proportion of COPD-diagnosed patients strongly differed with positive ratios of 0.226 (GPs' referrals) and 0.405 (own will). Most of the new COPD cases were men (61%) with 38.5 PY, 87% current smokers, GOLD stages I+II (83%) and group A (53%).Conclusion: The interim data showed the ongoing programme is highly effective and detects early stages of COPD.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, OA4218.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).