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初级保健中的 COPD 早期检测——哥本哈根 COPD 筛查项目。

Early detection of COPD in primary care--the Copenhagen COPD Screening Project.

机构信息

Department of Integrated Healthcare, Bisbebjerg University Hospital, Copenhagen, Denmark.

出版信息

BMC Public Health. 2010 Sep 1;10:524. doi: 10.1186/1471-2458-10-524.

DOI:10.1186/1471-2458-10-524
PMID:20809934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2940916/
Abstract

BACKGROUND

Chronic Obstructive Pulmonary Disease (COPD) is among the leading causes of death in the world, and further increases in the prevalence and mortality are predicted. Delay in diagnosing COPD appears frequently even though current consensus guidelines emphasize the importance of early detection of the disease. The aim of the present study is to evaluate the effectiveness of a screening programme in general practice.

METHODS/DESIGN: Subjects aged 65 years and older registered with a General Practitioner (GP) in the eastern Copenhagen will receive a written invitation and a simple questionnaire focusing on risk factors and symptoms of COPD. Subjects who meet the following criteria will be encouraged to undergo spirometric testing at their GP: current smokers, former smokers, and subjects with no smoking history but who have dyspnea and/or chronic cough with sputum.

DISCUSSION

The Copenhagen COPD Screening Project evaluates the effectiveness of a two-stage screening program for COPD in general practice and provides important information on how to organize early detection of COPD in general practice in the future.

摘要

背景

慢性阻塞性肺疾病(COPD)是世界上主要的死亡原因之一,预计其患病率和死亡率还会进一步上升。尽管目前的共识指南强调了早期发现疾病的重要性,但仍经常出现 COPD 诊断延迟的情况。本研究旨在评估一般实践中的筛查计划的有效性。

方法/设计:在哥本哈根东部注册全科医生(GP)的年龄在 65 岁及以上的受试者将收到一封书面邀请和一份简单的问卷,重点关注 COPD 的危险因素和症状。符合以下标准的受试者将被鼓励在他们的 GP 进行肺功能测试:当前吸烟者、曾经吸烟者以及没有吸烟史但有呼吸困难和/或慢性咳嗽伴咳痰的受试者。

讨论

哥本哈根 COPD 筛查项目评估了一般实践中 COPD 两阶段筛查计划的有效性,并提供了有关如何在未来组织一般实践中 COPD 早期检测的重要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/e184c66e60fe/1471-2458-10-524-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/09e7e327a71a/1471-2458-10-524-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/db225b61a3ee/1471-2458-10-524-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/9c3d542670f3/1471-2458-10-524-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/e184c66e60fe/1471-2458-10-524-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/09e7e327a71a/1471-2458-10-524-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/db225b61a3ee/1471-2458-10-524-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/9c3d542670f3/1471-2458-10-524-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e9d/2940916/e184c66e60fe/1471-2458-10-524-4.jpg

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