Montanari Ugo, Quadrelli Domenico, Donato Giuseppe, Mercuri Maddalena, Scorletti Antonio, Berti Franco
Azienda Ospedaliera San Camillo Forlanini, Roma.
Recenti Prog Med. 2013 Jan;104(1):23-7. doi: 10.1701/1226.13591.
In Italian Territory Medicine there is no consolidated habitude, by Family General Practicioners and Paediatricians, to use Guidelines for diagnosis and management of diseases. Therefore, 19 General Practicioners, organized in a cooperative group, have identified a guideline on COPD, a disease often underdiagnosed and inappropriately treated, and verified, over 3 years of application, if it is possible, in clinical practice, to modify diagnostic-therapeutic habitudes. The results - even inferior to expectations for most of the indicators used - showed an increase in the number of cases diagnosed as COPD, possibly linked to a greater use of spirometry and chest Rx.
在意大利地区医疗领域,家庭全科医生和儿科医生并没有遵循疾病诊断和管理指南的既定习惯。因此,19名全科医生组成了一个合作小组,制定了一份关于慢性阻塞性肺疾病(COPD)的指南,这种疾病常常诊断不足且治疗不当。他们在3年的应用过程中进行验证,看是否有可能在临床实践中改变诊断治疗习惯。结果显示,即便对于大多数所使用的指标而言都未达预期,但被诊断为COPD的病例数量有所增加,这可能与更多地使用肺活量测定法和胸部X光检查有关。