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慢性阻塞性肺疾病的过度诊断、漏诊与治疗

COPD Overdiagnosis, Underdiagnosis, and Treatment.

作者信息

Berry Cristine E, Yawn Barbara P

机构信息

Department of Medicine, University of Arizona College of Medicine, Tucson.

Olmsted Medical Center, Rochester, Minnesota.

出版信息

Chronic Obstr Pulm Dis. 2016 Jan 15;3(1):491-497. doi: 10.15326/jcopdf.3.1.2015.0172.

DOI:10.15326/jcopdf.3.1.2015.0172
PMID:28848872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5559132/
Abstract

This article serves as a CME-available enduring material summary of the following COPD9 presentations: - "Spirometry Isn't for Screening - So What Is?" David H. Au, MD, MS - "Diagnosis of COPD in a Primary Care Midwest Practice" : Barbara Yawn, MD, MSc - "What Happens in Primary Care Without Screening?" Sandra G. Adams, MD, MS - "From Screening to Diagnosis to Management in a Busy Primary Care Practice" Min Joo, MD - "Practical Considerations of How Phenotype and Genotype Can Affect Management Decisions" Bartolome Celli, MD.

摘要

本文作为以下慢性阻塞性肺疾病(COPD)相关报告的可用于继续医学教育(CME)的永久性资料总结:-《肺量计不适用于筛查——那什么适用于?》,医学博士、理学硕士大卫·H·欧;-《美国中西部基层医疗实践中慢性阻塞性肺疾病的诊断》,医学博士、理学硕士芭芭拉·亚恩;-《未进行筛查时基层医疗中会发生什么?》,医学博士、理学硕士桑德拉·G·亚当斯;-《繁忙的基层医疗实践中从筛查到诊断再到管理》,医学博士闵珠;-《关于表型和基因型如何影响管理决策的实际考量》,医学博士巴托洛梅·塞利。

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本文引用的文献

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Attitudes and Perceptions About Smoking Cessation in the Context of Lung Cancer Screening.在肺癌筛查背景下关于戒烟的态度和看法。
JAMA Intern Med. 2015 Sep;175(9):1530-7. doi: 10.1001/jamainternmed.2015.3558.
2
Cost-effectiveness of CT screening in the National Lung Screening Trial.CT 筛查在全国肺癌筛查试验中的成本效益。
N Engl J Med. 2014 Nov 6;371(19):1793-802. doi: 10.1056/NEJMoa1312547.
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Disease progression in young patients with COPD: rethinking the Fletcher and Peto model.COPD 年轻患者的疾病进展:重新思考 Fletcher 和 Peto 模型。
Eur Respir J. 2014 Aug;44(2):324-31. doi: 10.1183/09031936.00208613. Epub 2014 Apr 2.
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Use of spirometry in the diagnosis of COPD: a qualitative study in primary care.在初级保健中使用肺量计诊断 COPD:一项定性研究。
COPD. 2013 Aug;10(4):444-9. doi: 10.3109/15412555.2013.766683. Epub 2013 Mar 28.
5
Changes in forced expiratory volume in 1 second over time in COPD.COPD 患者 1 秒用力呼气容积随时间的变化。
N Engl J Med. 2011 Sep 29;365(13):1184-92. doi: 10.1056/NEJMoa1105482. Epub 2011 Sep 26.
6
The progression of chronic obstructive pulmonary disease is heterogeneous: the experience of the BODE cohort.慢性阻塞性肺疾病的进展是异质的:BODE 队列的经验。
Am J Respir Crit Care Med. 2011 Nov 1;184(9):1015-21. doi: 10.1164/rccm.201105-0831OC.
7
What's keeping us so busy in primary care? A snapshot from one practice.是什么让我们在基层医疗中如此忙碌?来自一家诊所的概况。
N Engl J Med. 2010 Apr 29;362(17):1632-6. doi: 10.1056/NEJMon0910793.
8
Public knowledge of benefits of breast and prostate cancer screening in Europe.欧洲公众对乳腺癌和前列腺癌筛查益处的了解。
J Natl Cancer Inst. 2009 Sep 2;101(17):1216-20. doi: 10.1093/jnci/djp237. Epub 2009 Aug 11.
9
Effect on smoking quit rate of telling patients their lung age: the Step2quit randomised controlled trial.告知患者其肺龄对戒烟率的影响:Step2quit随机对照试验
BMJ. 2008 Mar 15;336(7644):598-600. doi: 10.1136/bmj.39503.582396.25. Epub 2008 Mar 6.
10
Bronchodilator responsiveness in patients with COPD.慢性阻塞性肺疾病患者的支气管扩张剂反应性
Eur Respir J. 2008 Apr;31(4):742-50. doi: 10.1183/09031936.00129607. Epub 2008 Feb 6.