Missed Opportunities to Diagnose COPD Earlier Detailed — Physician’s First Watch

Medical News |
February 13, 2014

Missed Opportunities to Diagnose COPD Earlier Detailed

By Joe Elia

An examination of the clinical records of some 40,000 patients with chronic obstructive pulmonary disease shows plenty of missed opportunities to make the diagnosis (and intervene) earlier.

Data on the patients came from U.K. national databases for the period 1990 through 2009. Some 85% of patients diagnosed with COPD had a visit related to lower-respiratory symptoms in the 5 years before the diagnosis was made, according to research in the Lancet Respiratory Medicine. Most of those consultations resulted in a prescription, most often for antibiotics or steroids.

The authors recommend that COPD should be considered, and spirometry done, in patients over 40 with a history of smoking who present with lower-respiratory symptoms. It should also be considered in patients with smoking histories who are attending clinics for comorbid conditions often associated with COPD, such as cardiovascular disease or diabetes.

Reader Comments (2)

CAROLINE POPLIN Physician, Internal Medicine

Why is it important to diagnose COPD, and use spirometry, if the patient has no symptoms chronically and has quit smoking? Unless something has changed recently, the medications currently available for COPD treat symptoms; they do not change the natural course of the disease. If doing a moderately expensive test does not change management, why do it?

Nicholas Lekas, MD,FACP Physician, Infectious Disease, Naples Flordia

I look forward to keeping current in my specialty, Infectious diseases and in General Internal Medicine with your help.

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.