dc.creator | Calle Rubio, Myriam | es |
dc.creator | Rodríguez Hermosa, Juan Luis | es |
dc.creator | Miravitlles, Marc | es |
dc.creator | Lopez-Campos Bodineau, Jose Luis | es |
dc.date.accessioned | 2022-11-25T14:52:35Z | |
dc.date.available | 2022-11-25T14:52:35Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Calle Rubio, M., Rodríguez Hermosa, J.L., Miravitlles, M. y Lopez-Campos Bodineau, J.L. (2022). Determinants in the Underdiagnosis of COPD in Spain—CONOCEPOC Study. Journal of Clinical Medicine, 11 (9), 2670. https://doi.org/10.3390/jcm11092670. | |
dc.identifier.issn | 2077-0383 | es |
dc.identifier.uri | https://hdl.handle.net/11441/139813 | |
dc.description.abstract | Factors such as seeking medical attention for respiratory symptoms and health professionals
ordering spirometry come into play in the underdiagnosis of chronic obstructive pulmonary disease
(COPD). The objective of this study was to analyze seeking medical attention and the use of spirometry
in individuals with chronic respiratory symptoms and to compare these results with those obtained in
the 2005 and 2011 surveys. Material and Methods: A cross-sectional, observational, epidemiological
study was conducted via phone interview in December 2020 in Spain, with a representative sample
from 17 autonomous communities. The study design was identical to that of the studies carried
out in 2005 and 2011 to evaluate the changes that have occurred in seeking medical attention and
performing spirometry in Spain, as well as the variability between autonomous communities. Results:
From 89,601 phone contacts, a total of 6534 respondents were obtained. A total of 24.8% reported
having some chronic respiratory symptom, and 17.9% reported a respiratory disease. Only 51.6% of
those who had some chronic respiratory symptom had seen their doctor, which was less likely among
current smokers (OR: 0.599, 95% CI: 0.467–0.769, p < 0.001) and those living in a rural setting (OR:
0.797, 95% CI: 0.651–0.975, p = 0.027). A total of 68.7% of the individuals who saw a doctor reported
having undergone spirometry, most frequently males (OR: 1.535, 95% CI: 2.074–1.136, p < 0.005),
former smokers (OR: 1.696, 95% CI: 2.407–1.195, p < 0.003), and those seen by a pulmonologist
(OR: 6.151, 95% CI: 8.869–4.265, p < 0.001). With respect to the 2005 survey, more frequent use of
spirometry has been observed (42.6 vs. 68.7%), without any change in seeking medical attention for
respiratory symptoms. There is a clear variability according to the autonomous community (p < 0.05).
Conclusions: Many individuals with chronic respiratory symptoms do not seek medical attention
and although the use of spirometry has increased in the past 15 years, it is still an important area that
needs improving in the primary care setting, especially among women. Both of these factors can be
determinants in the underdiagnosis of COPD and its variability between autonomous communities. | es |
dc.format | application/pdf | es |
dc.format.extent | 11 p. | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Journal of Clinical Medicine, 11 (9), 2670. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Chronic obstructive pulmonary disease (COPD) | es |
dc.subject | Respiratory symptoms | es |
dc.subject | Spirometry | es |
dc.subject | Underdiagnosis | es |
dc.subject | Autonomous community | es |
dc.subject | Spain | es |
dc.title | Determinants in the Underdiagnosis of COPD in Spain—CONOCEPOC Study | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.relation.publisherversion | https://www.mdpi.com/2077-0383/11/9/2670 | es |
dc.identifier.doi | 10.3390/jcm11092670 | es |
dc.journaltitle | Journal of Clinical Medicine | es |
dc.publication.volumen | 11 | es |
dc.publication.issue | 9 | es |
dc.publication.initialPage | 2670 | es |