Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world

Zaurbek Aisanov, Chunxue Bai, Otto Bauerle, Federico D. Colodenco, Charles Feldman, Shu Hashimoto, Jose Jardim, Christopher K.W. Lai, Rafael Laniado-Laborin, Gilbert Nadeau, Abdullah Sayiner, Jae Jeong Shim, Ying Huang Tsai, Richard D. Walters, Grant Waterer

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Chronic obstructive pulmonary disease (COPD) is a multicomponent disorder that leads to substantial disability, impaired quality of life, and increased mortality. Although the majority of COPD patients are first diagnosed and treated in primary care practices, there is comparatively little information on the management of COPD patients in primary care. A web-based pilot survey was conducted to evaluate the primary care physician's, or general practitioner's (GP's), knowledge, understanding, and management of COPD in twelve territories across the Asia-Pacific region, Africa, eastern Europe, and Latin America, using a 10-minute questionnaire comprising 20 questions and translated into the native language of each participating territory. The questionnaire was administered to a total of 600 GPs (50 from each territory) involved in the management of COPD patients and all data were collated and analyzed by an independent health care research consultant. This survey demonstrated that the GPs' understanding of COPD was variable across the territories, with large numbers of GPs having very limited knowledge of COPD and its management. A consistent finding across all territories was the underutilization of spirometry (median 26%; range 10%-48%) and reliance on X-rays (median 14%; range 5%-22%) for COPD diagnosis, whereas overuse of blood tests (unspecified) was particularly high in Russia and South Africa. Similarly, there was considerable underrecognition of the importance of exacerbation history as an important factor of COPD and its initial management in most territories (median 4%; range 0%-22%). Management of COPD was well below guideline-recommended levels in most of the regions investigated. The findings of this survey suggest there is a need for more ongoing education and information, specifically directed towards GPs outside of Europe and North America, and that global COPD guidelines appear to have limited reach and application in most of the areas studied.

Original languageEnglish
Pages (from-to)271-282
Number of pages12
JournalInternational Journal of COPD
Volume7
DOIs
Publication statusPublished - 2012 May 2

Fingerprint

Primary Care Physicians
Chronic Obstructive Pulmonary Disease
Primary Health Care
Guidelines
Knowledge Management
Eastern Europe
Information Management
Latin America
Health Services Research
Russia
Spirometry
Hematologic Tests
Disease Management
Consultants
North America
South Africa
General Practitioners
Language
History
Quality of Life

Keywords

  • COPD
  • Guidelines
  • Questionnaire
  • Survey

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world. / Aisanov, Zaurbek; Bai, Chunxue; Bauerle, Otto; Colodenco, Federico D.; Feldman, Charles; Hashimoto, Shu; Jardim, Jose; Lai, Christopher K.W.; Laniado-Laborin, Rafael; Nadeau, Gilbert; Sayiner, Abdullah; Shim, Jae Jeong; Tsai, Ying Huang; Walters, Richard D.; Waterer, Grant.

In: International Journal of COPD, Vol. 7, 02.05.2012, p. 271-282.

Research output: Contribution to journalArticle

Aisanov, Z, Bai, C, Bauerle, O, Colodenco, FD, Feldman, C, Hashimoto, S, Jardim, J, Lai, CKW, Laniado-Laborin, R, Nadeau, G, Sayiner, A, Shim, JJ, Tsai, YH, Walters, RD & Waterer, G 2012, 'Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world', International Journal of COPD, vol. 7, pp. 271-282. https://doi.org/10.2147/COPD.S28059
Aisanov, Zaurbek ; Bai, Chunxue ; Bauerle, Otto ; Colodenco, Federico D. ; Feldman, Charles ; Hashimoto, Shu ; Jardim, Jose ; Lai, Christopher K.W. ; Laniado-Laborin, Rafael ; Nadeau, Gilbert ; Sayiner, Abdullah ; Shim, Jae Jeong ; Tsai, Ying Huang ; Walters, Richard D. ; Waterer, Grant. / Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world. In: International Journal of COPD. 2012 ; Vol. 7. pp. 271-282.
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