Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice

Hani A. Jokhdar; Mohammed A. Garout; Mohammad M. Alkot; Rana H. El-Helbawy; Jehad O. Albitar

doi:doi:10.11648/j.jfmhc.20170301.11

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Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice

Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar

Published in Journal of Family Medicine and Health Care (Volume 3, Issue 1)

Received: 20 September 2016 Accepted: 22 November 2016 Published: 27 December 2016

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Abstract

Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.

Published in	Journal of Family Medicine and Health Care (Volume 3, Issue 1)
DOI	10.11648/j.jfmhc.20170301.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Chronic Obstructive Pulmonary Diseases, Spirometry, GOLD Guidelines, Family Practice

References

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[6]	Dirven J, Tange H, Muris J, van Haaren K, Vink G, van Schayck O. Early detection of COPD in general practice: patient or practice managed? A randomized controlled trial of two strategies in different socioeconomic environments. Prim Care Respir J. 2013;22(3):331–337.
[7]	Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of COPD 2013. Available online: http://www.goldcopd.org/
[8]	Price D, Freeman D, Cleland J, Kaplan A, Cerasoli F. Earlier diagnosis and earlier treatment of COPD in primary care. Prim Care Respir J. 2011;20(1):15–22.
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[11]	Lin K, Watkins B, Johnson T, Rodriguez J, and Barton M, “Screening for chronic obstructive pulmonary disease using spirometry: summary of the evidence for the U. S. preventive services task force,” Annals of Internal Medicine, vol. 148, no. 7, pp. 535–543, 2008.
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APA Style

Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar. (2016). Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. Journal of Family Medicine and Health Care, 3(1), 1-5. https://doi.org/10.11648/j.jfmhc.20170301.11

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ACS Style

Hani A. Jokhdar; Mohammed A. Garout; Mohammad M. Alkot; Rana H. El-Helbawy; Jehad O. Albitar. Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. J. Fam. Med. Health Care 2016, 3(1), 1-5. doi: 10.11648/j.jfmhc.20170301.11

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AMA Style

Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar. Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. J Fam Med Health Care. 2016;3(1):1-5. doi: 10.11648/j.jfmhc.20170301.11

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@article{10.11648/j.jfmhc.20170301.11,
  author = {Hani A. Jokhdar and Mohammed A. Garout and Mohammad M. Alkot and Rana H. El-Helbawy and Jehad O. Albitar},
  title = {Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice},
  journal = {Journal of Family Medicine and Health Care},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.jfmhc.20170301.11},
  url = {https://doi.org/10.11648/j.jfmhc.20170301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20170301.11},
  abstract = {Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.},
 year = {2016}
}

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TY - JOUR
T1 - Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice
AU - Hani A. Jokhdar
AU - Mohammed A. Garout
AU - Mohammad M. Alkot
AU - Rana H. El-Helbawy
AU - Jehad O. Albitar
Y1 - 2016/12/27
PY - 2016
N1 - https://doi.org/10.11648/j.jfmhc.20170301.11
DO - 10.11648/j.jfmhc.20170301.11
T2 - Journal of Family Medicine and Health Care
JF - Journal of Family Medicine and Health Care
JO - Journal of Family Medicine and Health Care
SP - 1
EP - 5
PB - Science Publishing Group
SN - 2469-8342
UR - https://doi.org/10.11648/j.jfmhc.20170301.11
AB - Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.
VL - 3
IS - 1
ER -

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Author Information

Hani A. Jokhdar

Community Medicine and Pilgrimage Health Care Department, Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia
Mohammed A. Garout

Community Medicine and Pilgrimage Health Care Department, Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia
Mohammad M. Alkot

Family Medicine Department, Menoufia University, Shebien Elkoum, Egypt
Rana H. El-Helbawy

Chest Department, Menoufia University, Shebien Elkoum, Egypt
Jehad O. Albitar

Internship, Umm Al-Qura University, Makkah Al-Mukaramah, Saudi Arabia

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APA Style

Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar. (2016). Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. Journal of Family Medicine and Health Care, 3(1), 1-5. https://doi.org/10.11648/j.jfmhc.20170301.11

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ACS Style

Hani A. Jokhdar; Mohammed A. Garout; Mohammad M. Alkot; Rana H. El-Helbawy; Jehad O. Albitar. Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. J. Fam. Med. Health Care 2016, 3(1), 1-5. doi: 10.11648/j.jfmhc.20170301.11

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AMA Style

Hani A. Jokhdar, Mohammed A. Garout, Mohammad M. Alkot, Rana H. El-Helbawy, Jehad O. Albitar. Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice. J Fam Med Health Care. 2016;3(1):1-5. doi: 10.11648/j.jfmhc.20170301.11

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@article{10.11648/j.jfmhc.20170301.11,
  author = {Hani A. Jokhdar and Mohammed A. Garout and Mohammad M. Alkot and Rana H. El-Helbawy and Jehad O. Albitar},
  title = {Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice},
  journal = {Journal of Family Medicine and Health Care},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.jfmhc.20170301.11},
  url = {https://doi.org/10.11648/j.jfmhc.20170301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20170301.11},
  abstract = {Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.},
 year = {2016}
}

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