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COPD: Practical aspects of case finding, diagnosing and monitoring

Citation

Walters, JAE and Crockett, AJ and McDonald, VM, COPD: Practical aspects of case finding, diagnosing and monitoring, Medicine Today, 14, (2) pp. 32-40. ISSN 1443-430X (2013) [Contribution to Refereed Journal]

Copyright Statement

Copyright 2013 Medicine Today

Official URL: http://www.medicinetoday.com.au/home/issue/view/14...

Abstract

Key points:

  • Diagnosis of COPD is often delayed and a high proportion of cases in primary care are unrecognised.
  • COPD is often misdiagnosed in primary care, probably as a result of not using spirometry for diagnosis.
  • Screening systematically or opportunistically with questionnaires can be used to case-find in general practice. Expiratory flow devices are used to determine the need for diagnostic testing.
  • Spirometry is essential to diagnose COPD. COPD is present if the post- bronchodilator FEV1/FVC ratio is below 0.7 and FEV1 is less than 80% predicted.
  • Telling smokers their ‘lung age’ after spirometry increases their chances of successfully quitting.
  • The results of spirometry together with symptoms and exacerbation frequency guides the management of COPD.
  • Complex lung function tests to distinguish between asthma and COPD are not usually required.
  • Item Details

    Item Type:Contribution to Refereed Journal
    Keywords:COPD, spirometry
    Research Division:Medical and Health Sciences
    Research Group:Cardiorespiratory Medicine and Haematology
    Research Field:Respiratory Diseases
    Objective Division:Health
    Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
    Objective Field:Respiratory System and Diseases (incl. Asthma)
    Author:Walters, JAE (Dr Julia Walters)
    ID Code:83374
    Year Published:2013
    Deposited By:Medicine (Discipline)
    Deposited On:2013-03-12
    Last Modified:2014-06-13
    Downloads:1 View Download Statistics

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