Early detection of Chronic Obstructive Pulmonary Disease in primary care: a randomised controlled trial
Résumé
Background Worldwide, chronic obstructive pulmonary disease (COPD) remains largely underdiagnosed. Aim To assess whether the use of Global Initiative for Chronic Obstructive Lung Disease (GOLD) questions and COPD coordination, either alone or combined, would detect new cases in primary care. Design setting GPs Brittany, France, systematically enrolled patients aged 40–80 years over a 4-month period this French multicentre cluster randomised controlled study. Method were randomly allocated to one four groups: control (standard care), GOLD (adapted from symptoms risk factors identified by GOLD), with coordination. New those confirmed spirometry: post-bronchodilator forced expiratory volume 1 second vital capacity andlt
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