open access

Vol 85, No 3 (2017)
ORIGINAL PAPERS
Published online: 2017-06-30
Submitted: 2017-04-11
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Public spirometry campaign in chronic obstructive pulmonary disease screening – hope or hype?

Piotr Korczyński, Katarzyna Górska, Piotr Jankowski, Jakub Kosiński, Agata Kudas, Katarzyna Sułek, Maria Jankowska, Kaja Jaśkiewicz, Rafał Krenke
DOI: 10.5603/ARM.2017.0024
·
Adv Respir Med 2017;85(3):143-150.

open access

Vol 85, No 3 (2017)
ORIGINAL PAPERS
Published online: 2017-06-30
Submitted: 2017-04-11

Abstract

INTRODUCTION: Underdiagnosis of COPD seems to be a relevant clinical and social problem. We hypothesized that active public spirometry campaign may help identify subjects with airflow limitation consistent with COPD.

The aim of the study was (1) to evaluate the willingness of random smokers to undergo public spirometry, (2) to assess the ability to obtain an acceptable quality spirometry during a public campaign, and (3) to assess the relationships between the presence and severity of respiratory symptoms and readiness to undergo spirometry.

MATERIAL AND METHODS: Pedestrians aged > 40 years and a smoking history > 10 pack-years were recruited by medical students to fill a questionnaire and perform spirometry. Those with obstructive or borderline ventilatory insuffciency were invited and encouraged to undergo stationary spirometry in a pulmonary outpatient department.

RESULTS: Nine hundred and five subjects meeting the inclusion criteria were invited to the study. Only 178 subjects agreed to complete the questionnaire and undergo spirometry. Airway obstruction and borderline spirometry result (classified as possible airway obstruction) were found in 22 and 37 subjects, respectively. Of these, only 15 patients attended follow-up visit to verify public spirometry results. Extrapolation of the limited data showed the incidence of newly diagnosed airway obstruction as 10.7%.

CONCLUSION: Public spirometry campaign does not seem to be an effective way of COPD screening. Smokers are reluctant to undergo complimentary spirometry even in the presence of pronounced respiratory symptoms. Our observations may be helpful in elaborating future screening programs for COPD.

Abstract

INTRODUCTION: Underdiagnosis of COPD seems to be a relevant clinical and social problem. We hypothesized that active public spirometry campaign may help identify subjects with airflow limitation consistent with COPD.

The aim of the study was (1) to evaluate the willingness of random smokers to undergo public spirometry, (2) to assess the ability to obtain an acceptable quality spirometry during a public campaign, and (3) to assess the relationships between the presence and severity of respiratory symptoms and readiness to undergo spirometry.

MATERIAL AND METHODS: Pedestrians aged > 40 years and a smoking history > 10 pack-years were recruited by medical students to fill a questionnaire and perform spirometry. Those with obstructive or borderline ventilatory insuffciency were invited and encouraged to undergo stationary spirometry in a pulmonary outpatient department.

RESULTS: Nine hundred and five subjects meeting the inclusion criteria were invited to the study. Only 178 subjects agreed to complete the questionnaire and undergo spirometry. Airway obstruction and borderline spirometry result (classified as possible airway obstruction) were found in 22 and 37 subjects, respectively. Of these, only 15 patients attended follow-up visit to verify public spirometry results. Extrapolation of the limited data showed the incidence of newly diagnosed airway obstruction as 10.7%.

CONCLUSION: Public spirometry campaign does not seem to be an effective way of COPD screening. Smokers are reluctant to undergo complimentary spirometry even in the presence of pronounced respiratory symptoms. Our observations may be helpful in elaborating future screening programs for COPD.

Get Citation

Keywords

airway obstruction; chronic obstructive pulmonary disease; public spirometry

About this article
Title

Public spirometry campaign in chronic obstructive pulmonary disease screening – hope or hype?

Journal

Advances in Respiratory Medicine

Issue

Vol 85, No 3 (2017)

Pages

143-150

Published online

2017-06-30

DOI

10.5603/ARM.2017.0024

Bibliographic record

Adv Respir Med 2017;85(3):143-150.

Keywords

airway obstruction
chronic obstructive pulmonary disease
public spirometry

Authors

Piotr Korczyński
Katarzyna Górska
Piotr Jankowski
Jakub Kosiński
Agata Kudas
Katarzyna Sułek
Maria Jankowska
Kaja Jaśkiewicz
Rafał Krenke

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