COPD patient profiles in primary care. Referral criteria

COPD is a disease with a high prevalence that diminishes the quality of life of many patients. Despite this, there are still high rates of under-diagnosis in Spain, partly due to a lack of recognition of the pathology by patients. In this context, the role played by primary care teams becomes fundam...

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Published in:	Semergen, medicina de familia Vol. 50; no. 5; p. 102192
Main Authors:	Trillo-Calvo, E., de Miguel Díez, J., González Villaescusa, C., Panero Hidalgo, P., Cimas Hernando, J.E., Villanueva Pérez, M., Plaza Zamora, F.J., Sanz Almazán, M., Figueira-Gonçalves, J.M.
Format:	Journal Article
Language:	English
Published:	Spain Elsevier España, S.L.U 01-07-2024
Subjects:	Chronic obstructive pulmonary disease Continuidad de la atención al paciente Continuity of patient care Derivación y consulta Enfermedad pulmonar obstructiva crónica Referral and consultation GOLD mMRC Continuity of patient care SAMA LAMA Enfermedad pulmonar obstructiva crónica Continuidad de la atención al paciente CES FVC Derivación y consulta LABD SABD Referral and consultation ICs FEV1 Chronic obstructive pulmonary disease COPD
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Summary:	COPD is a disease with a high prevalence that diminishes the quality of life of many patients. Despite this, there are still high rates of under-diagnosis in Spain, partly due to a lack of recognition of the pathology by patients. In this context, the role played by primary care teams becomes fundamental, as they are one of the first lines of entry into the health system. In this paper we explain the different COPD profiles that may be present, and update the tools for diagnosis and treatment, which, together with an attitude of active suspicion of the disease, can help in the correct management of patients, whether they are undiagnosed or have subsequent complications. La EPOC es una enfermedad con una elevada prevalencia que disminuye la calidad de vida de muchos pacientes. A pesar de esto, en España siguen existiendo altas tasas de infradiagnóstico, en parte, debido a la falta de reconocimiento de la patología por parte de los pacientes. En este contexto, el papel que desempeñan los equipos de atención primaria es fundamental, ya que son una de las primeras líneas de entrada al sistema sanitario. En este trabajo se revisan los diferentes perfiles de EPOC que pueden presentarse, y se actualizan las herramientas de diagnóstico y tratamiento, las cuales, unidas a una actitud de sospecha activa de la enfermedad, pueden ayudar en el correcto manejo de los pacientes, tanto si no cuentan con un diagnóstico como si se presentan complicaciones posteriores.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	1138-3593 1578-8865 1578-8865
DOI:	10.1016/j.semerg.2024.102192