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Screening for Chronic Obstructive Pulmonary Disease: Validity and Reliability of a Portable Device in Non-Specialized Healthcare Settings.
dc.contributor.author | Represas Represas, Cristina | |
dc.contributor.author | Fernández Villar, José Alberto | |
dc.contributor.author | Ruano Raviña, Alberto | |
dc.contributor.author | Priegue Carrera, Ana | |
dc.contributor.author | Botana Rial, María Isabel | |
dc.date.accessioned | 2017-10-16T08:57:29Z | |
dc.date.available | 2017-10-16T08:57:29Z | |
dc.date.issued | 2016 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pubmed/26726887 | es |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699810/ | es |
dc.identifier.uri | http://hdl.handle.net/20.500.11940/9781 | |
dc.description.abstract | The underdiagnosis of chronic obstructive pulmonary disease (COPD) could be improved through screening using portable devices simpler than conventional spirometers in specific healthcare settings to reach a higher percentage of the at-risk population. This study was designed to assess the validity and reliability of the COPD-6 portable device to screen for COPD in non-specialized healthcare settings. Prospective cohort study to validate a diagnostic test. Three cohorts were recruited: primary care (PC), emergency services (ES) and community pharmacies (CPh). individuals with risk factors for COPD (>40 years, smoking >10 pack-years, with respiratory symptoms). The values measured using the COPD-6 were FEV1, FEV6 and the FEV1/FEV6 ratio. Subsequently, participants underwent conventional spirometry at hospital, using a post-bronchodilator FEV1/FVC value <0.7 as the gold standard criterion for the COPD diagnosis. 437 participants were included, 362 were valid for the analysis. COPD was diagnosed in 114 patients (31.5%). The area under the ROC curve for the COPD-6 for COPD screening was 0.8.The best cut-off point for the FEV1/FEV6 ratio was 0.8 (sensitivity, 92.1%) using spirometry with the bronchodilator test as the gold standard. There were practically no differences in the COPD-6 performance in the different settings and also regarding age, gender and smoking status. The COPD-6 device is a valid tool for COPD screening in non-specialized healthcare settings. In this context, the best cut-off point for the FEV1/FEV6 ratio is 0.8. | es |
dc.description.sponsorship | Fundación de la Sociedad Gallega de Patología Respiratoria (SOGAPAR) | es |
dc.description.sponsorship | European Union Seventh Framework Programme [FP7/REGPOT-2012-2013.1] under grant agreement n° 316265, BIOCAPS | es |
dc.language.iso | eng | es |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject.mesh | Smoking | * |
dc.subject.mesh | Pulmonary Disease, Chronic Obstructive | * |
dc.title | Screening for Chronic Obstructive Pulmonary Disease: Validity and Reliability of a Portable Device in Non-Specialized Healthcare Settings. | es |
dc.type | Artigo | es |
dc.contributor.authorcorp | Study group of Validity of COPD-6 in nonspecialized healthcare settings | |
dc.identifier.doi | 10.1371/journal.pone.0145571 | |
dc.identifier.essn | 1932-6203 | |
dc.identifier.pmid | 26726887 | |
dc.issue.number | 1 | es |
dc.journal.title | PloS one | es |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Vigo - Complexo Hospitalario Universitario de Vigo::Neumoloxía | es |
dc.page.initial | e0145571 | es |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/FP7/316265 | es |
dc.relation.publisherversion | http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0145571&type=printable | es |
dc.rights.accessRights | openAccess | es |
dc.subject.decs | enfermedad pulmonar obstructiva crónica | * |
dc.subject.decs | hábito de fumar | * |
dc.subject.keyword | enfermedad pulmonar obstructiva cronica | es |
dc.subject.keyword | EPOC | es |
dc.twitter | false | en |
dc.typefides | Artigo Científico (inclue Orixinal, Orixinal breve, Revisión Sistemática e Meta-análisis) | es |
dc.typesophos | Artículo Original | es |
dc.volume.number | 11 | es |