51. Different Case Finding Approaches to Optimise COPD Diagnosis: Evidence from the RADICALS Trial
- Author
-
Alotaibi,Nawar, Borg,Brigitte M, Abramson,Michael J, Paul,Eldho, Zwar,Nicholas, Russell,Grant, Wilson,Sally, Holland,Anne E, Bonevski,Billie, Mahal,Ajay, George,Johnson, Alotaibi,Nawar, Borg,Brigitte M, Abramson,Michael J, Paul,Eldho, Zwar,Nicholas, Russell,Grant, Wilson,Sally, Holland,Anne E, Bonevski,Billie, Mahal,Ajay, and George,Johnson
- Abstract
Nawar Alotaibi,1 Brigitte M Borg,2,3 Michael J Abramson,3 Eldho Paul,3 Nicholas Zwar,4 Grant Russell,5 Sally Wilson,1,6 Anne E Holland,2,7 Billie Bonevski,8 Ajay Mahal,9 Johnson George1,3 1Centre for Medicine Use and Safety, Monash University, Melbourne, VIC, Australia; 2Respiratory Medicine, Alfred Health, Melbourne, VIC, Australia; 3School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC, Australia; 4Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia; 5Department of General Practice, Monash University, Melbourne, VIC, Australia; 6Department of Infrastructure Engineering, The University of Melbourne, Melbourne, VIC, Australia; 7Central Clinical School, Monash University, Melbourne, VIC, Australia; 8College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia; 9The Nossal Institute for Global Health, The University of Melbourne, Melbourne, VIC, AustraliaCorrespondence: Johnson George, Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, VIC, 3052, Australia, Email Johnson.George@monash.eduAim: Diagnosis of COPD in primary care is hindered by underuse of spirometry. Case finding using validated symptom and health status questionnaires, and simple handheld devices in high-risk populations may improve diagnosis. This study aimed to determine the best combination of measures to optimise COPD diagnosis in the primary care setting.Methods: We recruited 335 current or ex-smokers, including those with an established diagnosis of COPD from general practices. Participantsâ FEV1 and FEV6 were measured using a handheld spirometry device (COPD-6®). Each completed the COPD assessment test (CAT), a modified Medical Research Council (mMRC) dyspnoea scale, St Georgeâs Respiratory Questionnaire (SGRQ) and smoking history questionnaire. From these data we calculated the predictive validity for spirometry-confirmed di
- Published
- 2023