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Opportunities to diagnose fibrotic lung diseases in routine care: A primary care cohort study.
- Source :
-
Respirology . Dec2020, Vol. 25 Issue 12, p1274-1282. 9p. - Publication Year :
- 2020
-
Abstract
- Background and objective: Temporal trends of healthcare use in the period before a diagnosis of pulmonary fibrosis are poorly understood. We investigated trends in respiratory symptoms and LR HRU in the 10 years prior to diagnosis. Methods: We analysed a primary care clinical cohort database (UK OPCRD) and assessed patients aged ≥40 years who had an electronically coded diagnosis of pulmonary fibrosis between 2005 and 2015 and a minimum 2 years of continuous medical records prior to diagnosis. Exclusion criteria consisted of electronic codes for recognized causes of pulmonary fibrosis such as CTD, sarcoidosis or EAA. Results: Data for 2223 patients were assessed. Over the 10 years prior to diagnosis of pulmonary fibrosis, there was a progressive increase in HRU across multiple LR‐related domains. Five years before diagnosis, 18% of patients had multiple healthcare contacts for LR complaints; this increased to 79% in the year before diagnosis, with 38% of patients having five or more healthcare contacts. Conclusion: There are opportunities to diagnose pulmonary fibrosis at an earlier stage; research into case‐finding algorithms and strategies to educate primary care physicians is required. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LUNG diseases
*PRIMARY care
*PULMONARY fibrosis
*COHORT analysis
*SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 13237799
- Volume :
- 25
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Respirology
- Publication Type :
- Academic Journal
- Accession number :
- 147017074
- Full Text :
- https://doi.org/10.1111/resp.13836