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COPD patients with asthma, characteristics and risk of exacerbations
Conclusion: COPD patients with comorbid asthma had higher risk of exacerbations. Lower lung function and IgE-sensitization were associated to exacerbations in the one-year follow-up.
Source: European Respiratory Journal - November 20, 2019 Category: Respiratory Medicine Authors: Lisspers, K., Hogman, M., Malinovschi, A., Janson, C., Hedenstrom, H., Broms, K., Stallberg, B. Tags: General practice and primary care Source Type: research

Practice Patterns for Chronic Respiratory Diseases in the Asia-Pacific Region: A Cross-Sectional Observational Study
Conclusions: Our findings, albeit mostly descriptive and influenced by between-country differences, suggest that practice patterns differ between physician types, and the disease burden may be substantial for patients presenting in general practice.Int Arch Allergy Immunol
Source: International Archives of Allergy and Immunology - June 6, 2018 Category: Allergy & Immunology Source Type: research

Residential Air Pollution and Associations with Wheeze and Shortness of Breath in Adults: A Combined Analysis of Cross-Sectional Data from Two Large European Cohorts
Conclusion: Exposure to PM and NO2 air pollution was associated with the prevalence of wheeze and shortness of breath in this large study, with stronger associations between PM2.5 and both outcomes among lower- versus higher-income participants. https://doi.org/10.1289/EHP1353 Received: 13 November 2016 Revised: 10 August 2017 Accepted: 14 August 2017 Published: 29 September 2017 Address correspondence to D. Doiron, Research Institute of the McGill University Health Centre, 2155 rue Guy, office 458, Montreal, Canada, H3H 2R9. Telephone: 1-514-934-1934 (ex. 71688). Email: ddoiron@maelstrom-research.org Supplemental Ma...
Source: EHP Research - September 29, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Research Source Type: research

External validation of a decision support system for respiratory primary care patients: A study of diagnostic accuracy
We presented the results of a diagnostic support tool (ERS 2014) which is considered to be promising because it was derived from a real-life primary care Asthma/COPD(AC) service (n=9,297). All patients were suspected to have an obstructive pulmonary disease and were diagnosed by a pulmonologist. We developed our tool with decision tree analysis and used spirometry, smoking, age/onset, allergy and wheezing to predict diagnosis. We validated our tool in a comparable AC service with different pulmonologists as assessors (n=3,215). The diagnostic accuracy of our tool in the external population was 54%. The accuracy for COPD wa...
Source: European Respiratory Journal - October 30, 2015 Category: Respiratory Medicine Authors: Metting, E., Dekhuizen, R., Chavannes, N., Muilwijk-Kroes, J., In 't Veen, H., Van der Molen, T. Tags: 1.6 General Practice and Primary Care Source Type: research

One year with certified asthma and COPD-clinics in Skane, Sweden
Conclusion: By certifying asthma and COPD clinics both the education level and the allocated time for patients can be increased. The COPD exacerbation project suggests improved care of the COPD patients on certified units.
Source: European Respiratory Journal - October 30, 2015 Category: Respiratory Medicine Authors: Romberg, K., Wieloch, M., Karegard, M., Bjermer, L., Jagorstrand, B. Tags: 1.6 General Practice and Primary Care Source Type: research

Development of a decision tree based on real life primary care data: Can we predict the diagnoses asthma, COPD and asthma/COPD overlap syndrome based on automatic data analysis?
Discussion The diagnosis asthma and COPD could be correctly predicted in most patients by using this instrument. Our decision tree is considered to be promising because it was based on real life primary care data and used diagnoses made by pulmonologists. The clinical implication of the decision tree needs further debate.
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Metting, E., Chavannes, N., Dekhuizen, R., Dresden, D., Swart, F., In 't Veen, H., van der Molen, T. Tags: 1.6 General Practice and Primary Care Source Type: research

Late-breaking abstract: The certification of allergy-, asthma- and COPD-clinics in primary care in Southern Sweden
ConclusionBy certifying asthma and COPD clinics both the education level and the allocated time for patients can beincreased.
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Lagorstrand, B., Bjermer, L., Karegard, M., Tunsater, A., Romberg, K. Tags: 1.6 General Practice and Primary Care Source Type: research