L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia

Translated title of the contribution: Health care for COPD diagnosis on the territory of Brescia

Nadia Marcobruni, Giovanni Aliprandi, Piera Raineri, Dario Fornari, Mauro Ferliga, Germano Bettoncelli, Michele Vitacca, Katia Foglio

Research output: Contribution to journalArticle

Abstract

Introduction. Chronic obstructive pulmonary disease (COPD) is underdiagnosed. Aim of the current study was to evaluate health care in terms of organization, structures, severity and human resources on a sample of Institution on the territory of Brescia dedicated to COPD. Materials and methods. Clinical and administrative database relative to years 2010-2011 from 6 center participating in the study, organizational data, characteristics of the clinics, types and characteristics of the performances provided, in-flows of first diagnoses of COPD (confirmed by the performance of oxygen spirometry and salbutamol test 400 gamma) and flows of patients in follow-up divided according to GOLD stage 2010 were collected. Results. All centers adhered to the diagnostic-therapeutic program (PDT) developed by the local health authority (ASL) in Brescia. The health care offered by different centers resulted quite homogeneous as far as times of expectation and quality of performances provided. However, the COPD incidence is inferior to what evidenced by literature. Rehabilitation Institutes resulted 1. to examine a higher percentage of COPD patients with respect to patients with asthma, 2. to carry out the first diagnoses of COPD on patients with GOLD stage III-IV, and 3. to follow up mainly patients with severe GOLD stage (III and IV). Conclusions. The centers belonging the study are a representative sample that allows to underline that the health care for the diagnosis of COPD in Brescia is good; the educational meetings with general practitioners produce good results on the identification of new cases of COPD in the earliest stages of the illness; education for general practitioners as well as for patients must be continued to better reproduce those data of incidence/ prevalence reported in literature and in order to reduce the identification of the first diagnosis in a so advanced stage of illness.

Original languageItalian
Pages (from-to)152-158
Number of pages7
JournalRassegna di Patologia dell'Apparato Respiratorio
Volume29
Issue number3
Publication statusPublished - Dec 1 2014

Fingerprint

Chronic Obstructive Pulmonary Disease
Delivery of Health Care
General Practitioners
Albuterol
Spirometry
Incidence
Rehabilitation
Asthma
Organizations
Databases
Oxygen
Education
Health

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Pulmonary and Respiratory Medicine

Cite this

Marcobruni, N., Aliprandi, G., Raineri, P., Fornari, D., Ferliga, M., Bettoncelli, G., ... Foglio, K. (2014). L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia. Rassegna di Patologia dell'Apparato Respiratorio, 29(3), 152-158.

L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia. / Marcobruni, Nadia; Aliprandi, Giovanni; Raineri, Piera; Fornari, Dario; Ferliga, Mauro; Bettoncelli, Germano; Vitacca, Michele; Foglio, Katia.

In: Rassegna di Patologia dell'Apparato Respiratorio, Vol. 29, No. 3, 01.12.2014, p. 152-158.

Research output: Contribution to journalArticle

Marcobruni, N, Aliprandi, G, Raineri, P, Fornari, D, Ferliga, M, Bettoncelli, G, Vitacca, M & Foglio, K 2014, 'L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia', Rassegna di Patologia dell'Apparato Respiratorio, vol. 29, no. 3, pp. 152-158.
Marcobruni N, Aliprandi G, Raineri P, Fornari D, Ferliga M, Bettoncelli G et al. L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia. Rassegna di Patologia dell'Apparato Respiratorio. 2014 Dec 1;29(3):152-158.
Marcobruni, Nadia ; Aliprandi, Giovanni ; Raineri, Piera ; Fornari, Dario ; Ferliga, Mauro ; Bettoncelli, Germano ; Vitacca, Michele ; Foglio, Katia. / L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia. In: Rassegna di Patologia dell'Apparato Respiratorio. 2014 ; Vol. 29, No. 3. pp. 152-158.
@article{22a5598c898c4e5dbb490cc81978e09e,
title = "L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia",
abstract = "Introduction. Chronic obstructive pulmonary disease (COPD) is underdiagnosed. Aim of the current study was to evaluate health care in terms of organization, structures, severity and human resources on a sample of Institution on the territory of Brescia dedicated to COPD. Materials and methods. Clinical and administrative database relative to years 2010-2011 from 6 center participating in the study, organizational data, characteristics of the clinics, types and characteristics of the performances provided, in-flows of first diagnoses of COPD (confirmed by the performance of oxygen spirometry and salbutamol test 400 gamma) and flows of patients in follow-up divided according to GOLD stage 2010 were collected. Results. All centers adhered to the diagnostic-therapeutic program (PDT) developed by the local health authority (ASL) in Brescia. The health care offered by different centers resulted quite homogeneous as far as times of expectation and quality of performances provided. However, the COPD incidence is inferior to what evidenced by literature. Rehabilitation Institutes resulted 1. to examine a higher percentage of COPD patients with respect to patients with asthma, 2. to carry out the first diagnoses of COPD on patients with GOLD stage III-IV, and 3. to follow up mainly patients with severe GOLD stage (III and IV). Conclusions. The centers belonging the study are a representative sample that allows to underline that the health care for the diagnosis of COPD in Brescia is good; the educational meetings with general practitioners produce good results on the identification of new cases of COPD in the earliest stages of the illness; education for general practitioners as well as for patients must be continued to better reproduce those data of incidence/ prevalence reported in literature and in order to reduce the identification of the first diagnosis in a so advanced stage of illness.",
keywords = "Asthma, Continuity of care, COPD, Outpatient, Respiratory pathophysiology",
author = "Nadia Marcobruni and Giovanni Aliprandi and Piera Raineri and Dario Fornari and Mauro Ferliga and Germano Bettoncelli and Michele Vitacca and Katia Foglio",
year = "2014",
month = "12",
day = "1",
language = "Italian",
volume = "29",
pages = "152--158",
journal = "Rassegna di Patologia dell'Apparato Respiratorio",
issn = "0033-9563",
publisher = "EdiAipo Scientifica s.c.a.r.l",
number = "3",

}

TY - JOUR

T1 - L'offerta assistenziale per la diagnosi di BPCO sul territorio di Brescia

AU - Marcobruni, Nadia

AU - Aliprandi, Giovanni

AU - Raineri, Piera

AU - Fornari, Dario

AU - Ferliga, Mauro

AU - Bettoncelli, Germano

AU - Vitacca, Michele

AU - Foglio, Katia

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Introduction. Chronic obstructive pulmonary disease (COPD) is underdiagnosed. Aim of the current study was to evaluate health care in terms of organization, structures, severity and human resources on a sample of Institution on the territory of Brescia dedicated to COPD. Materials and methods. Clinical and administrative database relative to years 2010-2011 from 6 center participating in the study, organizational data, characteristics of the clinics, types and characteristics of the performances provided, in-flows of first diagnoses of COPD (confirmed by the performance of oxygen spirometry and salbutamol test 400 gamma) and flows of patients in follow-up divided according to GOLD stage 2010 were collected. Results. All centers adhered to the diagnostic-therapeutic program (PDT) developed by the local health authority (ASL) in Brescia. The health care offered by different centers resulted quite homogeneous as far as times of expectation and quality of performances provided. However, the COPD incidence is inferior to what evidenced by literature. Rehabilitation Institutes resulted 1. to examine a higher percentage of COPD patients with respect to patients with asthma, 2. to carry out the first diagnoses of COPD on patients with GOLD stage III-IV, and 3. to follow up mainly patients with severe GOLD stage (III and IV). Conclusions. The centers belonging the study are a representative sample that allows to underline that the health care for the diagnosis of COPD in Brescia is good; the educational meetings with general practitioners produce good results on the identification of new cases of COPD in the earliest stages of the illness; education for general practitioners as well as for patients must be continued to better reproduce those data of incidence/ prevalence reported in literature and in order to reduce the identification of the first diagnosis in a so advanced stage of illness.

AB - Introduction. Chronic obstructive pulmonary disease (COPD) is underdiagnosed. Aim of the current study was to evaluate health care in terms of organization, structures, severity and human resources on a sample of Institution on the territory of Brescia dedicated to COPD. Materials and methods. Clinical and administrative database relative to years 2010-2011 from 6 center participating in the study, organizational data, characteristics of the clinics, types and characteristics of the performances provided, in-flows of first diagnoses of COPD (confirmed by the performance of oxygen spirometry and salbutamol test 400 gamma) and flows of patients in follow-up divided according to GOLD stage 2010 were collected. Results. All centers adhered to the diagnostic-therapeutic program (PDT) developed by the local health authority (ASL) in Brescia. The health care offered by different centers resulted quite homogeneous as far as times of expectation and quality of performances provided. However, the COPD incidence is inferior to what evidenced by literature. Rehabilitation Institutes resulted 1. to examine a higher percentage of COPD patients with respect to patients with asthma, 2. to carry out the first diagnoses of COPD on patients with GOLD stage III-IV, and 3. to follow up mainly patients with severe GOLD stage (III and IV). Conclusions. The centers belonging the study are a representative sample that allows to underline that the health care for the diagnosis of COPD in Brescia is good; the educational meetings with general practitioners produce good results on the identification of new cases of COPD in the earliest stages of the illness; education for general practitioners as well as for patients must be continued to better reproduce those data of incidence/ prevalence reported in literature and in order to reduce the identification of the first diagnosis in a so advanced stage of illness.

KW - Asthma

KW - Continuity of care

KW - COPD

KW - Outpatient

KW - Respiratory pathophysiology

UR - http://www.scopus.com/inward/record.url?scp=84936861311&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84936861311&partnerID=8YFLogxK

M3 - Articolo

AN - SCOPUS:84936861311

VL - 29

SP - 152

EP - 158

JO - Rassegna di Patologia dell'Apparato Respiratorio

JF - Rassegna di Patologia dell'Apparato Respiratorio

SN - 0033-9563

IS - 3

ER -