D
iagnostic
accuracy
of
respiratory
diseases
in
primary
health
units
R
ev
A
ssoc
M
ed
B
ras
2014; 60(6):599-612
607
Table 1
Synopsis of the articles relating to acute respiratory tract infections (ARI), tuberculosis, asthma, COPD, and asthma and COPD in conjunction (continuation)
Asthma and COPD
33
Melbye et al.,
2011,
Norway
To describe symptoms and lung
function in patients diagnosed with
asthma or COPD in primary care
and to describe how the results of
spirometry fit the diagnoses made
by GPs
Spirometry
Cross-
sectional
367; ≥40; 62
Not informed
The diagnosis of COPD was confirmed by
spirometry and according to GOLD
7
criteria in
68.1% of patients, while the diagnosis of asthma
was confirmed in 17.1%. The kappa agreement
between the diagnosis of COPD in the medical
record with the spirometric diagnosis was 0.50.
Spirometry helped confirm that patients had a
mixed disease but did not discriminate between
asthma and COPD in all cases
34
Izquierdo
et al., 2010,
Spain
Goal was to analyze the diagnostic
accuracy in patients receiving
inhaled medications in primary care
Spirometry
Cross-
sectional
9,931; ≥18; 58.3 1,449
4,188 (42.9%) had a diagnosis of asthma, 4,175
(42.8%) had a diagnosis of COPD, and 1,389 had
non-identifiable diagnoses. Among patients aged
over 40 years with diagnoses of COPD and
spirometry (50.9%), only 13.9% met the GOLD
criteria
7
35
Weidinger et
al., 2009,
Sweden
To assess adherence to guidelines in
primary care in patients with asthma
and COPD
Swedish
national
guidelines for
asthma and
COPD
Cross-
sectional
623; All age groups;
not informed
Not informed
Adhesion was found in 130/499 (26%) of patients
with initial diagnosis of asthma and 35/124 (28%)
of patients with initial diagnosis of COPD
36
Raghunath et
al., 2006,
United
Kingdom
To assess differences in the
interpretation of spirometry and
peak expiratory flow (PEF) between
primary care GPs and pulmonary
specialists in patients with a
previous diagnosis of asthma or
COPD
Pulmonologists Cohort
102; ≥45 years; not
informed
Not informed
The concordance between the diagnoses of
generalists and specialists (Kappa) in the
evaluation of tests was 0.20
(continues)