A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test
Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening...
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| Veröffentlicht in: | Primary health care research & development 2017-11, Vol.18 (6), p.603-607 |
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| creator | Demirci, Hakan Eniste, Koncuy Basaran, Ebru Onuker Ocakoglu, Gokhan Yilmaz, Zeynep Tuna, Sumeyye |
| description | Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD.
In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction. Pulmonary obstruction was defined as forced expiratory volume in first second/forced vital capacity (FEV1/FVC) |
| doi_str_mv | 10.1017/S1463423617000408 |
| format | Article |
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In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction. Pulmonary obstruction was defined as forced expiratory volume in first second/forced vital capacity (FEV1/FVC)<70% and then COPD diagnosis was confirmed with the reversibility test. The relationship between CAT results and pulmonary function test values was evaluated.
In this sampling, the prevalence of COPD was 4.2%. Reliability of the CAT in the study group was acceptable (Cronbach's α: 0.84). The CAT scores was significantly higher in patients with COPD (P<0.001). There was a significant negative correlation between CAT score and FEV1, FVC and FEV1/FVC ratio (r=-0.31, P<0.001; r=-0.26, P<0.001; r=0.18, P=0.001). Among smokers, phlegm was the predominating symptom (P=0.01). Sensitivity of CAT was 66.67% and its specificity was 75.15% to determine COPD.
CAT is a reliable questionnaire and there is an apparent relationship between the total CAT scores and COPD. However, CAT's ability to screen COPD is limited since it may miss the symptom-free cases.</description><identifier>ISSN: 1463-4236</identifier><identifier>EISSN: 1477-1128</identifier><identifier>DOI: 10.1017/S1463423617000408</identifier><identifier>PMID: 28714435</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Aged ; Chronic illnesses ; Chronic obstructive pulmonary disease ; Cross-Sectional Studies ; Family Practice - methods ; Forced Expiratory Volume ; Humans ; Lung - physiopathology ; Lung cancer ; Lung diseases ; Medical screening ; Medicine ; Middle Aged ; Physicians, Family ; Pulmonary Disease, Chronic Obstructive - diagnosis ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Quality of life ; Questionnaires ; Reproducibility of Results ; Risk Factors ; Sensitivity and Specificity ; Spirometry - statistics & numerical data ; Statistical analysis ; Surveys and Questionnaires - standards ; Vital Capacity</subject><ispartof>Primary health care research & development, 2017-11, Vol.18 (6), p.603-607</ispartof><rights>Cambridge University Press 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-baa70c683d369b64f86393b999a971c2dd81133acb29dd4f748d56d46c5501053</citedby><cites>FETCH-LOGICAL-c416t-baa70c683d369b64f86393b999a971c2dd81133acb29dd4f748d56d46c5501053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28714435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demirci, Hakan</creatorcontrib><creatorcontrib>Eniste, Koncuy</creatorcontrib><creatorcontrib>Basaran, Ebru Onuker</creatorcontrib><creatorcontrib>Ocakoglu, Gokhan</creatorcontrib><creatorcontrib>Yilmaz, Zeynep</creatorcontrib><creatorcontrib>Tuna, Sumeyye</creatorcontrib><title>A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test</title><title>Primary health care research & development</title><addtitle>Prim Health Care Res Dev</addtitle><description>Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD.
In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction. Pulmonary obstruction was defined as forced expiratory volume in first second/forced vital capacity (FEV1/FVC)<70% and then COPD diagnosis was confirmed with the reversibility test. The relationship between CAT results and pulmonary function test values was evaluated.
In this sampling, the prevalence of COPD was 4.2%. Reliability of the CAT in the study group was acceptable (Cronbach's α: 0.84). The CAT scores was significantly higher in patients with COPD (P<0.001). There was a significant negative correlation between CAT score and FEV1, FVC and FEV1/FVC ratio (r=-0.31, P<0.001; r=-0.26, P<0.001; r=0.18, P=0.001). Among smokers, phlegm was the predominating symptom (P=0.01). Sensitivity of CAT was 66.67% and its specificity was 75.15% to determine COPD.
CAT is a reliable questionnaire and there is an apparent relationship between the total CAT scores and COPD. 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COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD.
In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction. Pulmonary obstruction was defined as forced expiratory volume in first second/forced vital capacity (FEV1/FVC)<70% and then COPD diagnosis was confirmed with the reversibility test. The relationship between CAT results and pulmonary function test values was evaluated.
In this sampling, the prevalence of COPD was 4.2%. Reliability of the CAT in the study group was acceptable (Cronbach's α: 0.84). The CAT scores was significantly higher in patients with COPD (P<0.001). There was a significant negative correlation between CAT score and FEV1, FVC and FEV1/FVC ratio (r=-0.31, P<0.001; r=-0.26, P<0.001; r=0.18, P=0.001). Among smokers, phlegm was the predominating symptom (P=0.01). Sensitivity of CAT was 66.67% and its specificity was 75.15% to determine COPD.
CAT is a reliable questionnaire and there is an apparent relationship between the total CAT scores and COPD. However, CAT's ability to screen COPD is limited since it may miss the symptom-free cases.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>28714435</pmid><doi>10.1017/S1463423617000408</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Chronic illnesses Chronic obstructive pulmonary disease Cross-Sectional Studies Family Practice - methods Forced Expiratory Volume Humans Lung - physiopathology Lung cancer Lung diseases Medical screening Medicine Middle Aged Physicians, Family Pulmonary Disease, Chronic Obstructive - diagnosis Pulmonary Disease, Chronic Obstructive - physiopathology Quality of life Questionnaires Reproducibility of Results Risk Factors Sensitivity and Specificity Spirometry - statistics & numerical data Statistical analysis Surveys and Questionnaires - standards Vital Capacity |
| title | A multicenter family practitioners’ research on Chronic Obstructive Pulmonary Disease screening using the COPD Assessment Test |
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