Primary care physicians' ability to diagnose the most prevalent respiratory diseases
BACKGROUND: There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma and acute r...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2016-10, Vol.20 (10), p.1392-1398 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | de São José, B. P. Camargos, P. A. M. Bateman, E. D. Botelho, C. M. A. de Seixas Maciel, J. G. F. Mancuzo, E. V. de Amorim Corrêa, R. |
| description | BACKGROUND: There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma
and acute respiratory infections (ARI). SETTING: Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil.METHODS: PCPs filled out a symptom-based questionnaire for adult patients presenting with respiratory symptoms. Their diagnoses were compared to those of three pulmonologists
who reviewed the data independently without seeing the patients. Agreement between PCP decisions and those of the pulmonologists was assessed.RESULTS: Among a total of 554 patients, 60 PCPs correctly diagnosed 42.4% as having ARI, 17.3% asthma, 15.7% COPD and 12.4% suspected TB. Agreement
between the PCPs and the pulmonologists was as follows: 0.53 for asthma (95%CI 0.45-0.60), 0.53 (95%CI 0.46-0.60) for ARI, 0.45 (95%CI 0.34-0.57) for TB and 0.40 (95%CI 0.29-0.50) for COPD.CONCLUSION: Only reasonable to moderate agreement was found between PCPs
and pulmonologists in diagnosing the most prevalent respiratory conditions. This result emphasises the need to adopt measures and provide tools to improve the diagnostic skills of PCPs for patients presenting with respiratory symptoms. |
| doi_str_mv | 10.5588/ijtld.16.0294 |
| format | Article |
| fullrecord | <record><control><sourceid>pubtec_pubme</sourceid><recordid>TN_cdi_pubmed_primary_27725053</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/2016/00000020/00000010/art00024</ingid><sourcerecordid>iuatld/ijtld/2016/00000020/00000010/art00024</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-17ee1e230f2dfef300f7a628df81fe5e7140b4fcde2501fdf8d70acef2a72fb93</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi0Eoh9w5Ip8g0sWf8Sx94gKFKRKoKo9W7PxeOtVNgm2U2n59XU2Czek-mCPrEfPjN4h5B1nK6WM-RR2uXMr3qyYWNcvyDk3XFV6LdjLUjOhK6n5-oxcpLRjTHDO9WtyJrQWiil5Tu5-xbCHeKAtRKTjwyGFNkCfPlDYhC7kA80DdQG2_ZCQ5gek-yFlOkZ8hA77TCOmMUTIQ3G4kBASpjfklYcu4dvTe0nuv329u_pe3fy8_nH1-aZq60bkimtEjkIyL5xHLxnzGhphnDfco0LNa7apfeuwDMt9-XaaQYtegBZ-s5aX5OPiHePwe8KU7T6kFrsOehymZLmRWtblNs9BlWyMaZqCVgvaxiGliN6OS0aWMztnbo-ZW97YOfPCvz-pp80e3T_6b8gFuF2A0G9LZGB3wxT7EowNrQ0THGVlVfOm7KNgfekjyq6YEcpyxaR16GHqss0Q7faPTWLu-uV_0sW4DCnYPObxCHYqih5inn9q-QTS6bCI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835368866</pqid></control><display><type>article</type><title>Primary care physicians' ability to diagnose the most prevalent respiratory diseases</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>de São José, B. P. ; Camargos, P. A. M. ; Bateman, E. D. ; Botelho, C. M. A. ; de Seixas Maciel, J. G. F. ; Mancuzo, E. V. ; de Amorim Corrêa, R.</creator><creatorcontrib>de São José, B. P. ; Camargos, P. A. M. ; Bateman, E. D. ; Botelho, C. M. A. ; de Seixas Maciel, J. G. F. ; Mancuzo, E. V. ; de Amorim Corrêa, R.</creatorcontrib><description>BACKGROUND: There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma
and acute respiratory infections (ARI). SETTING: Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil.METHODS: PCPs filled out a symptom-based questionnaire for adult patients presenting with respiratory symptoms. Their diagnoses were compared to those of three pulmonologists
who reviewed the data independently without seeing the patients. Agreement between PCP decisions and those of the pulmonologists was assessed.RESULTS: Among a total of 554 patients, 60 PCPs correctly diagnosed 42.4% as having ARI, 17.3% asthma, 15.7% COPD and 12.4% suspected TB. Agreement
between the PCPs and the pulmonologists was as follows: 0.53 for asthma (95%CI 0.45-0.60), 0.53 (95%CI 0.46-0.60) for ARI, 0.45 (95%CI 0.34-0.57) for TB and 0.40 (95%CI 0.29-0.50) for COPD.CONCLUSION: Only reasonable to moderate agreement was found between PCPs
and pulmonologists in diagnosing the most prevalent respiratory conditions. This result emphasises the need to adopt measures and provide tools to improve the diagnostic skills of PCPs for patients presenting with respiratory symptoms.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.16.0294</identifier><identifier>PMID: 27725053</identifier><language>eng</language><publisher>France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adult ; Asthma - diagnosis ; Brazil ; Clinical Competence ; Cross-Sectional Studies ; Diagnosis ; Female ; Humans ; Male ; Middle Aged ; Physicians, Primary Care ; Prevalence ; Primary Health Care ; Pulmonary Disease, Chronic Obstructive - diagnosis ; Respiration Disorders - diagnosis ; Respiratory Tract Diseases ; Surveys and Questionnaires ; Tuberculosis, Pulmonary - diagnosis</subject><ispartof>The international journal of tuberculosis and lung disease, 2016-10, Vol.20 (10), p.1392-1398</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-17ee1e230f2dfef300f7a628df81fe5e7140b4fcde2501fdf8d70acef2a72fb93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27725053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de São José, B. P.</creatorcontrib><creatorcontrib>Camargos, P. A. M.</creatorcontrib><creatorcontrib>Bateman, E. D.</creatorcontrib><creatorcontrib>Botelho, C. M. A.</creatorcontrib><creatorcontrib>de Seixas Maciel, J. G. F.</creatorcontrib><creatorcontrib>Mancuzo, E. V.</creatorcontrib><creatorcontrib>de Amorim Corrêa, R.</creatorcontrib><title>Primary care physicians' ability to diagnose the most prevalent respiratory diseases</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>BACKGROUND: There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma
and acute respiratory infections (ARI). SETTING: Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil.METHODS: PCPs filled out a symptom-based questionnaire for adult patients presenting with respiratory symptoms. Their diagnoses were compared to those of three pulmonologists
who reviewed the data independently without seeing the patients. Agreement between PCP decisions and those of the pulmonologists was assessed.RESULTS: Among a total of 554 patients, 60 PCPs correctly diagnosed 42.4% as having ARI, 17.3% asthma, 15.7% COPD and 12.4% suspected TB. Agreement
between the PCPs and the pulmonologists was as follows: 0.53 for asthma (95%CI 0.45-0.60), 0.53 (95%CI 0.46-0.60) for ARI, 0.45 (95%CI 0.34-0.57) for TB and 0.40 (95%CI 0.29-0.50) for COPD.CONCLUSION: Only reasonable to moderate agreement was found between PCPs
and pulmonologists in diagnosing the most prevalent respiratory conditions. This result emphasises the need to adopt measures and provide tools to improve the diagnostic skills of PCPs for patients presenting with respiratory symptoms.</description><subject>Adult</subject><subject>Asthma - diagnosis</subject><subject>Brazil</subject><subject>Clinical Competence</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Physicians, Primary Care</subject><subject>Prevalence</subject><subject>Primary Health Care</subject><subject>Pulmonary Disease, Chronic Obstructive - diagnosis</subject><subject>Respiration Disorders - diagnosis</subject><subject>Respiratory Tract Diseases</subject><subject>Surveys and Questionnaires</subject><subject>Tuberculosis, Pulmonary - diagnosis</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0Eoh9w5Ip8g0sWf8Sx94gKFKRKoKo9W7PxeOtVNgm2U2n59XU2Czek-mCPrEfPjN4h5B1nK6WM-RR2uXMr3qyYWNcvyDk3XFV6LdjLUjOhK6n5-oxcpLRjTHDO9WtyJrQWiil5Tu5-xbCHeKAtRKTjwyGFNkCfPlDYhC7kA80DdQG2_ZCQ5gek-yFlOkZ8hA77TCOmMUTIQ3G4kBASpjfklYcu4dvTe0nuv329u_pe3fy8_nH1-aZq60bkimtEjkIyL5xHLxnzGhphnDfco0LNa7apfeuwDMt9-XaaQYtegBZ-s5aX5OPiHePwe8KU7T6kFrsOehymZLmRWtblNs9BlWyMaZqCVgvaxiGliN6OS0aWMztnbo-ZW97YOfPCvz-pp80e3T_6b8gFuF2A0G9LZGB3wxT7EowNrQ0THGVlVfOm7KNgfekjyq6YEcpyxaR16GHqss0Q7faPTWLu-uV_0sW4DCnYPObxCHYqih5inn9q-QTS6bCI</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>de São José, B. P.</creator><creator>Camargos, P. A. M.</creator><creator>Bateman, E. D.</creator><creator>Botelho, C. M. A.</creator><creator>de Seixas Maciel, J. G. F.</creator><creator>Mancuzo, E. V.</creator><creator>de Amorim Corrêa, R.</creator><general>International Union Against Tuberculosis and Lung Disease</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>20161001</creationdate><title>Primary care physicians' ability to diagnose the most prevalent respiratory diseases</title><author>de São José, B. P. ; Camargos, P. A. M. ; Bateman, E. D. ; Botelho, C. M. A. ; de Seixas Maciel, J. G. F. ; Mancuzo, E. V. ; de Amorim Corrêa, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-17ee1e230f2dfef300f7a628df81fe5e7140b4fcde2501fdf8d70acef2a72fb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Asthma - diagnosis</topic><topic>Brazil</topic><topic>Clinical Competence</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Physicians, Primary Care</topic><topic>Prevalence</topic><topic>Primary Health Care</topic><topic>Pulmonary Disease, Chronic Obstructive - diagnosis</topic><topic>Respiration Disorders - diagnosis</topic><topic>Respiratory Tract Diseases</topic><topic>Surveys and Questionnaires</topic><topic>Tuberculosis, Pulmonary - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de São José, B. P.</creatorcontrib><creatorcontrib>Camargos, P. A. M.</creatorcontrib><creatorcontrib>Bateman, E. D.</creatorcontrib><creatorcontrib>Botelho, C. M. A.</creatorcontrib><creatorcontrib>de Seixas Maciel, J. G. F.</creatorcontrib><creatorcontrib>Mancuzo, E. V.</creatorcontrib><creatorcontrib>de Amorim Corrêa, R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de São José, B. P.</au><au>Camargos, P. A. M.</au><au>Bateman, E. D.</au><au>Botelho, C. M. A.</au><au>de Seixas Maciel, J. G. F.</au><au>Mancuzo, E. V.</au><au>de Amorim Corrêa, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary care physicians' ability to diagnose the most prevalent respiratory diseases</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>20</volume><issue>10</issue><spage>1392</spage><epage>1398</epage><pages>1392-1398</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>BACKGROUND: There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma
and acute respiratory infections (ARI). SETTING: Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil.METHODS: PCPs filled out a symptom-based questionnaire for adult patients presenting with respiratory symptoms. Their diagnoses were compared to those of three pulmonologists
who reviewed the data independently without seeing the patients. Agreement between PCP decisions and those of the pulmonologists was assessed.RESULTS: Among a total of 554 patients, 60 PCPs correctly diagnosed 42.4% as having ARI, 17.3% asthma, 15.7% COPD and 12.4% suspected TB. Agreement
between the PCPs and the pulmonologists was as follows: 0.53 for asthma (95%CI 0.45-0.60), 0.53 (95%CI 0.46-0.60) for ARI, 0.45 (95%CI 0.34-0.57) for TB and 0.40 (95%CI 0.29-0.50) for COPD.CONCLUSION: Only reasonable to moderate agreement was found between PCPs
and pulmonologists in diagnosing the most prevalent respiratory conditions. This result emphasises the need to adopt measures and provide tools to improve the diagnostic skills of PCPs for patients presenting with respiratory symptoms.</abstract><cop>France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>27725053</pmid><doi>10.5588/ijtld.16.0294</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Asthma - diagnosis Brazil Clinical Competence Cross-Sectional Studies Diagnosis Female Humans Male Middle Aged Physicians, Primary Care Prevalence Primary Health Care Pulmonary Disease, Chronic Obstructive - diagnosis Respiration Disorders - diagnosis Respiratory Tract Diseases Surveys and Questionnaires Tuberculosis, Pulmonary - diagnosis |
| title | Primary care physicians' ability to diagnose the most prevalent respiratory diseases |
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