Patient Factors Influencing Respiratory-Related Clinician Actions in Chronic Obstructive Pulmonary Disease Screening

Introduction The purpose of this study was to identify patient-related factors that may explain the increased likelihood of receiving a respiratory-related clinician action in patients identified to be at risk for chronic obstructive pulmonary disease in a U.S.-based pragmatic study of chronic obstr...

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Bibliographic Details
Published in:American journal of preventive medicine 2017-01, Vol.52 (1), p.94-99
Main Authors: Wadland, William C., MD, MS, Zubek, Valentina Bayer, PhD, Clerisme-Beaty, Emmanuelle M., MD, Ríos-Bedoya, Carlos F., MPH, ScD, Yawn, Barbara P., MD, MSc
Format: Article
Language:English
Subjects:
Action
Adult
Aged
Anxiety
Cancer
Cardiovascular diseases
Chronic asthma
Chronic obstructive pulmonary disease
Clinical decision making
Comorbidity
Complaints
Decision making
Diabetes
Drugs
Female
Humans
Internal Medicine
Logistic Models
Male
Mass Screening - statistics & numerical data
Medical diagnosis
Medical screening
Mental depression
Middle Aged
Multivariate analysis
Patients
Primary care
Prospective Studies
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - drug therapy
Questionnaires
Referral and Consultation - statistics & numerical data
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Summary:Introduction The purpose of this study was to identify patient-related factors that may explain the increased likelihood of receiving a respiratory-related clinician action in patients identified to be at risk for chronic obstructive pulmonary disease in a U.S.-based pragmatic study of chronic obstructive pulmonary disease screening. Methods This post hoc analysis (conducted in 2014–2015) of the Screening, Evaluating and Assessing Rate Changes of Diagnosing Respiratory Conditions in Primary Care 1 (SEARCH1) study (conducted in 2010–2011), used the chronic obstructive pulmonary disease Population Screener questionnaire in 112 primary care practices. Anyone with a previous chronic obstructive pulmonary disease diagnosis was excluded. Multivariate logistic regression modeling was used to assess patient factors associated with the likelihood of receiving an respiratory-related clinician action following positive screening. Results Overall, 994 of 6,497 (15%) screened positive and were considered at risk for chronic obstructive pulmonary disease. However, only 187 of the 994 patients (19%) who screened positive received a respiratory-related clinician action. The chances of receiving a respiratory-related clinician action were significantly increased in patients who visited their physician with a respiratory issue ( p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2016.07.015