Tag Archives: general practice

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Summary

In the United Kingdom, an audit study was carried out in 1999 on 95 general practices in North Staffordshire. One half of the practices declared that spirometry should be available in the practice, but only 18 practices possessed a spirometer … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Recommendation

The finding of 34% of nonsmokers among COPD patients is higher than expected, but this was probably due to misclassification of former smokers as nonsmokers. The use of anamnestic questionnaires with a very detailed series of information probably helped in … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Conclusion

Therefore, the findings of the study are substantially inconclusive: spi-rometric testing did not seem to reinforce a clinical suspicion obtained with conventional evaluation. This would be in agreement with Thiadens et al, who also found that most cases of asthma … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Comment

Concerning the feasibility of office spirometry, a first point to underline was that, notwithstanding most GPs participating in the study agreed on the usefulness of spirometry in their practice, only half of them accepted to use it regularly for the … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Discussion

Those 236 GPs who after run-in continued to use the spirometer for purposes of the observational study enrolled 2,055 patients (mean, 8.7 ± 2.6 patients per GP; median, 10; range, 1 to 19; 54% male; mean age, 51.4 years [range, … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Definition

The analysis of the different items in patient records showed that history data in some way supported diagnosis in 16.4% of patients with regard to occupational exposure; 37.8% with regard to familiarity for asthma, COPD, or allergy; and 13.3% and … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Treatment

The average time for each visit was 14 ± 5.2 min; the mean time required to instruct patients for spirometry was 5.6 ± 3.1 min; the performance of spirometry took on average 6.4 ± 3.5 min. Mean FEV1 was 83.7 … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Results

The mean ± SD number of spirometries in the run-in was 19 ± 19 per GP (range, 0 to 120 per GP). After the run-in period, a total of 429 of the 570 GPs (75%) replied to a questionnaire rating … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Data Management and Statistics

An information technology manager and a data manager were available in the data center. The IVRS system allowed a day-by-day updating of the enrollment process; at regular intervals, IVRS telephone calls were matched with data forms actually received. The data … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Spirometry

Office spirometry was performed by GPs using a portable multifunction spirometer (Spirobank Office; MIR; Rome, Italy). Each of these spirometers is calibrated before being sold and does not need further regular calibration unless major damage occurs. GPs were previously trained … Continue reading