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Spirometry Is a Good Method for Detecting and Monitoring Chronic Obstructive Pulmonary Disease in High-Risk Smokers in Primary Health Care
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"apellidos" => "de Diego Damiáa" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602061?idApp=UINPBA00003Z" "url" => "/15792129/0000004000000004/v1_201305141832/S1579212906602061/v1_201305141832/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Spirometry Is a Good Method for Detecting and Monitoring Chronic Obstructive Pulmonary Disease in High-Risk Smokers in Primary Health Care" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "155" "paginaFinal" => "159" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Clotet, X. Gómez-Arbonés, C. Ciria, J.M. Albalad" "autores" => array:4 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "J." "apellidos" => "Clotet" "email" => array:1 [ 0 => "jclotets@meditex.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "X." "apellidos" => "Gómez-Arbonés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Ciria" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "J.M." "apellidos" => "Albalad" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Centro de Atención Primaria de Ponts, Ponts, Lleida, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Departamento de Medicina, Universitat de Lleida, Lleida, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. J. Clotet. Centro de Atención Primaria de Ponts. Ctra. de Lleida, 3. 25740 Ponts. Lleida. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-05-27" "fechaAceptado" => "2003-11-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec153352" "palabras" => array:4 [ 0 => "Susceptible smokers" 1 => "Chronic obstructive pulmonary disease" 2 => "High-risk group" 3 => "Spirometry" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153353" "palabras" => array:4 [ 0 => "Fumadores susceptibles" 1 => "Enfermedad pulmonar obstructiva crónica" 2 => "Grupo de alto riesgo" 3 => "Espirometría" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Chronic obstructive pulmonary disease (COPD) is a common disease, the early diagnosis of which allows effective management and treatment. The aim of the present study is to show the effectiveness of a screening and monitoring plan for COPD in high-risk patients in primary health care.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p class="elsevierStyleSimplePara elsevierViewall">The subjects in this prospective observational longitudinal study comprised 164 high-risk smokers aged between 40 and 76 years. Age, sex, weight, height, and smoking habit (pack-years) were recorded and spirometry was performed according to the guidelines of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). Patients were informed of their results and given brief advice on how to stop smoking. After 3 years, the patients underwent the same evaluation.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In 1999, 22% of the smokers were diagnosed with COPD. Three years later, an additional 16.3% were diagnosed as having COPD, and the disease had worsened in 38.8% of those already diagnosed. Of the patients with a forced expiratory volume in one second (FEV<span class="elsevierStyleInf">1</span>) less than 90%, 44.8% developed COPD (relative risk: 10.54). An accelerated decrease in FEV<span class="elsevierStyleInf">1</span> was found in 18.1% of the patients (20.7% with COPD and 9.0% without COPD).</p><p class="elsevierStyleSimplePara elsevierViewall">Mean tobacco consumption in 1999 was 28.1 pack-years in subjects without COPD and 31.7 pack-years in those with COPD, whereas in 2002, consumption was 30.6 pack-years in patients with COPD and 31.9 pack-years in those without. In 3 years, 22.8% had stopped smoking (20.5% without COPD and 30.3% with COPD).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Many smokers managed to give up smoking after learning their spirometric results. FEV<span class="elsevierStyleInf">1</span> can identify smokers at greatest risk of developing COPD. Spirometric screening and monitoring of smokers at high risk in primary health care can identify those most susceptible to developing COPD while the disease is in an early phase. Therefore the most appropriate strategy can be adopted for each patient.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La enfermedad pulmonar obstructiva crónica (EPOC) es una patología prevalente, cuyo diagnóstico tem-prano permite adoptar medidas de control y tratamiento. El objetivo del presente estudio es mostrar la efectividad de un plan de cribado y seguimiento de la EPOC en pacientes de alto riesgo desde atención primaria.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio observacio-nal longitudinal y prospectivo. La población de estudio la componen 164 fumadores de alto riesgo de entre 40 y 76 años de edad. Se estudiaron las variables edad, sexo, peso, altura y hábito tabáquico (paquetes/año) y se realizó una espirometría según la normativa de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR). Se informó de los resultados a los pacientes y se les dio consejo breve para de-jar de fumar. A los 3 años se llevó a cabo una reevaluación con los mismos criterios.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 1999 el 22% de los fumadores presentaron criterios de EPOC. Al cabo de 3 años se detectó un 16,3% de casos nuevos y el 38,8% de los ya diagnosticados empeoraron. El 44,8% de los pacientes con volumen espiratorio forzado en el primer segundo inferior al 90% evolucionó a EPOC (riesgo relativo: 10,54). El 18,1% de los pacientes presentó pérdida acelerada del volumen espiratorio forzado en el primer segundo (FEV<span class="elsevierStyleInf">1</span>) (el 20,7% sin EPOC y un 9,0% con EPOC).</p><p class="elsevierStyleSimplePara elsevierViewall">El consumo de tabaco en 1999 fue de 28,1 paquetes/año de media en individuos sin EPOC y de 31,7 paquetes/año en los pacientes con EPOC. En el año 2002 el consumo fue de 30,6 y 31,9 paquetes/año, respectivamente. En el intervalo de 3 años dejó de fumar el 22,8% de los individuos (el 20,5% sin EPOC y el 30,3% con EPOC).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Un número considerable de fumadores consigue abandonar el hábito de fumar tras conocer sus resultados espirométricos. El FEV<span class="elsevierStyleInf">1</span> tiene una buena capacidad predictiva para identificar a los fumadores con mayor riesgo de evolucionar a EPOC. El cribado y el seguimiento, me-diante espirometría, de fumadores de alto riesgo en atención primaria permite identificar a los más susceptibles de evolucionar a EPOC en una fase temprana y así establecer la es-trategia de abordaje más adecuada para cada paciente.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Grupo de trabajo de la SEPAR. 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| 2019 February | 8 | 9 | 17 |
| 2019 January | 6 | 7 | 13 |
| 2018 December | 5 | 18 | 23 |
| 2018 November | 9 | 9 | 18 |
| 2018 October | 15 | 11 | 26 |
| 2018 September | 9 | 16 | 25 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 8 | 5 | 13 |
| 2018 March | 3 | 3 | 6 |
| 2018 February | 4 | 7 | 11 |
| 2018 January | 3 | 12 | 15 |
| 2017 December | 7 | 7 | 14 |
| 2017 November | 2 | 6 | 8 |
| 2017 October | 6 | 10 | 16 |
| 2017 September | 3 | 11 | 14 |
| 2017 August | 9 | 14 | 23 |
| 2017 July | 4 | 8 | 12 |
| 2017 June | 8 | 10 | 18 |
| 2017 May | 4 | 13 | 17 |
| 2017 April | 3 | 4 | 7 |
| 2017 March | 1 | 16 | 17 |
| 2017 January | 3 | 6 | 9 |
| 2016 December | 10 | 7 | 17 |
| 2016 November | 9 | 10 | 19 |
| 2016 October | 25 | 12 | 37 |
| 2016 September | 8 | 4 | 12 |
| 2016 August | 6 | 4 | 10 |
| 2016 July | 4 | 0 | 4 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 55 | 1 | 56 |
| 2015 September | 47 | 9 | 56 |
| 2015 August | 60 | 13 | 73 |
| 2015 July | 88 | 12 | 100 |
| 2015 June | 47 | 7 | 54 |
| 2015 May | 53 | 12 | 65 |
| 2015 April | 52 | 11 | 63 |
| 2015 March | 62 | 10 | 72 |
| 2015 February | 49 | 4 | 53 |
| 2015 January | 27 | 6 | 33 |
| 2014 December | 32 | 5 | 37 |
| 2014 November | 34 | 5 | 39 |
| 2014 October | 58 | 10 | 68 |
| 2014 September | 44 | 8 | 52 |
| 2014 August | 40 | 13 | 53 |
| 2014 July | 44 | 11 | 55 |
| 2014 June | 57 | 10 | 67 |
| 2014 May | 60 | 10 | 70 |
| 2014 April | 55 | 8 | 63 |
| 2014 March | 69 | 10 | 79 |
| 2014 February | 66 | 10 | 76 |
| 2014 January | 50 | 5 | 55 |
| 2013 December | 68 | 14 | 82 |
| 2013 November | 63 | 7 | 70 |
| 2013 October | 52 | 8 | 60 |
| 2013 September | 51 | 9 | 60 |
| 2013 August | 55 | 7 | 62 |
| 2013 July | 53 | 14 | 67 |
| 2013 June | 37 | 7 | 44 |
| 2013 May | 38 | 5 | 43 |
| 2013 April | 20 | 6 | 26 |
| 2013 March | 6 | 3 | 9 |
Show all
