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- W2186455760 abstract "It is recognised that chronic obstructive pulmonary disease (COPD) is under-diagnosed in the developing world. Spirometry aids the diagnosis and staging of COPD, and appears to be under-utilised. We conducted a pilot cross-sectional study to as- sess the feasibility of using spirometry as a routine out-patient investigation. A prospective respiratory questionnaire was completed and spirometry was conducted. Nineteen patients underwent spirometry; three (15%) patients had GOLD stage ≥2 obstructive airway disease; two (10%) showed >12% and >200 ml reversibility in FEV1 (forced expiratory volume in 1 second), in keeping with the diagnosis of asthma; and two (10%) were referred back to the medical outpatients department for reassessment and a trial of inhalers. We concluded that COPD is under-diagnosed in this setting. Spirometry is the gold standard for diagnosing and monitoring the progression of obstructive lung disease. Use of spirometry is feasible in this setting and successfully diagnosed new cases. Improved and continuous education about the importance of spirometry is vital. 2 or higher, at 22.2% in males and 16.7% in females in Cape Town, South Africa. 1 Given these estimates, the importance of diagnosing COPD in order to instigate preventative, as well as pharmaceutical interventions has become a key aim of GOLD. Spirometry aids the diagnosis and staging of COPD, 8 and appears to be under-utilised. 9-11 Desalu et al, suggest that this could be due to lack of availability, lack of awareness of the range of diseases that could be investigated, or lack of skills in interpreting the results. 10" @default.
- W2186455760 created "2016-06-24" @default.
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- W2186455760 date "2013-01-01" @default.
- W2186455760 modified "2023-09-27" @default.
- W2186455760 title "Under-utilisation of spirometry leading to under-diagnosis of lung disease" @default.
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