Underdiagnosis and Overdiagnosis of Chronic Obstructive Pulmonary Disease.
Am J Respir Crit Care Med
; 198(9): 1130-1139, 2018 11 01.
Article
en En
| MEDLINE
| ID: mdl-29979608
ABSTRACT
Chronic obstructive pulmonary disease (COPD) is regarded as one of the leading causes of morbidity and mortality across the world, yet its proper diagnosis remains a challenge. Community-based population studies conducted in North and South America, Europe, Australia, and Asia have revealed that 10% to 12% of adults aged 40 years or older have evidence of persistent airflow limitation on spirometry, but only 20% to 30% of these subjects have been diagnosed with COPD. These studies collectively suggest that approximately 70% of COPD worldwide may be underdiagnosed. Conversely, other studies have shown that between 30% and 60% of patients with a previous physician diagnosis of COPD do not actually have the disease, and hence they have been overdiagnosed. In this review, we define under- and overdiagnosis and explore the prevalence and the burden of under- and overdiagnosis of COPD on both patients and healthcare systems. We further describe potential solutions to reduce the incidence of under- and overdiagnosis of COPD.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad Pulmonar Obstructiva Crónica
/
Errores Diagnósticos
/
Uso Excesivo de los Servicios de Salud
Tipo de estudio:
Diagnostic_studies
/
Risk_factors_studies
Límite:
Humans
País como asunto:
America do norte
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America do sul
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Asia
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Europa
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Oceania
Idioma:
En
Año:
2018
Tipo del documento:
Article