• J Fam Pract · Oct 2022

    Does an early COPD diagnosis improve long-term outcomes?

    • Dan Bernet, Charles Randolph, Jon O Neher, and Sarah Safranek.
    • Valley Family Medicine Residency, University of Washington, Renton.
    • J Fam Pract. 2022 Oct 1; 71 (8): 372373372-373.

    AbstractIt depends. A diagnosis of chronic obstructive pulmonary disease (COPD) made using screening spirometry in patients without symptoms does not change the course of the disease or alter smoking rates (strength of recommendation [SOR]: A, preponderance of evidence from multiple randomized controlled trials [RCTs]). However, once a patient develops symptoms of lung disease, a delayed diagnosis is associated with poorer outcomes (SOR: B, cohort studies). Active case finding (including the use of spirometry) is recommended for patients with risk factors for COPD who present with consistent symptoms (SOR: C, expert opinion).

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