Primary care physicians' ability to diagnose the most prevalent respiratory diseases

There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma and acute respiratory i...

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Vydané v:	The international journal of tuberculosis and lung disease Ročník 20; číslo 10; s. 1392 - 1398
Hlavní autori:	de São José, B P, Camargos, P A M, Bateman, E D, Botelho, C M A, de Seixas Maciel, J G F, Mancuzo, E V, de Amorim Corrêa, R
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	France 01.10.2016
Predmet:	Adult Asthma - diagnosis Brazil Clinical Competence Cross-Sectional Studies Female Humans Male Middle Aged Physicians, Primary Care Prevalence Pulmonary Disease, Chronic Obstructive - diagnosis Respiration Disorders - diagnosis Surveys and Questionnaires Tuberculosis, Pulmonary - diagnosis
ISSN:	1815-7920
On-line prístup:	Zistit podrobnosti o prístupe
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Shrnutí:	There are few reports on the ability of primary care physicians (PCPs) to diagnose acute and chronic respiratory diseases. We assessed the agreement between PCPs and pulmonologists in diagnosing pulmonary tuberculosis (TB), chronic obstructive pulmonary disease (COPD), asthma and acute respiratory infections (ARI). Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil. PCPs filled out a symptom-based questionnaire for adult patients presenting with respiratory symptoms. Their diagnoses were compared to those of three pulmonologists who reviewed the data independently without seeing the patients. Agreement between PCP decisions and those of the pulmonologists was assessed. Among a total of 554 patients, 60 PCPs correctly diagnosed 42.4% as having ARI, 17.3% asthma, 15.7% COPD and 12.4% suspected TB. Agreement between the PCPs and the pulmonologists was as follows: 0.53 for asthma (95%CI 0.45-0.60), 0.53 (95%CI 0.46-0.60) for ARI, 0.45 (95%CI 0.34-0.57) for TB and 0.40 (95%CI 0.29-0.50) for COPD. Only reasonable to moderate agreement was found between PCPs and pulmonologists in diagnosing the most prevalent respiratory conditions. This result emphasises the need to adopt measures and provide tools to improve the diagnostic skills of PCPs for patients presenting with respiratory symptoms.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1815-7920
DOI:	10.5588/ijtld.16.0294