Cargando…

Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a more prevalent chronic lung disease with a significant health burden, and the majority of these cases receive inadequate treatment. METHODS: Prospective, observational, interview (questionnaire) based complete workup COPD study, screened...

Descripción completa

Detalles Bibliográficos
Autores principales: Patil, Shital, Patil, Rajesh, Bhise, Mukund, Jadhav, Anil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676131/
https://www.ncbi.nlm.nih.gov/pubmed/36420173
http://dx.doi.org/10.1002/cdt3.47
_version_ 1784833520753967104
author Patil, Shital
Patil, Rajesh
Bhise, Mukund
Jadhav, Anil
author_facet Patil, Shital
Patil, Rajesh
Bhise, Mukund
Jadhav, Anil
author_sort Patil, Shital
collection PubMed
description BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a more prevalent chronic lung disease with a significant health burden, and the majority of these cases receive inadequate treatment. METHODS: Prospective, observational, interview (questionnaire) based complete workup COPD study, screened 12,000 cases with chronic respiratory symptoms with cough, sputum production, and shortness of breath. A total of 6000 COPD cases were enrolled after the spirometry test. COPD cases were assessed as disease knowledge and methods of treatment offered by applying questionnaires to patients and treating physicians. RESULTS: In the present study, 3% of study cases were aware of their COPD illness, 54% were not having knowledge about the disease, and 43% cases were not accepting the COPD diagnosis (p < 0.0001). A total of 58% of cases received inhalation treatment as levosalbutamol monotherapy in 31% cases, levosalbutamol plus beclometasone in 18% cases, and formoterol plus budesonide or salmeterol plus fluticasone only in 9% of COPD cases (p < 0.0001). Total 42% cases received oral treatment as theophylline in 16% cases, salbutamol in 7% cases, oral steroids in 19% cases (p < 0.0001). CONCLUSION: “Doctor–patient–drug trio” discordance clubbed as “difficult doctor, difficult patient, and difficult treatment” is a very crucial issue observed during diagnosis and management of COPD in peripheral settings in India.
format Online
Article
Text
id pubmed-9676131
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-96761312022-11-22 Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India Patil, Shital Patil, Rajesh Bhise, Mukund Jadhav, Anil Chronic Dis Transl Med Original Articles BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a more prevalent chronic lung disease with a significant health burden, and the majority of these cases receive inadequate treatment. METHODS: Prospective, observational, interview (questionnaire) based complete workup COPD study, screened 12,000 cases with chronic respiratory symptoms with cough, sputum production, and shortness of breath. A total of 6000 COPD cases were enrolled after the spirometry test. COPD cases were assessed as disease knowledge and methods of treatment offered by applying questionnaires to patients and treating physicians. RESULTS: In the present study, 3% of study cases were aware of their COPD illness, 54% were not having knowledge about the disease, and 43% cases were not accepting the COPD diagnosis (p < 0.0001). A total of 58% of cases received inhalation treatment as levosalbutamol monotherapy in 31% cases, levosalbutamol plus beclometasone in 18% cases, and formoterol plus budesonide or salmeterol plus fluticasone only in 9% of COPD cases (p < 0.0001). Total 42% cases received oral treatment as theophylline in 16% cases, salbutamol in 7% cases, oral steroids in 19% cases (p < 0.0001). CONCLUSION: “Doctor–patient–drug trio” discordance clubbed as “difficult doctor, difficult patient, and difficult treatment” is a very crucial issue observed during diagnosis and management of COPD in peripheral settings in India. John Wiley and Sons Inc. 2022-09-17 /pmc/articles/PMC9676131/ /pubmed/36420173 http://dx.doi.org/10.1002/cdt3.47 Text en © 2022 The Authors. Chronic Diseases and Translational Medicine published by John Wiley & Sons Ltd on behalf of Chinese Medical Association. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Patil, Shital
Patil, Rajesh
Bhise, Mukund
Jadhav, Anil
Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India
title Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India
title_full Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India
title_fullStr Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India
title_full_unstemmed Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India
title_short Respiratory questionnaire‐based analysis of awareness of COPD in a large multicenter rural population‐based study in India
title_sort respiratory questionnaire‐based analysis of awareness of copd in a large multicenter rural population‐based study in india
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676131/
https://www.ncbi.nlm.nih.gov/pubmed/36420173
http://dx.doi.org/10.1002/cdt3.47
work_keys_str_mv AT patilshital respiratoryquestionnairebasedanalysisofawarenessofcopdinalargemulticenterruralpopulationbasedstudyinindia
AT patilrajesh respiratoryquestionnairebasedanalysisofawarenessofcopdinalargemulticenterruralpopulationbasedstudyinindia
AT bhisemukund respiratoryquestionnairebasedanalysisofawarenessofcopdinalargemulticenterruralpopulationbasedstudyinindia
AT jadhavanil respiratoryquestionnairebasedanalysisofawarenessofcopdinalargemulticenterruralpopulationbasedstudyinindia