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Article

Public Spirometry Campaign in Chronic Obstructive Pulmonary Disease Screening–Hope or Hype?

by
Piotr Korczyński
1,
Katarzyna Górska
1,*,
Piotr Jankowski
2,
Jakub Kosiński
2,
Agata Kudas
2,
Katarzyna Sułek
2,
Maria Jankowska
2,
Kaja Jaśkiewicz
2 and
Rafał Krenke
1
1
Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland
2
Students Scientific Group “Alveolus”, Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2017, 85(3), 143-150; https://doi.org/10.5603/ARM.2017.0024
Submission received: 11 April 2017 / Revised: 30 June 2017 / Accepted: 30 June 2017 / Published: 30 June 2017

Abstract

Introduction: Underdiagnosis of COPD seems to be a relevant clinical and social problem. We hypothesized that active public spirometry campaign may help identify subjects with airflow limitation consistent with COPD. The aim of the study was (1) to evaluate the willingness of random smokers to undergo public spirometry, (2) to assess the ability to obtain an acceptable quality spirometry during a public campaign, and (3) to assess the relationships between the presence and severity of respiratory symptoms and readiness to undergo spirometry. Material and methods: Pedestrians aged > 40 years and a smoking history > 10 pack-years were recruited by medical students to fill a questionnaire and perform spirometry. Those with obstructive or borderline ventilatory insuffciency were invited and encouraged to undergo stationary spirometry in a pulmonary outpatient department. Results: Nine hundred and five subjects meeting the inclusion criteria were invited to the study. Only 178 subjects agreed to complete the questionnaire and undergo spirometry. Airway obstruction and borderline spirometry result (classified as possible airway obstruction) were found in 22 and 37 subjects, respectively. Of these, only 15 patients attended follow-up visit to verify public spirometry results. Extrapolation of the limited data showed the incidence of newly diagnosed airway obstruction as 10.7%. Conclusions: Public spirometry campaign does not seem to be an effective way of COPD screening. Smokers are reluctant to undergo complimentary spirometry even in the presence of pronounced respiratory symptoms. Our observations may be helpful in elaborating future screening programs for COPD.
Keywords: airway obstruction; chronic obstructive pulmonary disease; public spirometry airway obstruction; chronic obstructive pulmonary disease; public spirometry

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MDPI and ACS Style

Korczyński, P.; Górska, K.; Jankowski, P.; Kosiński, J.; Kudas, A.; Sułek, K.; Jankowska, M.; Jaśkiewicz, K.; Krenke, R. Public Spirometry Campaign in Chronic Obstructive Pulmonary Disease Screening–Hope or Hype? Adv. Respir. Med. 2017, 85, 143-150. https://doi.org/10.5603/ARM.2017.0024

AMA Style

Korczyński P, Górska K, Jankowski P, Kosiński J, Kudas A, Sułek K, Jankowska M, Jaśkiewicz K, Krenke R. Public Spirometry Campaign in Chronic Obstructive Pulmonary Disease Screening–Hope or Hype? Advances in Respiratory Medicine. 2017; 85(3):143-150. https://doi.org/10.5603/ARM.2017.0024

Chicago/Turabian Style

Korczyński, Piotr, Katarzyna Górska, Piotr Jankowski, Jakub Kosiński, Agata Kudas, Katarzyna Sułek, Maria Jankowska, Kaja Jaśkiewicz, and Rafał Krenke. 2017. "Public Spirometry Campaign in Chronic Obstructive Pulmonary Disease Screening–Hope or Hype?" Advances in Respiratory Medicine 85, no. 3: 143-150. https://doi.org/10.5603/ARM.2017.0024

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