Characteristics of COPD Patients Managed in Respiratory Medicine Departments in Spain,According to GOLD Groups and GesEPOC Clinical Phenotypes |
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| Authors: | José Luis Izquierdo Marc Miravitlles Cristina Esquinas Maite Pérez Myriam Calle José Luis López Campos José Miguel Rodríguez González-Moro Ciro Casanova Cristóbal Esteban Pilar de Lucas |
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| Affiliation: | 1. Neumología, Hospital Universitario de Guadalajara, Guadalajara, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain;2. Departamento de Neumología, Hospital Universitari Vall d’Hebron, Barcelona, Spain;3. CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain;4. Departamento médico, AstraZeneca Farmacéutica, Barcelona, Spain;5. Departamento de Neumología, Hospital Clínico San Carlos, Departamento de Medicina, Facultad de Medicina, Universidad Complutente de Madrid, Madrid, Spain;6. Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocio/Universidad de Sevilla, Sevilla, Spain;7. Servicio de Neumología, Hospital Universitario Principe de Asturias, Alcalá de Henares, Madrid, Spain;8. Hospital Universitario Nuestra Señora de Candelaria, Universidad de La Laguna, Santa Cruz de Tenerife, Spain;9. Servicio de Neumologia, Hospital Galdakao-Usansolo, Galdakao, Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Spain;10. Hospital General Universitario Gregorio Marañón, Madrid, Spain |
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| Abstract: | IntroductionThe objective of this study was to analyze the clinical characteristics of COPD patients attending general respiratory clinics, adherence to clinical guidelines, classification accuracy, and therapeutic management.MethodMulticenter, cross-sectional study, with the primary objective of describing the number, intensity, and variability of symptoms in COPD patients. Data were collected in 2015 by 300 pulmonologists who evaluated a total of 3010 patients, of which 2669 (88.6%) were eligible for analysis.ResultsA total of 22% were active smokers, notably 21% and 17% of GOLD groups C and D, and 17% and 19% of exacerbators in the GesEPOC classification; 62.3% had associated comorbidities. The diagnostic process was characterized by limited use of tests such as diffusion capacity or lung volumes, even in the more severe GOLD groups or the GesEPOC exacerbator phenotypes. The use of multidimensional scales, such as BODE (12%), and specific rehabilitation protocols was also rare. Treatment was based on different combinations of bronchodilators and inhaled corticosteroids. Methylxanthines were used in very few patients (7%).ConclusionsA large proportion of COPD patients seen in respiratory clinics have non-complex disease and pulmonology tests are rarely performed. Our study confirms a slight change in treatments and the frequent association with comorbidities that can modify the clinical presentation of the patient. |
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| Keywords: | COPD GOLD GesEPOC Respiratory clinics EPOC GOLD GesEPOC Consultas de neumología |
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