Publicação
Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network
| Resumo: | Aims: Asthma is frequently under-diagnosed with a wide variation in incidence rates. We aimed to assess how physicians in a Portuguese sentinel practice network perform using standardised diagnostic criteria. Method: Patients consulting one of the 43 network physicians with complaints suggestive of asthma were enrolled in the study over a four-year period. Symptom frequency and diagnoses of asthma were tabulated. Diagnostic accuracy was computed by dividing the rate of asthma diagnosis by the true rate using established diagnostic criteria. Results: Over four years, 43 physicians followed 32,103 patients (128,412 patient-years) and diagnosed asthma in 310. The diagnosis was,confirmed in 260 cases, giving a true incidence rate of 2.02/1000/year (95% confidence interval 1.8 to 2.2) and an accuracy of diagnosis of 84%. Conclusions: Asthma incidence approaches published rates if accepted criteria are used. Educational efforts to ensure more accurate diagnosis may improve outcomes for asthma patients. |
|---|---|
| Autores principais: | Correia de Sousa, Jaime |
| Outros Autores: | Silva, Manuel Luciano; Lobo, Filipa Almada; Yaphe, John |
| Assunto: | Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| Ano: | 2010 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade do Minho |
| Idioma: | inglês |
| Origem: | RepositóriUM - Universidade do Minho |
| _version_ | 1866875625060433920 |
|---|---|
| author | Correia de Sousa, Jaime |
| author2 | Silva, Manuel Luciano Lobo, Filipa Almada Yaphe, John |
| author2_role | author author author |
| author_facet | Correia de Sousa, Jaime Silva, Manuel Luciano Lobo, Filipa Almada Yaphe, John |
| author_role | author |
| contributor_name_str_mv | Universidade do Minho |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Correia de Sousa, Jaime\"},{\"Person.name\":\"Silva, Manuel Luciano\"},{\"Person.name\":\"Lobo, Filipa Almada\"},{\"Person.name\":\"Yaphe, John\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Universidade do Minho |
| datacite.creators.creator.creatorName.fl_str_mv | Correia de Sousa, Jaime Silva, Manuel Luciano Lobo, Filipa Almada Yaphe, John |
| datacite.date.Accepted.fl_str_mv | 2010-04-20T00:00:00Z |
| datacite.date.available.fl_str_mv | 2018-02-15T16:24:39Z |
| datacite.date.embargoed.fl_str_mv | 2018-02-15T16:24:39Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| datacite.titles.title.fl_str_mv | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| dc.contributor.none.fl_str_mv | Universidade do Minho |
| dc.creator.none.fl_str_mv | Correia de Sousa, Jaime Silva, Manuel Luciano Lobo, Filipa Almada Yaphe, John |
| dc.date.Accepted.fl_str_mv | 2010-04-20T00:00:00Z |
| dc.date.available.fl_str_mv | 2018-02-15T16:24:39Z |
| dc.date.embargoed.fl_str_mv | 2018-02-15T16:24:39Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://hdl.handle.net/1822/50550 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Nature Publishing Group |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| dc.title.fl_str_mv | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Aims: Asthma is frequently under-diagnosed with a wide variation in incidence rates. We aimed to assess how physicians in a Portuguese sentinel practice network perform using standardised diagnostic criteria. Method: Patients consulting one of the 43 network physicians with complaints suggestive of asthma were enrolled in the study over a four-year period. Symptom frequency and diagnoses of asthma were tabulated. Diagnostic accuracy was computed by dividing the rate of asthma diagnosis by the true rate using established diagnostic criteria. Results: Over four years, 43 physicians followed 32,103 patients (128,412 patient-years) and diagnosed asthma in 310. The diagnosis was,confirmed in 260 cases, giving a true incidence rate of 2.02/1000/year (95% confidence interval 1.8 to 2.2) and an accuracy of diagnosis of 84%. Conclusions: Asthma incidence approaches published rates if accepted criteria are used. Educational efforts to ensure more accurate diagnosis may improve outcomes for asthma patients. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://prod-dspace.uminho.pt/bitstreams/c52db849-f495-4e10-99b2-85920dc066d4/download |
| id | rum_e0c49fc163d34da1be07ffc12e6fb4e9 |
| identifier.url.fl_str_mv | https://hdl.handle.net/1822/50550 |
| instacron_str | repositorium |
| institution | Universidade do Minho |
| instname_str | Universidade do Minho |
| language | eng |
| network_acronym_str | rum |
| network_name_str | RepositóriUM - Universidade do Minho |
| oai_identifier_str | oai:repositorium.uminho.pt:1822/50550 |
| organization_str_mv | urn:organizationAcronym:repositorium |
| person_str_mv | Correia de Sousa, Jaime Silva, Manuel Luciano Lobo, Filipa Almada Yaphe, John |
| publishDate | 2010 |
| publisher.none.fl_str_mv | Nature Publishing Group |
| reponame_str | RepositóriUM - Universidade do Minho |
| repository_id_str | urn:repositoryAcronym:rum |
| service_str_mv | urn:repositoryAcronym:rum |
| spelling | engNature Publishing GroupporAims: Asthma is frequently under-diagnosed with a wide variation in incidence rates. We aimed to assess how physicians in a Portuguese sentinel practice network perform using standardised diagnostic criteria. Method: Patients consulting one of the 43 network physicians with complaints suggestive of asthma were enrolled in the study over a four-year period. Symptom frequency and diagnoses of asthma were tabulated. Diagnostic accuracy was computed by dividing the rate of asthma diagnosis by the true rate using established diagnostic criteria. Results: Over four years, 43 physicians followed 32,103 patients (128,412 patient-years) and diagnosed asthma in 310. The diagnosis was,confirmed in 260 cases, giving a true incidence rate of 2.02/1000/year (95% confidence interval 1.8 to 2.2) and an accuracy of diagnosis of 84%. Conclusions: Asthma incidence approaches published rates if accepted criteria are used. Educational efforts to ensure more accurate diagnosis may improve outcomes for asthma patients.application/pdfporAsthma incidence and accuracy of diagnosis in the Portuguese sentinel practice networkCorreia de Sousa, JaimeSilva, Manuel LucianoLobo, Filipa AlmadaYaphe, JohnHostingInstitutionOrganizationalUniversidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptISSNIsPartOf1475-1534DOIIsPartOf10.4104/pcrj.2010.000222018-02-15T16:24:39Z2010-04-202018-01-17T17:08:12Z2010-04-20T00:00:00ZHandlehttps://hdl.handle.net/1822/50550http://purl.org/coar/access_right/c_abf2open accessAsthmaIncidenceDiagnosisDiagnostic accuracyFamily practiceGeneral practicePortugal582588 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://prod-dspace.uminho.pt/bitstreams/c52db849-f495-4e10-99b2-85920dc066d4/download |
| spellingShingle | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network Correia de Sousa, Jaime Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| status | SINGLETON |
| subject.fl_str_mv | Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| title | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| title_full | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| title_fullStr | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| title_full_unstemmed | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| title_short | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| title_sort | Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network |
| topic | Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| topic_facet | Asthma Incidence Diagnosis Diagnostic accuracy Family practice General practice Portugal |
| url | https://hdl.handle.net/1822/50550 |
| visible | 1 |