Certified Smoking Cessation Units in Spain: High Potential for Detection of Undiagnosed Chronic Obstructive Pulmonary Disease and Profile of Newly Diagnosed Cases
Por:
Riesco-Miranda, J, Solano-Reina, S, Rabade-Castedo, C, de Granda-Orive, J, Pastor-Espla, E, Garcia-Rueda, M, Callejas-Gonzalez, F, Azpeitia-Anadon, A, Mas, S and Jimenez-Ruiz, C
Publicada:
1 ene 2021
Resumen:
Purpose: Smokers attending smoking cessation units (SCUs) may offer a unique opportunity for early recognition of undiagnosed chronic obstructive pulmonary disease (COPD). We aimed at assessing the impact of SCUs on the early diagnosis of COPD and describing the clinical and smoking profile of newly-diagnosed COPD cases at SCUs certified by the Spanish Society of Respiratory Diseases and Thoracic Surgery (SEPAR).
Patients and Methods: A multicenter cross-sectional observational cohort study (DIPREPOQ study) was performed in eight SEPAR-certified SCUs in Spain. Adult current smokers with no previously diagnosed respiratory disease and having one o more respiratory symptoms were included. Lung functional tests were performed and previously undiagnosed COPD cases were identified and characterized based on national guidelines.
Results: Out of 401 individuals newly attending the SCUs, 252 participants were included and 73 (28.9%) met the definition of previously undiagnosed COPD. A characterization of patients with COPD being newly recognized in SCUs showed: age (mean +/- SD) 61 +/- 9 years; men 59%; active work status 53.1%; functional class I/II dyspnea 82.8%, GOLD state mild/moderate/severe 57%/ 31%/12%; non-exacerbators 90%, CAT 14 +/- 4; emphysema in X-rays 40%. Most common comorbidities were cardiovascular and psychiatric (anxiety and depression) ones. Usual smoking history included a lengthy smoking history (41 +/- 9 years) and a current consumption of 24 +/- 9 cigarettes/day.
Conclusions and Implications: Consistently certified SCUs can have a substantial contribution to early diagnosis of COPD. A typical profile of newly detected cases is reported, with most patients being men at their early sixties, with mild symptoms and with high and lengthy smoking history. Our study reports a high usefulness of lung functional tests to detect undiagnosed COPD in appropriately selected participants attending SCUs at a large national scale, using a standardized methodology. This is likely to be facilitated by the certification of SCUs using well-defined requirements by national scientific societies.
Filiaciones:
Riesco-Miranda, J:
Hosp Univ Caceres, Serv Neumol, Caceres, Spain
CIBERES, Madrid, Spain
Solano-Reina, S:
Hosp Gen Univ Gregorio Maranon, Serv Neumol, Madrid, Spain
Rabade-Castedo, C:
Hosp Clin Univ Santiago de Compostela, Serv Neumol, Santiago De Compostela, Spain
de Granda-Orive, J:
Univ Complutense Madrid, Hosp Univ Doce Octubre, Serv Neumol, Madrid, Spain
:
Hosp Univ San Juan Alicante, Serv Neumol, Alicante, Spain
Garcia-Rueda, M:
Hosp Univ Carlos Haya, Serv Neumol, Malaga, Spain
Callejas-Gonzalez, F:
Complejo Hosp Univ Albacete, Serv Neumol, Albacete, Spain
Azpeitia-Anadon, A:
Esteve SA, Dept Med Labs, Barcelona, Spain
Mas, S:
Univ Pompeu Fabra, Campus Poble Nou,Roc Boronat 138, Barcelona 08018, Spain
Jimenez-Ruiz, C:
Hosp Clin Univ, Unidad Especializada Tabaquismo, Madrid, Spain
Green Published, gold
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