Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học 'Respiratory Research cung cấp cho các bạn kiến thức về ngành y đề tài: " Accuracy of diagnostic registers and management of chronic obstructive pulmonary disease: the Devon primary care audit. | Respiratory Research BioMed Central Research Accuracy of diagnostic registers and management of chronic obstructive pulmonary disease the Devon primary care audit Rupert CM Jones 1 Maria Dickson-Spillmann1 Martin JC Mather2 Dawn Marks2 and Bryanie S Shackell1 Open Access Address Respiratory Research Unit Peninsula Medical School 1 Davy Road Plymouth UK and 2The Waterside Practice St. Brannocks Road Ilfracombe UK Email Rupert CM Jones - Maria Dickson-Spillmann - Martin JC Mather - mjcmather@ Dawn Marks - john@ Bryanie S Shackell - Corresponding author Published 18 August 2008 Received 25 July 2007 Respiratory Research 2008 9 62 doi 1465-9921 -9-62 Accepted 18 August 2008 This article is available from http content 9 1 62 2008 Jones et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Guidelines on COPD diagnosis and management encourage primary care physicians to detect the disease at an early stage and to treat patients according to their condition and needs. Problems in guideline implementation include difficulties in diagnosis using spirometry and the disputed role of reversibility testing. These lead to inaccurate diagnostic registers and inadequacy of administered treatments. This study represents an audit of COPD diagnosis and management in primary care practices in Devon. Methods Six hundred and thirty two patients on COPD registers in primary care practices were seen by a visiting Respiratory Specialist Nurse. Diagnoses were made according to the NICE guidelines. Reversibility testing was carried out either routinely or based on clinical indication in two .
