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Validation and reproducibility of the COPD-PS questionnaire for the screening of COPD: Bogotá, Colombia
Bastidas Goyes, Alirio Rodrigo; Afanador Ardila, Juan Sebastián; Bueno López, Jorge Eduardo; Parra Charris, Andes Eduardo; Pinzón Saavedra, Andrea Catalina; Barragán Amado, Andrés Felipe; Martín Arsanios, Daniel Augusto.
Afiliación
  • Bastidas Goyes, Alirio Rodrigo; Universidad de la Sabana. Department of Respiratory Medicine Clínica. Chía. CO
  • Afanador Ardila, Juan Sebastián; Universidad de la Sabana. Faculty of Medicine. Chía. CO
  • Bueno López, Jorge Eduardo; Universidad de la Sabana. Faculty of Medicine. Chía. CO
  • Parra Charris, Andes Eduardo; Universidad de la Sabana. Faculty of Medicine. Chía. CO
  • Pinzón Saavedra, Andrea Catalina; Universidad de la Sabana. Faculty of Medicine. Chía. CO
  • Barragán Amado, Andrés Felipe; Universidad de la Sabana. Faculty of Medicine. Chía. CO
  • Martín Arsanios, Daniel Augusto; Universidad de la Sabana. Faculty of Medicine. Chía. CO
Rev. am. med. respir ; 21(4): 379-387, dic. 2021. graf
Article en En | LILACS, BINACIS | ID: biblio-1431463
Biblioteca responsable: AR423.1
ABSTRACT
Abstract

Introduction:

Chronic obstructive pulmonary disease is a condition with high prevalence worldwide. It is preventable and treatable, but with very high levels of underdiagnosis. The use of screening tools is imperative. These tools are easily applied, interpreted, and validated in different populations and help not only the clinician to confirm the diagnostic suspicion, but also the patients to become aware of their disease. The objective is to validate the COPD-Population Screener Questionnaire (COPD-PS) in one Colombian population. Materials and

Methods:

A prospective cohort study was carried out. Participants had to be older than 40 years, show a good quality spirometry, and have completed the COPD-PS questionnaire twice. COPD was defined as FEV1/FVC < 0.7 and with a history of exposure to tobacco smoke. A reproducibility and validation analysis has been conducted.

Result:

Out of a total of 2.199 potential subjects, 1.662 entered the final analysis; the prevalence of COPD in the study was 21.1%. With the COPD-PS questionnaire cut-off point of four, the sensitivity was 77.2% and the specificity was 46.3%, with an area under the receiver operating characteristic curve of 0.66 (95% CI 0.63-0.69) (p<0.01). An intraclass correlation coefficient of 0.817 (95% CI 0.79-0.84) and a kappa coefficient of 0.45 (95% CI 0.31-0.59) (p<0.01) were obtained.

Conclusion:

The COPD-PS questionnaire is a tool with high sensitivity and good reproducibility for the screening of COPD, and could suggest the use of a spirometry in subjects not diagnosed with this disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: BINACIS / LILACS Asunto principal: Enfermedad Pulmonar Obstructiva Crónica Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies País/Región como asunto: America do sul / Colombia Idioma: En Revista: Rev. am. med. respir Asunto de la revista: MEDICINA / PNEUMOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Argentina
Texto completo: 1 Colección: 01-internacional Base de datos: BINACIS / LILACS Asunto principal: Enfermedad Pulmonar Obstructiva Crónica Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies País/Región como asunto: America do sul / Colombia Idioma: En Revista: Rev. am. med. respir Asunto de la revista: MEDICINA / PNEUMOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Argentina