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Diagnostic accuracy of respiratory diseases in primary health units.
José, Bruno Piassi de São; Camargos, Paulo Augusto Moreira; Cruz Filho, Álvaro Augusto Souza da; Corrêa, Ricardo de Amorim.
Afiliação
  • José BP; UFMG Pneumology Outpatient Clinic, Hospital das Clínicas, Federal University of Minas Gerais Medical School, Belo Horizonte, MG, Brazil.
  • Camargos PA; Pediatric Department, UFMG Medical School, Belo Horizonte, MG, Brazil.
  • Cruz Filho ÁA; Center for Excellence in Asthma, Federal University of Bahia, Salvador, BA, Brazil.
  • Corrêa Rde A; UFMG Medical School, Belo Horizonte, MG, Brazil.
Rev Assoc Med Bras (1992) ; 60(6): 599-612, 2014.
Article em En | MEDLINE | ID: mdl-25650863
Respiratory diseases are responsible for about a fifth of all deaths worldwide and its prevalence reaches 15% of the world population. Primary health care (PHC) is the gateway to the health system, and is expected to resolve up to 85% of health problems in general. Moreover, little is known about the diagnostic ability of general practitioners (GPs) in relation to respiratory diseases in PHC. This review aims to evaluate the diagnostic ability of GPs working in PHC in relation to more prevalent respiratory diseases, such as acute respiratory infections (ARI), tuberculosis, asthma and chronic obstructive pulmonary disease (COPD). 3,913 articles were selected, totaling 30 after application of the inclusion and exclusion criteria. They demonstrated the lack of consistent evidence on the accuracy of diagnoses of respiratory diseases by general practitioners. In relation to asthma and COPD, studies have shown diagnostic errors leading to overdiagnosis or underdiagnosis depending on the methodology used. The lack of precision for the diagnosis of asthma varied from 54% underdiagnosis to 34% overdiagnosis, whereas for COPD this ranged from 81% for underdiagnosis to 86.1% for overdiagnosis. For ARI, it was found that the inclusion of a complementary test for diagnosis led to an improvement in diagnostic accuracy. Studies show a low level of knowledge about tuberculosis on the part of general practitioners. According to this review, PHC represented by the GP needs to improve its ability for the diagnosis and management of this group of patients constituting one of its main demands.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Doenças Respiratórias / Competência Clínica / Medicina Geral Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Doenças Respiratórias / Competência Clínica / Medicina Geral Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil