RT Journal Article
T1 Guideline Adherence in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Results from a Clinical Audit.
A1 López-Campos, Jose L
A1 Abad Arranz, Maria
A1 Calero-Acuña, Carmen
A1 Romero-Valero, Fernando
A1 Ayerbe-García, Ruth
A1 Hidalgo-Molina, Antonio
A1 Aguilar-Pérez-Grovas, Ricardo I
A1 García-Gil, Francisco
A1 Casas-Maldonado, Francisco
A1 Caballero-Ballesteros, Laura
A1 Sánchez-Palop, María
A1 Pérez-Tejero, Dolores
A1 Segado, Alejandro
A1 Calvo-Bonachera, Jose
A1 Hernández-Sierra, Bárbara
A1 Doménech, Adolfo
A1 Arroyo-Varela, Macarena
A1 González-Vargas, Francisco
A1 Cruz-Rueda, Juan J
K1 Instituciones de atención ambulatoria
K1 Broncodilatadores
K1 Auditoría clínica
K1 Hospitales
K1 Pacientes ambulatorios
K1 Enfermedad pulmonar obstructiva crónica
K1 Hábito de fumar
K1 España
K1 Espirometría
K1 Vacunación
K1 Alfa 1-antitripsina
AB OBJECTIVESPrevious clinical audits of COPD have provided relevant information about medical intervention in exacerbation admissions. The present study aims to evaluate adherence to current guidelines in COPD through a clinical audit.METHODSThis is a pilot clinical audit performed in hospital outpatient respiratory clinics in Andalusia, Spain (eight provinces with more than 8 million inhabitants), including 9 centers (20% of the public centers in the area) between 2013 and 2014. Cases with an established diagnosis of COPD based on risk factors, clinical symptoms, and a post-bronchodilator FEV1/FVC ratio of less than 0.70 were deemed eligible. The performance of the outpatient clinics was benchmarked against three guidance documents available at the time of the audit. The appropriateness of the performance was categorized as excellent (>80%), good (60-80%), adequate (40-59%), inadequate (20-39%), and highly inadequate (<20%).RESULTSDuring the audit, 621 clinical records were audited. Adherence to the different guidelines presented a considerable variability among the different participating hospitals, with an excellent or good adherence for symptom recording, MRC or CAT use, smoking status evaluation, spirometry, or bronchodilation therapy. The most outstanding areas for improvement were the use of the BODE index, the monitoring of treatments, the determination of alpha1-antitrypsin, the performance of exercise testing, and vaccination recommendations.CONCLUSIONSThe present study reflects the situation of clinical care for COPD patients in specialized secondary care outpatient clinics. Adherence to clinical guidelines shows considerable variability in outpatient clinics managing COPD patients, and some aspects of the clinical care can clearly be improved.
PB Public Library of Science
YR 2016
FD 2016-03-17
LK http://hdl.handle.net/10668/2298
UL http://hdl.handle.net/10668/2298
LA en
NO López-Campos JL, Abad Arranz M, Calero-Acuña C, Romero-Valero F, Ayerbe-García R, Hidalgo-Molina A, et al. Guideline Adherence in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Results from a Clinical Audit. PLoS ONE. 2016; 11(3):e0151896
NO Journal Article
DS RISalud
RD Apr 7, 2025