[Treatment of chronic obstructive pulmonary disease in 5 Latin American cities: the PLATINO study].


OBJECTIVE:PLATINO project is a population-based study designed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in São Paulo, Brazil; Mexico City, Mexico; Montevideo, Uruguay; Santiago de Chile, Chile; and Caracas, Venezuela. The objective of this portion of PLATINO was to describe preventive and pharmacological treatment of COPD patients and factors associated with such treatment. PATIENTS AND METHODS:Eligible subjects completed a questionnaire and underwent postbronchodilator spirometry. RESULTS:Of the total of 5529 individuals who answered items referring to treatment, 758 had COPD (ratio of postbronchodilator forced expiratory volume in 1 second to forced vital capacity of <0.7), and 86 of them had been previously diagnosed by a physician. Among all COPD patients, only half of smokers or former smokers had been advised to quit and 24.7% had received some type of respiratory medication. Only 13.5% had used inhaled corticosteroids, and those were the patients with the most severe disease. In the group of patients who had a previous medical diagnosis of COPD, 69% of the smokers or former smokers had been advised to quit by a physician and 75.6% had received respiratory medication in the preceding year: 43% reported having used inhaled medication and 36% had used bronchodilators. Rates of vaccination against influenza and the use of mucolytic drugs and inhalers varied from one health care facility to another. All drug prescriptions were based on previous spirometry. CONCLUSIONS:Spirometry emerged not only as a diagnostic tool, but also as a factor associated with treatment, against a background of uneven use of available health care resources in these 5 Latin American cities.


Arch Bronconeumol


López Varela MV,Muiño A,Pérez Padilla R,Jardim JR,Tálamo C,Montes de Oca M,Valdivia G,Pertuzé J,Halbert R,Menezes AM,PLATINO Group.




Has Abstract


2008-02-01 00:00:00














  • [Octreotide for conservative management of postoperative chylothorax].

    abstract::Postoperative chylothorax after lung resection is a major problem leading to morbidity and mortality and requiring reoperation in a large number of cases. The most advisable and least aggressive option is conservative management in progressive stages: a diet rich in medium-chain fatty acids and/or total parenteral nut...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Gómez-Caro Andrés A,Marrón Fernández C,Moradiellos Díez FJ,Díaz-Hellín Gude V,Pérez Antón JA,Martín de Nicolás JL

    更新日期:2004-10-01 00:00:00

  • [Diffuse interstitial lung disease related to peribronchiolar metaplasia].

    abstract::Peribronchiolar metaplasia is a histologic lesion characterized by fibrosis and bronchiolar epithelial proliferation, affecting peribronchiolar alveolar septa and terminal bronchioles. It has been considered a nonspecific tissue reaction secondary to the action of external factors, such as tobacco smoke and microbes, ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Cano-Jiménez E,Molina-Molina M,Ramírez J,Sánchez M,Aliaga JL,Xaubet A

    更新日期:2009-01-01 00:00:00

  • [Diagnostic value of quantitative cultures of endotracheal aspirate in ventilator-associated pneumonia: a multicenter study].

    abstract:OBJECTIVE:To study the validity of quantitative cultures of tracheal aspirate (TA) in comparison with the plugged telescoping catheter (PTC) for the diagnosis of mechanical ventilator-associated pneumonia. METHOD:Prospective multicenter study enrolling patients undergoing mechanical ventilation for longer than 72 hour...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究


    authors: Valencia Arango M,Torres Martí A,Insausti Ordeñana J,Alvarez Lerma F,Carrasco Joaquinet N,Herranz Casado M,Tirapu León JP,Grupo de Estudio de la Neumonía Relacionada con Ventilación Mecánica.,Grupo de Trabajo de Enfermedades Infecciosas

    更新日期:2003-09-01 00:00:00

  • [Acute respiratory distress syndrome caused by pulmonary nocardiosis in a patient with systemic lupus erythematosus].

    abstract::Nocardia is a gram-positive bacillus that infects mainly immunodepressed patients. Its association with lupus erythematosus has been described only occasionally and we have found no reports in the literature of an association between lupus and acute respiratory distress syndrome due to pulmonary nocardiosis. We presen...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Ferreres Franco J,Blanquer Olivas J,Dosdá Muñoz R,Carbonell Monleón N,Moreno Clari E,Pérez Sancho E

    更新日期:2005-05-01 00:00:00

  • Treatment of Adult Primary Alveolar Proteinosis.

    abstract::Pulmonary alveolar proteinosis (PAP) is a rare disease characterized by the accumulation of surfactant-like lipoproteinaceous material in the distal air spaces and terminal bronchi, which may lead to impaired gas exchange. This accumulation of surfactant is due to decreased clearance by the alveolar macrophages. Its p...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Rodríguez Portal JA

    更新日期:2015-07-01 00:00:00

  • [Incidence of bronchopulmonary carcinoma in Castilla-León in 1997. Multicenter study of the Society of Castilla-León of Respiratory Pathology (SOCALPAR). Study Group for Bronchopulmonary Carcinoma of the SOCALPAR].

    abstract:OBJECTIVES:Although lung cancer is the most frequently diagnosed tumor world-wide, the real incidence of this diagnosis in Spain is unknown. To contribute to determining the incidence of lung cancer in this country, and in view of the lack of data from the community of Castilla-León, we carried out the present study. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究



    更新日期:2000-06-01 00:00:00

  • [Prevalence and distribution of asbestos lung residue in a Spanish urban population].

    abstract:INTRODUCTION:The purpose of the present study is to analyse the prevalence and distribution of asbestos lung residue in the Barcelona urban population. MATERIAL AND METHODS:Lung autopsy samples were obtained from 35 individuals who had lived in Barcelona. The close family were interviewed in order to rule out asbestos...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Velasco-García MI,Recuero R,Cruz MJ,Panades R,Martí G,Ferrer J

    更新日期:2010-04-01 00:00:00

  • [Sleep apnea-hypopnea syndrome in the elderly].

    abstract::The population pyramid is changing due to the increasing longevity of the population, making it a priority to have better knowledge of those diseases that have an increasingly major impact in advanced age. Sleep apnea-hypopnea syndrome (SAHS) affects 15-20% of individuals over 65 years. However, despite this high prev...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Martínez-García MA,Durán-Cantolla J,Montserrat JM

    更新日期:2010-09-01 00:00:00

  • Extraskeletal Ewing's sarcoma presenting as a posterior mediastinal mass.

    abstract::The Ewing's sarcoma family of tumors is an uncommon group of malignant neoplasms that may be located in both skeletal and extraskeletal regions. Extraskeletal Ewing's sarcoma (EES) is quite rare and predominantly involves the soft tissues of the trunk or the extremities. Herein, we report the case of a 19-year-old fem...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Halefoglu AM

    更新日期:2013-02-01 00:00:00

  • [Diagnosis and treatment of bronchiectasis. Spanish Society of Pneumology and Thoracic Surgery].

    abstract::Bronchiectasis is the end result of several different diseases that share principles of management. The clinical course usually involves chronic bronchial infection and inflammation, which are associated with progression. The cause of bronchiectasis should always be investigated, particularly when it can be treated. W...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,实务指引


    authors: Vendrell M,de Gracia J,Olveira C,Martinez-Garcia MA,Girón R,Máiz L,Cantón R,Coll R,Escribano A,Solé A

    更新日期:2008-11-01 00:00:00

  • Reliability and validity of a short version of the STAI anxiety measurement scale in respiratory patients.

    abstract:BACKGROUND:There is comorbidity between respiratory disease and anxiety. In order to measure the anxiety of hospitalized patients it is necessary to use reliable and valid, and preferably short questionnaires. OBJECTIVE:To analyze the reliability and validity of a shortened version of the state subscale of the “State-...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究


    authors: Perpiñá-Galvañ J,Richart-Martínez M,Cabañero-Martínez MJ

    更新日期:2011-04-01 00:00:00

  • [Demographic study of tobacco addiction in Health District 5, Valencia, Spain].

    abstract:OBJECTIVES:To determine the number of smokers, their demographic characteristics, and the stages of change among patients visiting health care centers. PATIENTS AND METHODS:Descriptive cross-sectional study carried out at 7 primary health care centers in Health District 5 of the Autonomous Community of Valencia. RESU...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Peris Cardells R,Rico Salvador I,Herrera de Pablo P,Pérez Jiménez A,Sánchez-Tóril López F,Pérez Fernández JA

    更新日期:2004-04-01 00:00:00

  • Continuous Positive Airway Pressure Treatment Does not Reduce Uric Acid Levels in OSA Women.

    abstract:OBJECTIVES:Although an association between uric acid (UA) levels and obstructive sleep apnea (OSA) has been reported, the effect of continuous positive airway pressure (CPAP) on this measure is yet unclear. We aimed to investigate the effect of CPAP therapy on serum UA levels in patients with OSA. METHODS:We conducted...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Campos-Rodriguez F,Reyes-Nuñez N,Queipo-Corona C,Sanchez-Armengol A,Jurado-Gamez B,Cordero-Guevara J,Troncoso MF,Abad-Fernandez A,Caballero-Rodriguez J,Martin-Romero M,Encabo-Motiño A,Sacristan-Bou L,Navarro-Esteva J,Somoza-Gon

    更新日期:2019-04-01 00:00:00

  • [Diseases of the diaphragm].

    abstract::The diaphragm is the main muscle involved in ventilation and is supplied exclusively by the phrenic nerves. Congenital defects of the diaphragm muscle or phrenic nerve injury cause diaphragmatic paralysis-eventration. Prognosis and treatment depend on whether involvement is unilateral or bilateral and on the patient's...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: León-Atance P,Martínez-Hernández NJ,Milla-Saba AM,Roca-Fernández J

    更新日期:2011-01-01 00:00:00

  • Review of Non-Bacterial Infections in Respiratory Medicine: Viral Pneumonia.

    abstract::Although bacteria are the main pathogens involved in community-acquired pneumonia, a significant number of community-acquired pneumonia are caused by viruses, either directly or as part of a co-infection. The clinical picture of these different pneumonias can be very similar, but viral infection is more common in the ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Galván JM,Rajas O,Aspa J

    更新日期:2015-11-01 00:00:00

  • Neutrophil Count Percentage and Neutrophil-Lymphocyte Ratio as Prognostic Markers in Patients Hospitalized for Community-Acquired Pneumonia.

    abstract:INTRODUCTION:Community-acquired pneumonia (CAP) is a common serious infection. This study aimed to evaluate the prognostic utility of neutrophil count percentage (NCP) and neutrophil-lymphocyte ratio (NLR) in patients with CAP. METHODS:Retrospective study of hospitalized patients with CAP. Patients had a blood test at...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Curbelo J,Rajas O,Arnalich B,Galván-Román JM,Luquero-Bueno S,Ortega-Gómez M,Lancho A,Roy E,Sánchez Azofra A,Mateo Jiménez G,Gómez M,Moldenhauer F,Aspa J

    更新日期:2019-09-01 00:00:00

  • [Variability among pathologists in the histological diagnosis of diffuse interstitial lung diseases].

    abstract:OBJECTIVE:Diffuse interstitial lung diseases (DILD) form a group of diseases which affect the alveolar interstitial space and share very similar clinical, radiological, and functional features, making lung biopsy essential for establishing diagnosis, prognosis, and treatment in many cases. We aimed to see whether there...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Sánchez-Varilla JM,Recio-Gallardo S,Benítez-Moya JM,Almadana-Pacheco V,Peña de Bustillo J,Martínez-Puentes V

    更新日期:2005-10-01 00:00:00

  • [Quality of life in asthma: reliability and validity of the short form generic questionnaire (SF-36) applied to the population of asthmatics in a public health area].

    abstract:OBJECTIVE:To analyze the reliability and validity of the short form of the generic quality of life scale (SF-36) when used with our asthmatic patients. METHODS:Two hundred nineteen adults with asthma of any etiology and without limits on sex, type or severity of asthma who were being treated at 10 health clinics (Madr...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Espinosa De Los Monteros MJ,Alonso J,Ancochea J,González A

    更新日期:2002-01-01 00:00:00

  • Future biologic therapies in asthma.

    abstract::Despite the administration of appropriate treatment, a high number of patients with asthma remain uncontrolled. This suggests the need for alternative treatments that are effective, safe and selective for the established asthma phenotypes, especially in patients with uncontrolled severe asthma. The most promising opti...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Quirce S,Bobolea I,Domínguez-Ortega J,Barranco P

    更新日期:2014-08-01 00:00:00

  • Official Statement of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) on Electronic Cigarettes and IQOS®.

    abstract::The use of novel tobacco products, particularly the electronic cigarette (EC) and partial tobacco combustion devices (HnB systems: Heat not Burn), has increased exponentially, particularly among adolescents and young people. The health authorities and scientific societies have shown concern about issues surrounding sa...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Signes-Costa J,de Granda-Orive JI,Ramos Pinedo Á,Camarasa Escrig A,de Higes Martínez E,Rábade Castedo C,Cabrera César E,Jiménez-Ruiz CA

    更新日期:2019-11-01 00:00:00

  • [Nutritional Status in COPD].

    abstract::Changes in nutritional status, such as weight loss and malnutrition, are a very common complication in patients with chronic obstructive pulmonary disease (COPD). These changes primarily affect the patients' quality of life and functional capacity and they are also independent prognostic indicators of both morbidity a...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Alcolea Batres S,Villamor León J,Alvarez-Sala R

    更新日期:2007-05-01 00:00:00

  • [A morphometric model of hypersensitivity pneumonitis in the aging rat].

    abstract::Our objective was to develop an experimental model of hypersensitivity pneumonitis in the aging rat. The following hypothesis was proposed: hypersensitivity pneumonitis in the aging rat will be evident in alterations in cells harvested by bronchoalveolar lavage (BAL) and in an increase in alveolar interstitial tissue....

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Escolar JD,Alfaro E,Roche PA,Almajano C,Gallego B

    更新日期:1995-06-01 00:00:00

  • [Histopathological changes in sympathetic ganglia of patients treated surgically for palmar-axillary hyperhidrosis. A study of 55 biopsies].

    abstract:INTRODUCTION:Primary palmar hyperhidrosis (PPH) mainly affects the sympathetic ganglia. This study aims to analyze the histopathological changes in the sympathetic ganglia of patients with PPH. MATERIAL AND METHOD:We studied 55 tissue samples from 35 patients with PPH who underwent T2-T3 gangliectomy for definitive tr...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Moya J,Ramos R,Prat J,Morera R,Bernat R,Villalonga R,Ferrer G

    更新日期:2003-03-01 00:00:00

  • [Non-pharmacological prevention of ventilator-associated pneumonia].

    abstract::Ventilator-associated pneumonia (VAP) is the first cause of mortality due to nosocomial infections in the intensive care unit. Its incidence ranges from 9% to 67% of patients on mechanical ventilation. Risk factors are multiple and are associated with prolonged stays in hospital and intensive care units. Additional co...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Díaz LA,Llauradó M,Rello J,Restrepo MI

    更新日期:2010-04-01 00:00:00

  • Activating and resistance mutations of the epidermal growth factor receptor (EGFR) gene and non-small cell lung cancer: a clinical reality.

    abstract::In non-small cell lung cancer, the EGFR gene mutations identify a patient sub-population with different clinical characteristics and treatment responses to those that do not have these mutations. There are mutations that derive in increased sensitive to EGFR targeted therapy, as well as mutations that result in resist...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Taus A,Vollmer I,Arriola E

    更新日期:2011-02-01 00:00:00

  • [Occupational asthma caused by chromium and nickel].

    abstract::We report the case of a 40-year-old woman who developed occupational asthma following exposure to chromium and nickel in the nickel-plating section of a metalworks company. Skin prick tests for specific antibodies proved positive for nickel chloride at a concentration of 1 mg/mL and negative for potassium dichromate. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Cruz MJ,Costa R,Marquilles E,Morell F,Muñoz X

    更新日期:2006-06-01 00:00:00

  • [Stage IB non-small cell lung cancer: impact of the number of lymph nodes examined on survival].

    abstract:INTRODUCTION AND OBJECTIVES:To determine the causes of death in patients operated on for stage IB non-small cell lung cancer (NSCLC) and to assess the impact on survival of the number of lymph nodes removed. PATIENTS AND METHOD:We studied 300 patients operated on for stage IB NSCLC. Only palpable or visible lymph node...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Cerón J,Peñalver JC,Jordá C,Padilla J

    更新日期:2009-02-01 00:00:00

  • [Risk factors in bronchogenic carcinoma surgery].

    abstract:OBJECTIVE:To analyze the factors that determine the risk of morbidity and mortality associated with lung resection in patients with bronchogenic carcinoma. PATIENTS AND METHODS:Prospective multicenter study conducted between October 1, 1993 and September 30, 1997 in the 19 hospitals that make up the Bronchogenic Carci...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Duque JL,Rami-Porta R,Almaraz A,Castanedo M,Freixinet J,Fernández de Rota A,López Encuentra A,Grupo Cooperativo del Carcinoma Broncogénico SEPAR.

    更新日期:2007-03-01 00:00:00

  • [Conservative treatment of 2 tracheal lesions secondary to anesthetic intubation].

    abstract::This case report describes two patients admitted to our hospital for elective surgery, one for biliary disease and the other for vascular disease. Shortly after surgery each presented a clinical picture attributable to membranous tracheal pars rupture caused by anesthetic intubation. Airway lesions were diagnosed and,...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审


    authors: Buitrago LJ,Molins L,Boada JE,Sopeña JJ,Vidal G

    更新日期:1997-03-01 00:00:00

  • Primary ciliary dyskinesia: clinical criteria indicating ultrastructural studies.

    abstract:INTRODUCTION:Primary ciliary dyskinesia (PCD) is a congenital disease characterized by impaired ciliary function, which involves a wide range of symptoms that are mainly respiratory. Recent articles that base diagnosis on ciliary ultrastructural studies have estimated its prevalence to be 1/10,000 newborns, which is hi...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章


    authors: Busquets RM,Caballero-Rabasco MA,Velasco M,Lloreta J,García-Algar Ó

    更新日期:2013-03-01 00:00:00