General practitioner's adherence to the COPD GOLD guidelines: baseline data of the Swiss COPD Cohort Study.

Abstract:

:PRINCIPLES: Chronic obstructive pulmonary disease (COPD) is a major burden on patients and healthcare systems. Diagnosis and the management of COPD are often administered by general practitioners (GPs). This analysis investigated the adherence of GPs in Switzerland to the Global Initiative for Chronic Obstructive Lung Diseases (GOLD) guidelines. METHODS: As part of an ongoing investigation into the effect of GPs prescriptions on the clinical course of COPD, 139 GPs submitted a standardised questionnaire for each COPD patient recruited. Information requested included spirometric parameters, management and demographic data. Participating GPs were provided with and received instruction on a spirometer with automatic feedback on quality. Patients were grouped by the investigators into the GOLD COPD severity classifications, based on spirometric data provided. Data from the questionnaires were compared between the groups and management was compared with the recommendations of GOLD. RESULTS: Of the 615 patients recruited, 44% did not fulfil GOLD criteria for COPD. Pulmonary rehabilitation was prescribed to 5% of all patients and less than one-third of patients exercised regularly. Less than half the patients in all groups used short-acting bronchodilators. Prescribing long-acting bronchodilators or inhaled corticosteroids conformed to GOLD guidelines in two-thirds of patients with GOLD stage III or IV disease, and approximately half of the less severe patients. Systemic steroids were inappropriately prescribed during stable disease in 6% of patients. CONCLUSIONS: Adherence to GOLD (COPD) guidelines is low among GPs in Switzerland and COPD is often misdiagnosed or treated inappropriately. This is probably due to poor knowledge of disease definitions.

journal_name

Swiss Med Wkly

journal_title

Swiss medical weekly

authors

Jochmann A,Neubauer F,Miedinger D,Schafroth S,Tamm M,Leuppi JD

doi

10.4414/smw.2010.13053

subject

Has Abstract

pub_date

2010-08-09 00:00:00

eissn

1424-7860

issn

1424-3997

pii

smw-12988

journal_volume

140

pub_type

杂志文章
  • Arrhythmias in patients with surgically treated atrial septal defects.

    abstract::Atrial arrhythmias complicate the clinical course of adult patients with an atrial septal defect. Atrial flutter is more prevalent in younger patients, and frequently regresses after surgical defect closure. Atrial fibrillation however, which results from a chronic underlying disease, rarely reverts to sinus rhythm af...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:2005/11/smw-10926

    authors: Berger F,Vogel M,Kretschmar O,Dave H,Prêtre R,Dodge-Khatami A

    更新日期:2005-03-19 00:00:00

  • Describing adverse events in medical inpatients using the Global Trigger Tool.

    abstract:AIMS:The purpose of the study was to describe the type, prevalence, severity and preventability of adverse events (AEs) that affected hospitalised medical patients. We used the previously developed and validated Global Trigger Tool from the Institute for Healthcare Improvement. METHODS:Using an adapted version of the ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2019.20149

    authors: Grossmann N,Gratwohl F,Musy SN,Nielen NM,Simon M,Donzé J

    更新日期:2019-11-10 00:00:00

  • From magic mountain to table mountain.

    abstract::Prior to the introduction of chemotherapy, tuberculosis management relied upon aerotherapy, heliotherapy and good nutrition. This "treatment", exemplified by the regimen applied in Swiss and other European mountain resorts, is described by Thomas Mann in the book "The Magic Mountain". Tuberculosis chemotherapy began i...

    journal_title:Swiss medical weekly

    pub_type: 历史文章,杂志文章,评审

    doi:10.4414/smw.2012.13665

    authors: Diacon AH,von Groote-Bidlingmaier F,Donald PR

    更新日期:2012-08-22 00:00:00

  • Can geriatric approaches support the care of old patients in emergency departments? A review from a Swiss ED.

    abstract::In the coming decades, old patients will account for an increasing proportion of emergency department (ED) visits. During or after their stay in the ED, they more frequently suffer adverse outcomes than younger patients. There is evidence that specific age-centred approaches improve the outcomes. We therefore reviewed...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2014.14040

    authors: Schoenenberger AW,Exadaktylos AK

    更新日期:2014-12-04 00:00:00

  • Evaluation of universal newborn hearing screening in Switzerland 2012 and follow-up data for Zurich.

    abstract:BACKGROUND:The European Consensus Statement of Neonatal Hearing recommended universal newborn hearing screening (UNHS) in 1998. UNHS was introduced in Switzerland in 1999 under the auspices of a "Swiss Working Group Hearing Screening in Newborns". The aim of this study was to evaluate the number of newborns being scree...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2013.13905

    authors: Metzger D,Pezier TF,Veraguth D

    更新日期:2013-12-13 00:00:00

  • The costs of disorders of the brain in Switzerland: an update from the European Brain Council Study for 2010.

    abstract:BACKGROUND:In 2005, findings of the first "cost of disorders of the brain in Europe" study of the European Brain Council (EBC) showed that these costs cause a substantial economic burden to the Swiss society. In 2010 an improved update with a broader range of disorders has been analysed. This report shows the new findi...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2013.13751

    authors: Maercker A,Perkonigg A,Preisig M,Schaller K,Weller M,Cost of Disorders of the Brain in Europe Study Group.

    更新日期:2013-01-07 00:00:00

  • Fibroblasts as therapeutic targets in rheumatoid arthritis and cancer.

    abstract::Rheumatoid arthritis is a common chronic inflammatory disease that causes progressive synovial inflammation resulting in irreversible joint destruction, chronic disability and premature mortality. Although it is recognised that in rheumatoid arthritis, inflammation and its persistence result from complex interactions ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2012.13529

    authors: Juarez M,Filer A,Buckley CD

    更新日期:2012-02-24 00:00:00

  • Risk behaviours among native and immigrant youths in Switzerland: a cross-sectional study.

    abstract:QUESTION UNDER STUDY:Switzerland has been receiving migrants of various origins for more than 50 years. The adoption of risk-taking behaviours among migrant youths is unclear. Moreover, when studied, migrant youths are rarely analysed according to whether they are first or second generation, or just young people with m...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14531

    authors: Campisi L,Berchtold A,Barrense-Dias Y,Akre C,Gehri M,Suris JC

    更新日期:2017-11-08 00:00:00

  • Association between maternal smoking and low birth weight in Switzerland: the EDEN study.

    abstract:PURPOSE:To study the association between maternal smoking during pregnancy and low birth weight (LBW), small-for-gestational-age birth weight (SGA) and preterm birth, and to quantify the population-attributable fractions for these outcomes in Switzerland. METHODS:Data were gathered for all births in the Canton of Vaud...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2005/35/smw-11122

    authors: Chiolero A,Bovet P,Paccaud F

    更新日期:2005-09-03 00:00:00

  • Dementia with lewy bodies--diagnosis and treatment.

    abstract::Dementia with Lewy bodies (DLB) accounts for 15-20% of all autopsy confirmed dementias in old age. Characteristic histopathological changes are intracellular Lewy bodies and Lewy neurites, with abundant senile plaques but sparse neurofibrillary tangles. Core clinical features are fluctuating cognitive impairment, pers...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:2003/09/smw-10028

    authors: Mosimann UP,McKeith IG

    更新日期:2003-03-08 00:00:00

  • Current status and future challenges of deep brain stimulation in Switzerland.

    abstract:QUESTIONS UNDER STUDY:Deep brain stimulation (DBS) has become a standard therapy for some forms of severe movement disorders and is investigated for other neurological and psychiatric disorders, although many scientific, clinical and ethical issues are still open. We analyse how the Swiss DBS community addresses these ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13570

    authors: Christen M,Müller S

    更新日期:2012-04-05 00:00:00

  • Management of hepatitis C in opioid agonist therapy patients of the Swiss canton Aargau within and outside the cohort study.

    abstract::With regard to HCV elimination in opioid agonist therapy patients by 2030, case finding and regular screening for new and re-infections remain a challenge, especially for non-cohort patients in a decentralised setting. Documentation of the HCV sero- and RNA status of each opioid agonist therapy  patient by the ca...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20317

    authors: Schürch S,Fux CA,Dehler S,Conen A,Knuchel J,Friedl A,Eigenmann F,Roser P,Ackle P,Bregenzer A

    更新日期:2020-08-06 00:00:00

  • Quality assessment of a randomly selected sample of Swiss medical expertises--a pilot study.

    abstract:BACKGROUND:Considerable criticism has lately been raised by the media regarding the quality of Swiss medical expertises. The present investigation was therefore undertaken to assess the professional quality of Swiss medical expertises. The study was part of a market analysis of medical expertises (MGS study). METHODS:...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2011.13173

    authors: Stöhr S,Bollag Y,Auerbach H,Eichler K,Imhof D,Fabbro T,Gyr N

    更新日期:2011-03-04 00:00:00

  • Intensity of cytosol expression of 8-OHdG in normal renal tubules is associated with the severity of renal fibrosis.

    abstract:INTRODUCTION:It has been proposed that reactive oxygen species play a role in renal fibrosis. 8-OHdG, a metabolite of oxidative damage to leukocyte DNA, has been identified as a marker of oxidative stress in patients with chronic renal failure. MATERIALS AND METHODS:Seventy-four patients following nephrectomy were ret...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2011.13268

    authors: Tsai JP,Liou JH,Yeh KT,Tai HC,Cheng YW,Chang HR

    更新日期:2011-10-12 00:00:00

  • Mycobacterium bohemicum--a cause of paediatric cervical lymphadenitis.

    abstract::We report on two toddlers suffering from Mycobacterium bohemicum lymphadenitis. Acid-fast bacilli were cultured from submandibular lymph nodes and identified by molecular methods as Mycobacterium bohemicum. Surgical treatment was successful and complemented by oral treatment with clarithromycin and rifampicin. ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2004/15/smw-10558

    authors: Schulzke S,Adler H,Bär G,Heininger U,Hammer J

    更新日期:2004-04-17 00:00:00

  • Management of hepatitis C in decentralised versus centralised drug substitution programmes and minimally invasive point-of-care tests to close gaps in the HCV cascade.

    abstract:BACKGROUND:In Switzerland, intravenous drug use accounts for the majority of hepatitis C virus (HCV) infections. Early HCV treatment prevents further transmissions and reduces morbidity and mortality due to decompensated liver cirrhosis and hepatocellular carcinoma. Nevertheless, patients in drug substitution programme...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14544

    authors: Bregenzer A,Conen A,Knuchel J,Friedl A,Eigenmann F,Näf M,Ackle P,Roth M,Fux CA

    更新日期:2017-11-20 00:00:00

  • Mortality atlas of the main causes of death in Switzerland, 2008-2012.

    abstract:PRINCIPLES:Analysis of the spatial distribution of mortality data is important for identification of high-risk areas, which in turn might guide prevention, and modify behaviour and health resources allocation. This study aimed to update the Swiss mortality atlas by analysing recent data using Bayesian statistical metho...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2016.14280

    authors: Chammartin F,Probst-Hensch N,Utzinger J,Vounatsou P

    更新日期:2016-02-22 00:00:00

  • Cardiac pre-competiton screening in Swiss athletes. Current situation in competitive athletes and short-time assessment of an exemplary local screening program.

    abstract:AIM OF THE STUDY:In Switzerland, screening concepts for the prevention of sports-associated sudden cardiac death are still insufficiently established in the large group of competitive athletes who are not integrated in an Olympic- or other high-level squad. The aim of the present study was to objectively determine the ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13575

    authors: Schmied C,Notz S,Cribari M,Gähwiler R,Keller DI,Lüscher TF

    更新日期:2012-05-31 00:00:00

  • Device-less patent foramen ovale closure by radiofrequency thermal energy.

    abstract:UNLABELLED:The goal of this study was to assess the feasibility, safety and success of a system which uses radiofrequency energy (RFE) rather than a device for percutaneous closure of patent foramen ovale (PFO). METHODS:Sixteen patients (10 men, 6 women, mean age 50 years) were included in the study. All of them had a...

    journal_title:Swiss medical weekly

    pub_type: 临床试验,杂志文章

    doi:2008/07/smw-12182

    authors: Walpoth NB,Habermacher K,Moarof I,Watson S,Wahl A,Windecker S,Schönenberger C,Meier B

    更新日期:2008-02-23 00:00:00

  • Treatment sequence in patients with neuroendocrine tumours: a nationwide multicentre, observational analysis of the Swiss neuroendocrine tumour registry.

    abstract:BACKGROUND:In recent years, several treatment modalities have proved to be effective in the treatment of neuroendocrine tumours (NETs). However, there is currently no consensus on the sequence in which these options are best used. METHODS:In this observational study, we analysed the treatment modalities and sequences ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20176

    authors: Kollar A,Bütikofer L,Ochsenbein A,Stettler C,Trepp R

    更新日期:2020-01-15 00:00:00

  • Laser scanning microscopy combined with image restoration to analyse a 3D model of the human epithelial airway barrier.

    abstract::A laser scanning microscope collects information from a thin, focal plane and ignores out of focus information. During the past few years it has become the standard imaging method to characterise cellular morphology and structures in static as well as in living samples. Laser scanning microscopy combined with digital ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2010.13060

    authors: Rothen-Rutishauser B,Lehmann AD,Clift MJ,Blank F,Gehr P

    更新日期:2010-09-01 00:00:00

  • Complementary and alternative medicine in asthma: do they work?

    abstract:OBJECTIVE:An increasing number of patients with asthma are attracted by complementary and alternative medicine (CAM). Therefore, it is of importance that scientific evidence about the efficacy of this type of therapy is regarded. METHOD:We searched the electronic databases Medline, Embase and the Cochrane Library for ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:2002/25/smw-09972

    authors: Steurer-Stey C,Russi EW,Steurer J

    更新日期:2002-06-29 00:00:00

  • Carbon nanotubes: an insight into the mechanisms of their potential genotoxicity.

    abstract::After the health catastrophe resulting from the widespread use of asbestos which was once hailed as a new miracle material, the increasing use of carbon nanotubes (CNTs) has spawned major concern due to their similarities in terms of size, shape and poor solubility. Assessment of genotoxicity has shown that CNTs can d...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2012.13698

    authors: van Berlo D,Clift MJ,Albrecht C,Schins RP

    更新日期:2012-11-05 00:00:00

  • Surgical management of vascular Ehlers-Danlos syndrome and its challenges: a case report.

    abstract:BACKGROUND:Ehlers-Danlos syndrome (EDS) is a heterogeneous group of rare inherited diseases involving connective tissue. Vascular EDS (vEDS) is associated with abnormal type III collagen, which is an essential component of skin, hollow organs and arterial walls, and causes potentially fatal visceral and arterial compli...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20379

    authors: da Rocha de Sousa F,Colucci N,Dupuis A,Toso C,Buchs NC,Abbassi Z

    更新日期:2020-12-05 00:00:00

  • Cessation of extracorporeal photopheresis in chronic lung allograft dysfunction: effects on clinical outcome in adults.

    abstract:BACKGROUND:Extracorporeal photopheresis (ECP) has been reported to be safe and the ultimate treatment option in lung transplant recipients with chronic lung allograft dysfunction (CLAD), the main overall cause of mortality in lung transplant recipients. However, ECP is not reimbursed in selected health jurisdictions, a...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14429

    authors: Robinson CA,Huber L,Murer C,Schuurmans M,Kohler M,Hofbauer G,Benden C

    更新日期:2017-03-13 00:00:00

  • The impact of clinical trial units on the value of clinical research in Switzerland.

    abstract::A prominent 2014 series by The Lancet on "Increasing value, reducing waste in biomedical research" provided recommendations on how to optimise precious resources, including in clinical research. Despite being ideally placed to lead the movement in patient-oriented clinical research, academia struggles to take correspo...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:10.4414/smw.2018.14615

    authors: von Niederhäusern B,Magnin A,Pauli-Magnus C

    更新日期:2018-04-26 00:00:00

  • Outpatient treatment of pulmonary embolism.

    abstract::Pulmonary embolism (PE) is traditionally treated in hospital. Growing evidence from non randomized prospective studies suggests that a substantial proportion of patients with non-massive PE might be safely treated in the outpatient setting using low molecular weight heparins. Based on this evidence, professional socie...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:smw-12661

    authors: Aujesky D,Mazzolai L,Hugli O,Perrier A

    更新日期:2009-11-28 00:00:00

  • Contraception and sexuality after termination of pregnancy: a comparison between Lugano and Geneva.

    abstract:OBJECTIVE:To evaluate the impact of a voluntary termination of pregnancy (TOP) on contraceptive practice and sexual well-being in women. STUDY DESIGN AND METHODS:Comparative evaluation of a retrospective study conducted in Lugano in 1995 with 85 women interviewed 3-6 months post-TOP, and a prospective study carried ou...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2001/35/smw-09768

    authors: Bianchi-Demicheli F,Perrin E,Lüdicke F,Campana A

    更新日期:2001-09-08 00:00:00

  • Paediatric end-stage renal disease and renal replacement therapy in Switzerland: survival and treatment trends over four decades.

    abstract:BACKGROUND:Renal replacement therapy for paediatric end-stage renal disease (ESRD) has developed steadily since its introduction five decades ago. Continuous and long-term analysis of patient outcomes is essential for quality control. METHODS:The Swiss Paediatric Renal Registry, founded in 1970, includes patients diag...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20300

    authors: Maurer E,Neuhaus TJ,Weitz M,Kuehni CE,Laube GF

    更新日期:2020-07-27 00:00:00

  • Synbiotic preparation in men suffering from functional constipation: a randomised controlled trial.

    abstract:BACKGROUND:Evaluating the effects of a commercially available synbiotic preparation (contains both prebiotic and probiotic elements) on functional constipation in males. METHODS:In a randomised controlled trial, a total of 66 adult men with functional constipation were equally allocated to receive a synbiotic mixture ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,随机对照试验

    doi:10.4414/smw.2011.13239

    authors: Fateh R,Iravani S,Frootan M,Rasouli MR,Saadat S

    更新日期:2011-07-30 00:00:00