Feasilbility and effectiveness of an Asthma/COPD service for primary care: a cross-sectional baseline description and longtudinal results

E.I. Metting, R.A. Riemersma, J.H. Kocks, M.G. Piersma-Wichers, Robbert Sanderman, T. van der Molen

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Abstract

Background: In 2007, an Asthma/chronic obstructive pulmonary disease (COPD) (AC) service was implemented in the North of the Netherlands to support General Practitioners (GPs) by providing advice from pulmonologists on a systematic basis. Aims: To evaluate the feasibility and effectiveness of this service on patient-related outcomes. Methods: We report baseline data on 11,401 patients and follow-up data from 2,556 patients. GPs can refer all patients with possible obstructive airway disease (OAD) to the service, which is conducted by the local laboratory. Patients are assessed in the laboratory using questionnaires and spirometry. Pulmonologists inspect the data through the internet and send the GP diagnosis and management advice. Results: A total of 11,401 patients were assessed by the service, covering almost 60% of all adult patients with projected asthma or COPD in the area. In all, 46% (n=5,268) of the patients were diagnosed with asthma, 18% (n=2,019) with COPD and 7% (n=788) with the overlap syndrome. A total of 740 (7%) patients were followed up after 3 months because the GP advised them to change medication. In this group, the proportion of unstable COPD patients (Clinical COPD Questionnaire (CCQ)⩾1) decreased from 63% (n=92) at baseline to 49% (n=72). The proportion of patients with uncontrolled asthma (Asthma Control Questionnaire (ACQ)⩾1.5) decreased from 41% (n=204) to 23% (n=115). In all, 938 (8%) patients were followed up after 12 months. From these patients, the proportion of unstable COPD patients (CCQ⩾1) decreased from 47% (n=115) to 44% (n=107). The proportion of patients with uncontrolled asthma (ACQ⩾1.5) decreased from 16% (n=95) to 14% (n=85). Conclusion: The AC service assessed a considerable proportion of patients with OAD in the area, improved patients’ outcomes, and is considered to be feasible and effective.
Original languageUndefined
Pages (from-to)-
JournalNPJ primary care respiratory medicine
Volume25
Publication statusPublished - 2015

Keywords

  • METIS-314773
  • IR-99104

Cite this

@article{27ce4225a6a149c4aac6d7a0ffabf8dd,
title = "Feasilbility and effectiveness of an Asthma/COPD service for primary care: a cross-sectional baseline description and longtudinal results",
abstract = "Background: In 2007, an Asthma/chronic obstructive pulmonary disease (COPD) (AC) service was implemented in the North of the Netherlands to support General Practitioners (GPs) by providing advice from pulmonologists on a systematic basis. Aims: To evaluate the feasibility and effectiveness of this service on patient-related outcomes. Methods: We report baseline data on 11,401 patients and follow-up data from 2,556 patients. GPs can refer all patients with possible obstructive airway disease (OAD) to the service, which is conducted by the local laboratory. Patients are assessed in the laboratory using questionnaires and spirometry. Pulmonologists inspect the data through the internet and send the GP diagnosis and management advice. Results: A total of 11,401 patients were assessed by the service, covering almost 60{\%} of all adult patients with projected asthma or COPD in the area. In all, 46{\%} (n=5,268) of the patients were diagnosed with asthma, 18{\%} (n=2,019) with COPD and 7{\%} (n=788) with the overlap syndrome. A total of 740 (7{\%}) patients were followed up after 3 months because the GP advised them to change medication. In this group, the proportion of unstable COPD patients (Clinical COPD Questionnaire (CCQ)⩾1) decreased from 63{\%} (n=92) at baseline to 49{\%} (n=72). The proportion of patients with uncontrolled asthma (Asthma Control Questionnaire (ACQ)⩾1.5) decreased from 41{\%} (n=204) to 23{\%} (n=115). In all, 938 (8{\%}) patients were followed up after 12 months. From these patients, the proportion of unstable COPD patients (CCQ⩾1) decreased from 47{\%} (n=115) to 44{\%} (n=107). The proportion of patients with uncontrolled asthma (ACQ⩾1.5) decreased from 16{\%} (n=95) to 14{\%} (n=85). Conclusion: The AC service assessed a considerable proportion of patients with OAD in the area, improved patients’ outcomes, and is considered to be feasible and effective.",
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year = "2015",
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volume = "25",
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Feasilbility and effectiveness of an Asthma/COPD service for primary care: a cross-sectional baseline description and longtudinal results. / Metting, E.I.; Riemersma, R.A.; Kocks, J.H.; Piersma-Wichers, M.G.; Sanderman, Robbert; van der Molen, T.

In: NPJ primary care respiratory medicine, Vol. 25, 2015, p. -.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Feasilbility and effectiveness of an Asthma/COPD service for primary care: a cross-sectional baseline description and longtudinal results

AU - Metting, E.I.

AU - Riemersma, R.A.

AU - Kocks, J.H.

AU - Piersma-Wichers, M.G.

AU - Sanderman, Robbert

AU - van der Molen, T.

PY - 2015

Y1 - 2015

N2 - Background: In 2007, an Asthma/chronic obstructive pulmonary disease (COPD) (AC) service was implemented in the North of the Netherlands to support General Practitioners (GPs) by providing advice from pulmonologists on a systematic basis. Aims: To evaluate the feasibility and effectiveness of this service on patient-related outcomes. Methods: We report baseline data on 11,401 patients and follow-up data from 2,556 patients. GPs can refer all patients with possible obstructive airway disease (OAD) to the service, which is conducted by the local laboratory. Patients are assessed in the laboratory using questionnaires and spirometry. Pulmonologists inspect the data through the internet and send the GP diagnosis and management advice. Results: A total of 11,401 patients were assessed by the service, covering almost 60% of all adult patients with projected asthma or COPD in the area. In all, 46% (n=5,268) of the patients were diagnosed with asthma, 18% (n=2,019) with COPD and 7% (n=788) with the overlap syndrome. A total of 740 (7%) patients were followed up after 3 months because the GP advised them to change medication. In this group, the proportion of unstable COPD patients (Clinical COPD Questionnaire (CCQ)⩾1) decreased from 63% (n=92) at baseline to 49% (n=72). The proportion of patients with uncontrolled asthma (Asthma Control Questionnaire (ACQ)⩾1.5) decreased from 41% (n=204) to 23% (n=115). In all, 938 (8%) patients were followed up after 12 months. From these patients, the proportion of unstable COPD patients (CCQ⩾1) decreased from 47% (n=115) to 44% (n=107). The proportion of patients with uncontrolled asthma (ACQ⩾1.5) decreased from 16% (n=95) to 14% (n=85). Conclusion: The AC service assessed a considerable proportion of patients with OAD in the area, improved patients’ outcomes, and is considered to be feasible and effective.

AB - Background: In 2007, an Asthma/chronic obstructive pulmonary disease (COPD) (AC) service was implemented in the North of the Netherlands to support General Practitioners (GPs) by providing advice from pulmonologists on a systematic basis. Aims: To evaluate the feasibility and effectiveness of this service on patient-related outcomes. Methods: We report baseline data on 11,401 patients and follow-up data from 2,556 patients. GPs can refer all patients with possible obstructive airway disease (OAD) to the service, which is conducted by the local laboratory. Patients are assessed in the laboratory using questionnaires and spirometry. Pulmonologists inspect the data through the internet and send the GP diagnosis and management advice. Results: A total of 11,401 patients were assessed by the service, covering almost 60% of all adult patients with projected asthma or COPD in the area. In all, 46% (n=5,268) of the patients were diagnosed with asthma, 18% (n=2,019) with COPD and 7% (n=788) with the overlap syndrome. A total of 740 (7%) patients were followed up after 3 months because the GP advised them to change medication. In this group, the proportion of unstable COPD patients (Clinical COPD Questionnaire (CCQ)⩾1) decreased from 63% (n=92) at baseline to 49% (n=72). The proportion of patients with uncontrolled asthma (Asthma Control Questionnaire (ACQ)⩾1.5) decreased from 41% (n=204) to 23% (n=115). In all, 938 (8%) patients were followed up after 12 months. From these patients, the proportion of unstable COPD patients (CCQ⩾1) decreased from 47% (n=115) to 44% (n=107). The proportion of patients with uncontrolled asthma (ACQ⩾1.5) decreased from 16% (n=95) to 14% (n=85). Conclusion: The AC service assessed a considerable proportion of patients with OAD in the area, improved patients’ outcomes, and is considered to be feasible and effective.

KW - METIS-314773

KW - IR-99104

M3 - Article

VL - 25

SP - -

JO - NPJ primary care respiratory medicine

JF - NPJ primary care respiratory medicine

SN - 2055-1010

ER -