Management of Patients With Chronic Obstructive Pulmonary Disease in Granada: a Clinical Audit

NCT04691752 | Unknown

• 1 other identifier: EASP-EPOC-18
• Study Type: observational
• Target: 2,280
• Locations: 0 countries
• Sites: N/A

Brief Summary

It is actually unknown how are the COPD clinical guidelines followed in primary care in Andalusia, specially for diagnosis and follow up of patients with this diseases. Detection of areas for improvement in COPD healthcare can be useful in order to implement improvement programs. This project is a clinical audit among primary care centres in Granada attending patients with COPD in the public health system

Conditions

COPD

Keywords

COPD; Emphysema; Chronic Bronchitis; Clinical audit; Primary Healthcare

Outcome Measures

Primary Outcomes (1)

• To audit public healthcare for patients with COPD in primary care offices in Granada.

  Number of patients with a diagnosis code for COPD among participants with auitable clinical records

  1 year

Secondary Outcomes (4)

• To describe clinical profile of patients with COPD attended at primary care offices in Granada

  1 year

• To describe the quality of care for COPD patients, focusing on determinants of variability(such as seasonality)

  1 year

• To evaluate the adherence to clinical guidelines for COPD

  1 year

• To describe current available resources for COPD healthcare in the primary care level in Granada.

  1 year

Study Arms (1)

COPD patients

* Adults (men or women) aged more than 40 years old * Diagnostic code in Andalusian clinical records (Diraya) in accordance with ICD-9 (Diagnostic codes 496, 492.8, 494.0, 491.20, 493.2) * Current of former smokers of at least 10 pack- years * Patient with a minimum follow up of 1 year, who have been assisted in a scheduled primary care appointment at inclusion date.

Other: Audit

Interventions

Audit OTHER

Audit from clinical records

COPD patients

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients with a diagnostic code for COPD in Andalusian health records- Diraya-(ICD 9 Diagnostic codes 496, 492.8, 494.0, 491.20, 493.2)attended for any reason in a scheduled primary care office in Granada. Selection process of participant centres will be performed aiming to reflect proportionally the population distribution of Granada province and certain circumstances such as population density of some of the counties

You may qualify if:

• Adults (men or women) aged more than 40 years old
• Diagnostic code in Andalusian clinical records (Diraya) in accordance with ICD-9 (Diagnostic codes 496, 492.8, 494.0, 491.20, 493.2)
• Current of former smokers of at least 10 pack- years

You may not qualify if:

• Patients with a diagnostic code for COPD attended at primary care office, but without information related with COPD in the previous year.
• Patients currently involved in any clinical trial or research study related with COPD.

Sponsors & Collaborators

• Andalusian School of Public Health: lead
• Hospital de Alta Resolución de Loja. Agencia Sanitaria Hospital de Poniente: collaborator

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Emphysema; Bronchitis, Chronic

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Bronchitis; Respiratory Tract Infections; Infections; Bronchial Diseases

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 17, 2020
• First Posted: December 31, 2020
• Study Start: January 1, 2021
• Primary Completion: January 1, 2022
• Study Completion: July 1, 2022
• Last Updated: January 5, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, CSR
• Time Frame: When recruitment is finished