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Neumología y cirugía de tórax
versión impresa ISSN 0028-3746
Resumen
GONZALEZ-GONZALEZ, Eloisa; FERNANDEZ-VEGA, Margarita; GONZALEZ-SALINAS, Consuelo y HERNANDEZ-ZENTENO, Rafael de Jesús. Adherence to COPD Guidelines in primary care. Neumol. cir. torax [online]. 2016, vol.75, n.3, pp.215-221. ISSN 0028-3746.
Chronic obstructive pulmonary disease (COPD) is the most relevant cause of respiratory problems with a high social-economic impact in the world. Despite being a preventable disease and have an early diagnosis method, there is evidence of underdiagnosis and undertreatment.
Objective:
To determine the adherence to the recommendations of a COPD Clinical Practice Guidelines (CPG) by primary care physicians at a primary care clinic.
Material and methods:
Descriptive and comparative, cross-sectional and ambispective study, of medical records of patients with confirmed COPD from 2014 to 2015. Each medical history and medical note was compared with the CPG recommendations; for the statistical analysis, descriptive and comparative methods were obtained for each recommendation.
Results:
32 medical notes were analyzed; family medicine residents met 49.6% of the recommendations; staff family medicine specialist followed 33.2% of the recommendations and staff general practitioners 31.6%.
Conclusion:
There is a low adherence to the GPC. This low adherence was observed at most of the recommendations. It was demostrated different percentages of adherence according to physician profile.
Palabras llave : Guidelines; COPD; primary care.
