Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study

Bibliographic Details
Main Author: Nascimento, Oliver A.
Publication Date: 2007
Other Authors: Camelier, Aquiles Assunção, Rosa, F. W., Menezes, A. M. B., Pérez-Padilla, R., Jardim, José Roberto
Format: Article
Language: eng
Source: Repositório Institucional da UFBA
Download full: http://www.repositorio.ufba.br/ri/handle/ri/6978
Summary: p. 887-895
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spelling Nascimento, Oliver A.Camelier, Aquiles AssunçãoRosa, F. W.Menezes, A. M. B.Pérez-Padilla, R.Jardim, José RobertoNascimento, Oliver A.Camelier, Aquiles AssunçãoRosa, F. W.Menezes, A. M. B.Pérez-Padilla, R.Jardim, José Roberto2012-10-17T13:44:06Z2012-10-17T13:44:06Z20071414-431Xhttp://www.repositorio.ufba.br/ri/handle/ri/6978v. 40, n. 7p. 887-895Chronic obstructive pulmonary disease (COPD) is a common disease in adults over 40 years of age and has a great social and economic impact. It remains little recognized and undertreated even in developed countries. However, there are no data about its diagnosis and treatment in Brazil. The objectives of the present study were to evaluate the proportion of COPD patients who had never been diagnosed and to determine if the COPD patients who had been identified were receiving appropriate treatment. The Latin American Project for the Investigation of Obstructive Lung Disease (PLATINO) was a randomized epidemiological study of adults over 40 years living in five metropolitan areas, including São Paulo. The studied sample was randomly selected from the population after a division of the metropolitan area of São Paulo in clusters according to social characteristics. All subjects answered a standardized questionnaire on respiratory symptoms, history of smoking, previous diagnosis of lung disease, and treatments. All subjects performed spirometry. The criterion for the diagnosis of COPD was defined by a post-bronchodilator FEV1/FVC ratio lower than 0.7. A total of 918 subjects were evaluated and 144 (15.8%) met the diagnostic criterion for COPD. However, 126 individuals (87.5%) had never been diagnosed. This undiagnosed group of COPD patients had a lower proportion of subjects with respiratory symptoms than the previously diagnosed patients (88.9 vs 54.8%) and showed better lung function with greater FEV1 (86.8 ± 20.8 vs 68.5 ± 23.6% predicted) and FVC (106.6 ± 22.4 vs 92.0 ± 24.1% predicted). Among the COPD patients, only 57.3% were advised to stop smoking and 30.6% received the influenza vaccine. In addition, 82.3% did not receive any pharmacological treatment. In conclusion, COPD is underdiagnosed and a large number of COPD patients are not treated appropriately.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-10-17T13:44:06Z No. of bitstreams: 1 __www.scielo.br_pdf_bjmbr_v40n7_6703.pdf: 186231 bytes, checksum: aab169eabfecccbdfaae216f89996bb9 (MD5)Made available in DSpace on 2012-10-17T13:44:06Z (GMT). No. of bitstreams: 1 __www.scielo.br_pdf_bjmbr_v40n7_6703.pdf: 186231 bytes, checksum: aab169eabfecccbdfaae216f89996bb9 (MD5) Previous issue date: 2007Ribeirão Pretohttp://dx.doi.org/10.1590/S0100-879X2006005000133reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAChronic obstructive pulmonary diseaseDiagnosisTreatmentVaccinationSmokingLatin American Project for the Investigation of Obstructive Lung DiseaseChronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO StudyBrazilian Journal of Medical and Biological Researchinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINAL__www.scielo.br_pdf_bjmbr_v40n7_6703.pdf__www.scielo.br_pdf_bjmbr_v40n7_6703.pdfapplication/pdf186231https://repositorio.ufba.br/bitstream/ri/6978/1/__www.scielo.br_pdf_bjmbr_v40n7_6703.pdfaab169eabfecccbdfaae216f89996bb9MD51LICENSElicense.txtlicense.txttext/plain1809https://repositorio.ufba.br/bitstream/ri/6978/2/license.txt8bb3e3eb871f5854a9ec419f68651b60MD52TEXT__www.scielo.br_pdf_bjmbr_v40n7_6703.pdf.txt__www.scielo.br_pdf_bjmbr_v40n7_6703.pdf.txtExtracted texttext/plain34193https://repositorio.ufba.br/bitstream/ri/6978/3/__www.scielo.br_pdf_bjmbr_v40n7_6703.pdf.txt676fa443dd17ba7088925b38048335f7MD53ri/69782022-07-05 14:03:42.786oai:repositorio.ufba.br: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ório InstitucionalPUBhttps://repositorio.ufba.br/oai/requestrepositorio@ufba.bropendoar:19322022-07-05T17:03:42Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
dc.title.alternative.pt_BR.fl_str_mv Brazilian Journal of Medical and Biological Research
title Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
spellingShingle Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
Nascimento, Oliver A.
Chronic obstructive pulmonary disease
Diagnosis
Treatment
Vaccination
Smoking
Latin American Project for the Investigation of Obstructive Lung Disease
title_short Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
title_full Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
title_fullStr Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
title_full_unstemmed Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
title_sort Chronic obstructive pulmonary disease is underdiagnosed and undertreated in São Paulo (Brazil). Results of the PLATINO Study
author Nascimento, Oliver A.
author_facet Nascimento, Oliver A.
Camelier, Aquiles Assunção
Rosa, F. W.
Menezes, A. M. B.
Pérez-Padilla, R.
Jardim, José Roberto
author_role author
author2 Camelier, Aquiles Assunção
Rosa, F. W.
Menezes, A. M. B.
Pérez-Padilla, R.
Jardim, José Roberto
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Nascimento, Oliver A.
Camelier, Aquiles Assunção
Rosa, F. W.
Menezes, A. M. B.
Pérez-Padilla, R.
Jardim, José Roberto
Nascimento, Oliver A.
Camelier, Aquiles Assunção
Rosa, F. W.
Menezes, A. M. B.
Pérez-Padilla, R.
Jardim, José Roberto
dc.subject.por.fl_str_mv Chronic obstructive pulmonary disease
Diagnosis
Treatment
Vaccination
Smoking
Latin American Project for the Investigation of Obstructive Lung Disease
topic Chronic obstructive pulmonary disease
Diagnosis
Treatment
Vaccination
Smoking
Latin American Project for the Investigation of Obstructive Lung Disease
description p. 887-895
publishDate 2007
dc.date.issued.fl_str_mv 2007
dc.date.accessioned.fl_str_mv 2012-10-17T13:44:06Z
dc.date.available.fl_str_mv 2012-10-17T13:44:06Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/6978
dc.identifier.issn.none.fl_str_mv 1414-431X
dc.identifier.number.pt_BR.fl_str_mv v. 40, n. 7
identifier_str_mv 1414-431X
v. 40, n. 7
url http://www.repositorio.ufba.br/ri/handle/ri/6978
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S0100-879X2006005000133
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
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reponame_str Repositório Institucional da UFBA
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