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

• Conditions: COPD
• Interventions: Other: Audit

• Registration Number: NCT04691752
• Lead Sponsor: Andalusian School of Public Health

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

Detailed Description

The aim of this study is to audit the attention to people with COPD among primary care centres in Granada, as well as how clinical guidelines are followed and other recommendations. The study will comprise medical records from more than 3000 patients.

Study Timeline

• Study First Submitted: 2020-12-17
• Study First Submitted QC: 2020-12-30
• Study First Posted: 2020-12-31
• Status Verified: 2021-01
• Study Start: 2021-01-01
• Last Update Submitted: 2021-01-02
• Last Update Posted: 2021-01-05
• Primary Completion: 2022-01-01
• Study Completion: 2022-07-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 2280

Inclusion Criteria

• 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.

Exclusion Criteria

• 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.
• Those patients excluded will be collected in an exclusion causes chart for each centre. These patients will not affect overall number of patients targeted for each centre.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
COPD patients	Audit	* 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.

Primary Outcome Measures

Name	Time	Method
To audit public healthcare for patients with COPD in primary care offices in Granada.	1 year	Number of patients with a diagnosis code for COPD among participants with auitable clinical records

Secondary Outcome Measures

Name	Time	Method
To describe current available resources for COPD healthcare in the primary care level in Granada.	1 year	Number of centers with spirometry available
To evaluate the adherence to clinical guidelines for COPD	1 year	Proportion of patients with COPD with correct diagnosis according to GesEPOC guidelines.
To describe the quality of care for COPD patients, focusing on determinants of variability(such as seasonality)	1 year	Pproportion of patients receiving correct diagnosis for COPD based on spirometric measurements
To describe clinical profile of patients with COPD attended at primary care offices in Granada	1 year	Number of patients auditable with a diagnosis code for COPD attended at primary care center