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Chronic Obstructive Pulmonary Disease Case Finding in Community-pharmacies by Spirometry

Early Phase 1
Conditions
Chronic Obstructive Pulmonary Disease
Registration Number
NCT01576068
Lead Sponsor
Col·legi de Farmacèutics de la Província de Barcelona
Brief Summary

Chronic Obstructive Pulmonary Disease (COPD) is a prevalent disease. In the investigators country, underdiagnosis has been estimated in around 80% of subjects. Early detection is done mainly in primary care but due to actual situation new alternatives have been proposed to decrease underdiagnosis.

This present study promote by a multidisciplinary research team (respiratory medicine, primary care, nurse and pharmacist) raise the objective of evaluate the effect of a COPD case finding program guide by spirometry in community-pharmacies.

From the results of a pilot-study conducted in 13 community-pharmacies in Barcelona, in which the investigators showed the feasibility of spirometry in community-pharmacies for the early detection of COPD, the investigators have design a second phase to evaluate the effect of this strategy. 100 Barcelona's community-pharmacies during 6 months will select high risk customers and will conduct a spirometry in agreement with the design protocol. 3600 spirometries is the establish objective. Participants hospitals will train pharmacist in spirometry and also control spirometry quality daily by a telematic pathway. Spirometry results will be evaluate in terms of effect and costs. The investigators will also evaluate the impact of this program in the health system by numbers of subjects diagnosed and follow up in primary care.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
3600
Inclusion Criteria
  • Age over 40 years.
  • Current or former smoker
  • Chronic respiratory symptoms(cough, shortness of breath, expectoration)
Exclusion Criteria
  • Previous diagnosed chronic lung disease
  • Use of inhalers

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
COPD Case FindingDuring 15 months pharmacies will include subjects with possible COPD through spirometry.

Proportion of high-risk customers with spirometry showing a FEV1/FVC under 0,7.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Col·legi Oficial de Farmacèutics de Barcelona

🇪🇸

Barcelona, Spain

Col·legi Oficial de Farmacèutics de Barcelona
🇪🇸Barcelona, Spain

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