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

COPD Clinical Trial

— Epocap  

Official title:

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04691752
• Other study ID #: EASP-EPOC-18
• Status: Not yet recruiting
• Start date: January 1, 2021
• Est. completion date: July 1, 2022

Study information

• Verified date: January 2021
• Source: Andalusian School of Public Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 2280
• Est. completion date: July 1, 2022
• Est. primary completion date: January 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• COPD
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Other:
• Audit
Audit from clinical records

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Andalusian School of Public Health	Hospital de Alta Resolución de Loja. Agencia Sanitaria Hospital de Poniente

Outcome

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