A case scenario study for the assessment of physician's behavior in the management of COPD: the WHY study
dc.contributor.author | Kılınç, Oğuz | |
dc.contributor.author | Konya, Aylin | |
dc.contributor.author | Akgün, Metin | |
dc.contributor.author | Sayıner, Abdullah | |
dc.contributor.buuauthor | Uzaslan, Esra | |
dc.contributor.department | Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Anabilim Dalı. | tr_TR |
dc.contributor.researcherid | AAI-1004-2021 | tr_TR |
dc.contributor.scopusid | 8761653500 | tr_TR |
dc.date.accessioned | 2024-01-12T11:06:32Z | |
dc.date.available | 2024-01-12T11:06:32Z | |
dc.date.issued | 2018 | |
dc.description.abstract | Purpose: COPD diagnosis is mainly based on clinical judgment of physicians. Physicians do not also refer to COPD guidelines in their daily practice. This study aimed to assess attitudes of physicians regarding COPD diagnosis, treatment, and follow-up and to identify the factors influencing physicians' decisions in clinical practice. Patients and methods: Fifty physicians were selected from 12 EuroStat NUTS 2 regions and asked to assess seven fictitious case scenarios. The following five scenarios described patients with COPD: Case Global Initiative for Chronic Obstructive Lung Disease (GOLD) A-smoker and Case GOLD A-nonsmoker were previously undiagnosed patients presenting with dyspnea, Case GOLD D-smoker and GOLD B-exsmoker were COPD patients presenting with exacerbation, Case GOLD B-smoker was a previously diagnosed COPD patient with dyspnea in stable phase, Case asthma-COPD overlap syndrome, and Case obesity hypoventilation syndrome. Patients' history, physical examination findings, pulmonary function tests, and X-ray images were prepared before the study by an experts' committee and provided to the physicians upon their request, until they reached a final decision. The physicians completed a questionnaire including information about their clinical practices and institutions. Results: According to the GOLD 2015 recommendations, of the physicians, 44% performed guideline-concordant diagnosis in the first five scenarios, who were all COPD patients, and 6% performed guideline-concordant diagnosis in all cases. There was a negative correlation between high workload and making a guideline-concordant diagnosis (P=0.038, rho =-0.417). Even when the physicians made a guideline-concordant diagnosis of COPD, only a minority (10%-22%) used the GOLD classification. Logistic regression analysis revealed that working in a tertiary health care center was a significant factor in favor of establishing a guidelineconcordant diagnosis of COPD (P=0.029, OR = 6.139 [95% CI: 1.20-31.32]). Conclusion: Management of COPD patients in Turkey does not generally follow the GOLD criteria but is rather based on physicians' clinical experience. Heavy workload appears to adversely affect the correctness of clinical decisions. | en_US |
dc.description.sponsorship | Novartis İlaç, Türkiye | tr_TR |
dc.identifier.citation | Kılınç, O. vd. (2018). ''A case scenario study for the assessment of physician's behavior in the management of COPD: the WHY study''. International Journal of COPD, 13, 2751-2758. | en_US |
dc.identifier.doi | https://doi.org/10.2147/COPD.S154616 | en_US |
dc.identifier.endpage | 2758 | tr_TR |
dc.identifier.issn | 1178-2005 | |
dc.identifier.pubmed | 30233165 | tr_TR |
dc.identifier.scopus | 2-s2.0-85058438486 | tr_TR |
dc.identifier.startpage | 2751 | tr_TR |
dc.identifier.uri | https://www.dovepress.com/a-case-scenario-study-for-the-assessment-of-physicians-behavior-in-the-peer-reviewed-fulltext-article-COPD | en_US |
dc.identifier.uri | https://hdl.handle.net/11452/39000 | |
dc.identifier.volume | 13 | tr_TR |
dc.identifier.wos | 000443757800002 | tr_TR |
dc.indexed.pubmed | PubMed | en_US |
dc.indexed.wos | SCIE | en_US |
dc.language.iso | en | en_US |
dc.publisher | Dove Medical Press Ltd | en_US |
dc.relation.collaboration | Yurt içi | tr_TR |
dc.relation.collaboration | Sanayi | tr_TR |
dc.relation.journal | International Journal of COPD | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | tr_TR |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Respiratory system | en_US |
dc.subject | COPD | en_US |
dc.subject | Practice pattern | en_US |
dc.subject | Real-life scenario | en_US |
dc.subject | Physician decision | en_US |
dc.subject | GOLD criteria | en_US |
dc.subject | Guidelines | en_US |
dc.subject | Disease | en_US |
dc.subject | Classification | en_US |
dc.subject | Adherence | en_US |
dc.subject | Patient | en_US |
dc.subject | Turkey | en_US |
dc.subject.emtree | Adult | en_US |
dc.subject.emtree | Article | en_US |
dc.subject.emtree | Asthma | en_US |
dc.subject.emtree | Chronic obstructive lung disease | en_US |
dc.subject.emtree | Clinical practice | en_US |
dc.subject.emtree | Comorbidity | en_US |
dc.subject.emtree | Correlation analysis | en_US |
dc.subject.emtree | Disease classification | en_US |
dc.subject.emtree | Disease exacerbation | en_US |
dc.subject.emtree | Dyspnea | en_US |
dc.subject.emtree | Female | en_US |
dc.subject.emtree | Follow up | en_US |
dc.subject.emtree | Human | en_US |
dc.subject.emtree | Image analysis | en_US |
dc.subject.emtree | Lung function test | en_US |
dc.subject.emtree | Male | en_US |
dc.subject.emtree | Medical decision making | en_US |
dc.subject.emtree | Medical expert | en_US |
dc.subject.emtree | Medical history | en_US |
dc.subject.emtree | Normal human | en_US |
dc.subject.emtree | Obesity hypoventilation syndrome | en_US |
dc.subject.emtree | Patient care | en_US |
dc.subject.emtree | Physical examination | en_US |
dc.subject.emtree | Physician attitude | en_US |
dc.subject.emtree | Practice guideline | en_US |
dc.subject.emtree | Questionnaire | en_US |
dc.subject.emtree | Smoking | en_US |
dc.subject.emtree | Smoking cessation | en_US |
dc.subject.emtree | Tertiary care center | en_US |
dc.subject.emtree | Thorax radiography | en_US |
dc.subject.emtree | Turkey (republic) | en_US |
dc.subject.emtree | Work experience | en_US |
dc.subject.emtree | Workload | en_US |
dc.subject.emtree | Aged | en_US |
dc.subject.emtree | Asthma | en_US |
dc.subject.emtree | Chronic obstructive lung disease | en_US |
dc.subject.emtree | Middle aged | en_US |
dc.subject.emtree | Protocol compliance | en_US |
dc.subject.emtree | Quality of life | en_US |
dc.subject.emtree | Turkey (bird) | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Asthma | en_US |
dc.subject.mesh | Continuity of patient care | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Guideline adherence | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle aged | en_US |
dc.subject.mesh | Practice guidelines as topic | en_US |
dc.subject.mesh | Practice patterns, physicians | en_US |
dc.subject.mesh | Pulmonary disease, chronic obstructive | en_US |
dc.subject.mesh | Quality of life | en_US |
dc.subject.mesh | Turkey | en_US |
dc.subject.scopus | Chronic Obstructive Lung Disease; Spirometry; Primary Care | en_US |
dc.subject.wos | Respiratory system | en_US |
dc.title | A case scenario study for the assessment of physician's behavior in the management of COPD: the WHY study | en_US |
dc.type | Review | en_US |
dc.wos.quartile | Q2 (Respiratory system) | en_US |