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

Sponsor

Andalusian School of Public Health (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT04691752

Collaborator

Hospital de Alta Resolución de Loja. Agencia Sanitaria Hospital de Poniente (Other)

2,280

Enrollment

17.9

Anticipated Duration (Months)

Study Details

Study Description

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

Condition or Disease	Intervention/Treatment	Phase
COPD	Other: Audit

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 Design

Study Type:

Observational

Anticipated Enrollment :

2280 participants

Observational Model:

Other

Time Perspective:

Retrospective

Official Title:

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

Anticipated Study Start Date :

Jan 1, 2021

Anticipated Primary Completion Date :

Jan 1, 2022

Anticipated Study Completion Date :

Jul 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
COPD patients 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.	Other: Audit Audit from clinical records

Arm

Intervention/Treatment

COPD patients

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.

Other: Audit

Audit from clinical records

Outcome Measures

Primary Outcome Measures

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

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
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 evaluate the adherence to clinical guidelines for COPD [1 year]
Proportion of patients with COPD with correct diagnosis according to GesEPOC guidelines.
To describe current available resources for COPD healthcare in the primary care level in Granada. [1 year]
Number of centers with spirometry available

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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.