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Municipality screening of citizens with suspicion of chronic obstructive pulmonary disease

Author(s): Riegels-Jakobsen T | Skouboe M | Dollerup J | Andersen CB | Staal LB | Jakobsen RBH | Poulsen PB

Journal: International Journal of COPD
ISSN 1176-9106

Volume: 2012;
Issue: default;
Start page: 35;
Date: 2012;
Original page

Tina Riegels-Jakobsen1, Malene Skouboe1, Jens Dollerup2, Christian Buus Andersen2, Louise Barkan Staal1, Rolf BH Jakobsen1, Peter Bo Poulsen21Department of Health Prevention and Promotion, Municipality of Esbjerg, Esbjerg, 2Medical and Access, Pfizer Denmark, Ballerup, DenmarkAbstract: Up to 436,000 adult Danes suffer from chronic obstructive pulmonary disease (COPD), with only one third diagnosed at this time. The Danish National Board of Health recommends early detection of COPD, focusing on smokers/ex-smokers over 35 years of age with at least one lung symptom. A governmental prevention committee has suggested that the municipalities, in addition to general practice, should be a potential arena responsible for early detection of COPD. We undertook a pilot study to investigate the feasibility and effectiveness of early detection of COPD in municipalities following the recommendations of the Danish National Board of Health.Methods: The Municipality of Esbjerg offered spirometry to Danish citizens at risk of COPD without a previous diagnosis of the disease, following the National Board of Health's recommendations. Citizens with evidence of airway obstruction (forced expiratory volume in one second [FEV1]/forced vital capacity [FVC]
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