Variabilidad de la práctica clínica para la enfermedad pulmonar obstructiva crónica en consultas externas.

  1. M. Abad Arranz 1
  2. C. Calero Acuña 1
  3. F. Romero Valero
  4. A. Hidalgo Molina
  5. R. Ayerbe García
  6. R.I. Aguilar Pérez-Grovas
  7. F. García Gil 2
  8. L. Caballero Ballesteros 2
  9. M. Sánchez Palop 3
  10. F. Casas Maldonado 3
  11. D. Pérez
  12. J. Calvo Bonachera
  13. B. Hernández Sierra
  14. A. Doménech 4
  15. M. Arroyo Valera 4
  16. F. González Vargas 5
  17. J.J Cruz Rueda 5
  18. J.L López- Campos Bodineau 1
  19. A. Segado
  1. 1 Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla
  2. 2 Hospital Universitario Reina Sofia
    info

    Hospital Universitario Reina Sofia

    Córdoba, España

    ROR https://ror.org/02vtd2q19

  3. 3 Hospital Universitario San Cecilio
    info

    Hospital Universitario San Cecilio

    Granada, España

  4. 4 Hospital Universitario Carlos Haya
  5. 5 Hospital Universitario Virgen de las Nieves
    info

    Hospital Universitario Virgen de las Nieves

    Granada, España

    ROR https://ror.org/02f01mz90

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Revista:
Revista española de patología torácica

ISSN: 1889-7347

Any de publicació: 2018

Volum: 30

Número: 4

Pàgines: 236-243

Tipus: Article

DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: Revista española de patología torácica

Resum

Objectives: To date, there have been no clinical audits that evaluate clinical practice for chronic obstructive pulmonary disease (COPD) in outpatient clinics. This study is the first pilot project that aims to evaluate the variability in clinical practice for COPD in this healthcare setting. Method: A medical history audit pilot project carried out in outpatient pulmonology clinics in 9 public hospitals in Andalusia from October 2013 to September 2014. The objective was to audit 80 cases per center, distributed across the 4 quarters of the year. Information was collected using a standardized questionnaire with 182 variables. Data is described as averages and inter-hospital ranges to evaluate variability. Results: 621 histories were analyzed during the year of the study. Patients were primarily male, in the seventh decade of life, 26.2% were active smokers, there were a considerable number of comorbidities and subjects lived in mainly urban areas. Data indicates that healthcare is generally appropriate on average, but there are areas of improvement in some points and there is a considerable variability between centers with significant differences (p <0.001) for inter-center changes for the majority of variables. Conclusions: Healthcare for patients with COPD in outpatient pulmonology clinics in Andalusia shows considerable variability that likely cannot be explained solely by the patient’s clinical condition. Future studies must clarify what factors come into play in this variability.

Fuente de los datos: Dialnet