Nov - Dez - English

osé

BPS

604

ssoc

ras

2014; 60(6):599-612

Table 1

Synopsis of the articles relating to acute respiratory tract infections (ARI), tuberculosis, asthma, COPD, and asthma and COPD in conjunction (continuation)

Asthma

Marklund et

al., 1999,

Sweden

To estimate the frequency of

diagnostic errors in asthma by GPs

Review by

allergy

specialist,

spirometry

and bronchial

challenge test

whenever

there is

diagnostic

uncertainty

Cross-

sectional

123; >18 years; no

reports

One hundred and twenty three patients completed

the inclusion criteria and were invited for further

consultation. Eighty six of these (70%) accepted the

invitation. At the end, 51/86 (59%) had asthma, six

(7%) had asthma combined with COPD, and 29

(34%) had no asthma

Montnémery

et al., 2002,

Sweden

Assess whether the low prevalence of

asthma was caused by

underdiagnosis in primary care. The

study also assessed the validity of

the first diagnosis of asthma by GPs

in primary care

Evaluated by

pulmonary

specialists

Cross-

sectional

3,025; ≥18 years;

no reports

100

99 patients were diagnosed with asthma and were

reevaluated by pulmonologists. The diagnosis of

asthma was validated on 52 cases (76.5%), with a

sensitivity of 0.59 (95% CI 0.31-0.81) and

specificity of 0.99 (95% CI-0.99-1.00). These results

indicated that 23.5% of patients were diagnosed as

asthmatic by GPs without actually having the

disease

Adams et al.,

2003,

Australia

To compare the clinical diagnosis of

asthma by GPs with spirometry

Spirometry

Cross-

sectional

3,422; ≥18 years;

no reports

Not informed

Of the 3,422 individuals interviewed, 2,523 (74%)

agreed to participate in the clinical assessment,

and 292 (11.6%) had asthma according to

spirometric criteria. Of this total, 236 (9.3%) had a

previous, self-reported, diagnosis of asthma, and

56 (2.3%) were unaware of the diagnosis and were

defined as having asthma according to spirometric

criteria. Thus, the group diagnosed with asthma by

spirometry, 56 (19.2%) had no previous diagnosis

of asthma

Hahn et al.,

1994, United

States

Describe the epidemiology of

diagnosis, and the possible

underdiagnosis of asthma

Responses to

questionnaire

Cross-

sectional

14,127; All age

groups; 15

Of the total sample, 13,542 (95.5%) answered the

questionnaire properly. Of this total, 10.3%

reported having previous medical diagnosis of

asthma. The study revealed that 6.5% of patients

who had wheezing had no previous diagnosis of

asthma (underdiagnosis)

(continues)