Clinical trial NCT04691752: Management of Patients With Chronic Obstructive Pulmonary Disease in Granada: a Clinical Audit
Official title: Management of Patients With Chronic Obstructive Pulmonary Disease in Granada: a Clinical Audit
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: COPD
Keywords: COPD
Emphysema
Chronic Bronchitis
Clinical audit
Primary Healthcare
Lead sponsor: Andalusian School of Public Health
Sponsor class: OTHER_GOV
Collaborators: name: Hospital de Alta Resolución de Loja. Agencia Sanitaria Hospital de Poniente
First posted: 2020-12-31
Enrollment: 2280
Sex: ALL
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients with a diagnostic code for COPD in Andalusian health records- Diraya-(ICD 9 Diagnostic codes 496, 492.8, 494.0, 491.20, 493.2)attended for any reason in a scheduled primary care office in Granada. Selection process of participant centres will be performed aiming to reflect proportionally the population distribution of Granada province and certain circumstances such as population density of some of the counties

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

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.

Eligibility criteria: 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.

Primary outcomes:
measure: To audit public healthcare for patients with COPD in primary care offices in Granada.
timeFrame: 1 year
Secondary outcomes:
measure: To describe clinical profile of patients with COPD attended at primary care offices in Granada
timeFrame: 1 year
measure: To describe the quality of care for COPD patients, focusing on determinants of variability(such as seasonality)
timeFrame: 1 year
measure: To evaluate the adherence to clinical guidelines for COPD
timeFrame: 1 year
measure: To describe current available resources for COPD healthcare in the primary care level in Granada.
timeFrame: 1 year
Other outcomes:
Locations:
Study officials:
References: