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Underdiagnosis and Overdiagnosis of Chronic Obstructive Pulmonary Disease (COPD)

Published: 15 November 2018

This Concise Clinical Review published on the American Journal of Respiratory and Critical Care Medicine examines the problem and the prevalence of under-diagnosis and over-diagnosis of Chronic Obstructive Pulmonary Disease.

COPD is regarded as one of the leading causes of morbidity and mortality across the world, yet its proper diagnosis remains a challenge.
Community-based population studies conducted in North and South America, Europe, Australia, and Asia collectively suggest that approximately 70% of COPD worldwide may be underdiagnosed. Conversely, other studies have shown that between 30% and 60% of patients with a previous physician diagnosis of COPD do not actually have the disease, and hence they have been overdiagnosed.

This review defines under- and overdiagnosis and explores the prevalence and the burden of under- and overdiagnosis of COPD on both patients and healthcare systems. The review further describes potential solutions to reduce the incidence of under- and overdiagnosis of COPD.

The article details are the following:

Title: "Underdiagnosis and Overdiagnosis of Chronic Obstructive Pulmonary Disease"
Authors: Guazzi M, Bandera F, Ozemek C, Systrom D, Arena R
- Published in: Am J Respir Crit Care Med. 2018 Nov 1;198(9):1130-1139

The full study can be purchased at the following link: click here

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