Journal of Family Medicine and Primary Care最新文献

{"title":"Teenage pregnancy among adolescent girls in India.","authors":"Harish Gupta","doi":"10.4103/jfmpc.jfmpc_860_24","DOIUrl":"10.4103/jfmpc.jfmpc_860_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"506-507"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life following bisphosphonate therapy in individuals with Paget's disease of bone - A study from a teaching hospital in Southern India.","authors":"Fibi K Ninan, Kripa Elizabeth Cherian, Remya Rajan, Felix Jebasingh, Nitin Kapoor, Hesarghatta S Asha, Nihal Thomas, Thomas V Paul","doi":"10.4103/jfmpc.jfmpc_1155_24","DOIUrl":"10.4103/jfmpc.jfmpc_1155_24","url":null,"abstract":"<p><strong>Background: </strong>Paget's disease of bone (PDB) is associated with considerable morbidity because of bony pains, fractures, and deformities. Remission, as assessed by reduction in alkaline phosphatase levels, does not necessarily correlate with improvement in quality of life (QoL). Health-related quality of life (HR-QoL) in affected individuals is not well-studied in India. This study attempts to describe the QoL in individuals with PDB.</p><p><strong>Methods: </strong>In this prospective observational study spanning 6 years (Jan 2017-Dec 2022), we included 29 treatment-naïve patients diagnosed with PDB based on clinical, biochemical, and radiographic features. All patients received treatment with antiresorptive agents. SF-36 questionnaire was administered before treatment and at review.</p><p><strong>Results: </strong>A total of 29 patients with PDB (20 males), with a mean (SD) age of 68.1 (9.8) years, were included. Symptomatic disease was seen in 23/29 (79.3%) and polyostotic disease in 25/29 (86%) subjects. The median duration of symptoms was 6 months (0-24 months). The most frequently involved skeletal sites were the pelvis (69%), vertebrae and sacrum (68%), followed by the skull (48%) and lower limb (48%). The subjects were treated with parenteral zoledronate (65.5%), oral alendronate (24.1%), and denosumab (6.9%). There was a significant improvement in all eight domains of QoL (<i>P</i> = 0.0001) as assessed by the SF-36 questionnaire. The maximum improvement (27.2%) was observed in the physical functioning domain (<i>P</i> = 0.0001).</p><p><strong>Conclusion: </strong>This study assessed various domains in QoL by using the SF-36 questionnaire at baseline and post-treatment with antiresorptive agents, and it was noted that there was a significant improvement in all domains of QoL.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"371-376"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum hepcidin level with iron profile assay might replace bone marrow iron study as a diagnostic tool for evaluation of anemia in elderly without chronic renal disease.","authors":"Sukdev Manna, Sankha Shubhra Chakrabarti, Rohit Singh, Indrajeet Singh Gambhir","doi":"10.4103/jfmpc.jfmpc_34_24","DOIUrl":"10.4103/jfmpc.jfmpc_34_24","url":null,"abstract":"<p><strong>Background: </strong>The bone marrow iron study is the gold standard for differentiation of the two most common causes of anemia i.e. iron deficiency anemia (IDA) and anemia of chronic disease (ACD) in the elderly. However, it is often not feasible to do bone marrow examination (BME) in every elderly anemic patient, due to its invasive nature. Hepcidin, a liver-derived peptide, has been identified as the key systemic regulator of iron homeostasis. Our study highlights the potential diagnostic role of serum hepcidin in the evaluation of anemia in elderly.</p><p><strong>Methodology: </strong>Hundred elderly patients (≥60 years of age) having iron deficiency anemia (IDA) or anemia of chronic disease/inflammation (ACD) were the study subjects with 15 age-matched healthy controls. All patients were evaluated with history, clinical examination, routine investigations (complete blood count, liver, and kidney function tests), iron profile, and serum hepcidin. The bone marrow iron study was done in every patient to categorize them as IDA and ACD.</p><p><strong>Results and discussion: </strong>Serum iron, TIBC, MCV, ferritin, and serum transferrin saturation values were differing significantly between IDA and ACD groups. Serum hepcidin levels can be used confidently to differentiate ACD from IDA (<i>P</i> value <0.001). At serum concentration, 198.82 ng/mL sensitivity of hepcidin to differentiate ACD from IDA was 93.9% and specificity was 92.2%. A subset of patients is misdiagnosed when the serum hepcidin level is used as a sole marker, and this also holds true for serum ferritin.</p><p><strong>Conclusion: </strong>Though serum hepcidin level correlates well with serum iron profile and also serum hepcidin appears to be a useful marker to differentiate ACD from IDA in terms of both sensitivity and specificity, the combined assessment of serum hepcidin and iron profile appears to be a better marker than ferritin and hepcidin alone. This could replace the use of bone marrow iron staining as a diagnostic tool in anemia in elderly.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"356-362"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of early menopause with indoor air pollution: A multilevel modelling analysis of the nationally representative cross-sectional study in India.","authors":"Pritam Halder, Anamika Soni, Ashwani Seth, Dheenadahayalan Vijayakumar, Anamika Das, Sujata Sankhyan, Anshul Mamgai, Saumyarup Pal, Jaya Tiwari, Aparna Baranwal, C M Chaitra","doi":"10.4103/jfmpc.jfmpc_1046_24","DOIUrl":"10.4103/jfmpc.jfmpc_1046_24","url":null,"abstract":"<p><strong>Background: </strong>Early onset of menopause poses a risk for various health issues in women. This study aimed to primarily examine the link between early menopause and indoor air pollution (IAP) and demonstrate this association within the Indian population, considering their place of residence.</p><p><strong>Methods: </strong>This longitudinal study included 24,862 eligible participants out of 73,000 surveyed. Logistic regression analyses, both crude and adjusted odds ratios (aOR), were used to examine the association between early menopause and various sociodemographic factors, IAP, and place of residence (rural/urban).</p><p><strong>Results: </strong>The study identified a significant correlation between early menopause and body mass index (BMI), educational status, marital status, occupation, physical activity, self-rated health, and smoking status. Women using unclean fuels did not show increased odds of early menopause (aOR: 1.00, 95% confidence interval [CI]: 0.93-1.08). Poor ventilation was linked to a slightly higher incidence (28.1% vs. 26.9%, aOR: 1.07, 95% CI: 0.99-1.15). Exposure to pollution-generating sources was significantly associated with early menopause (28.8%, aOR: 1.10, 95% CI: 1.02-1.18), especially in urban areas (aOR: 1.17, 95% CI: 1.01-1.36) but not rural (aOR: 1.08, 95% CI: 0.99-1.17). Indoor smoking was linked to higher odds (aOR: 1.09, 95% CI: 1.02-1.17), particularly in rural areas (aOR: 1.09, 95% CI: 1.01-1.18). Overall, IAP was significantly associated with early menopause (aOR: 1.07, 95% CI: 1.01-1.15).</p><p><strong>Conclusion: </strong>The findings reveal that IAP, from sources such as smoke and pollutants, significantly increases the risk of early menopause among Indian women. Urban women are more affected by pollution, whereas indoor smoking impacts both urban and rural women. Enhancing indoor air quality could reduce early menopause and improve women's health in India.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"173-183"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of a smartphone app for self-monitoring by patients with bipolar disorder being treated in a primary care setting.","authors":"Omar H Elsayed, John Cecil, Richard Priesmeyer, Gregg Siegel, Phyllis Siegel, Rif S El-Mallakh","doi":"10.4103/jfmpc.jfmpc_483_24","DOIUrl":"10.4103/jfmpc.jfmpc_483_24","url":null,"abstract":"<p><strong>Background: </strong>Self-monitoring and self-management are growing phenomena in the care of chronic illnesses, like bipolar disorder. A significant fraction of patients with bipolar disorder are cared for by primary care providers. The use of smart technology may be effective in this setting.</p><p><strong>Method: </strong>KIOS-Bipolar, a smartphone app that proved superior in a randomized, controlled trial, was beta-tested for two-month periods in 12 patients with bipolar disorder who were under the care of a primary care clinic.</p><p><strong>Results: </strong>Adherence to the app was 100%. Patients experienced improvements in depressive (-41%) and manic (-46%) symptoms and overall instability (-39%). Patients felt that the system was user-friendly with an average system usability score of 80.8 (range 48-100). Five participants (41.8%) gave a system usability score ≥ 90.</p><p><strong>Discussion: </strong>This open trial suggests that utilization of a self-management tool may be a useful adjunct in the treatment of patients with bipolar disorder in the primary care setting.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"85-89"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The type of infections and the use of antibiotics among patients with rheumatoid arthritis: A review.","authors":"Asma D Alshammari, Mona Matar Aldhafeeri, Amal M Aldhafeeri, Maram Asaad Alanzi, Maha Bandar Almutairi, Jawaher Abdullah Alrasheedi, Thikra Adel Alsurur, Aeshah Dhahawi Alshammri","doi":"10.4103/jfmpc.jfmpc_739_24","DOIUrl":"10.4103/jfmpc.jfmpc_739_24","url":null,"abstract":"<p><p>Patients diagnosed with rheumatoid arthritis have a heightened susceptibility to infections, which may lead to higher rates of illness and death. The heightened susceptibility may arise from the illness itself, which causes changes in the body's innate cellular defense mechanisms, or from the medications used to manage the condition. The precise level of risk for infections associated with traditional disease-modifying anti-rheumatic drugs has not been fully elucidated. This review aimed To investigate the type of infections and the use of antibiotics among patients with rheumatoid arthritis. An electronic literature search was conducted using the MEDLINE database, with the indicated search keywords: infections, antibiotics, use, patients, rheumatoid, and arthritis. To identify relevant information, the search was limited to articles published between 2017 and 2024. The researchers used suitable search terms on Google Scholar to discover and examine relevant scholarly articles. The selection of articles was determined by several inclusion criteria. The research included publications that were published from 2017 to 2024. The study was organized into many sections, each including particular categories within the analysis section.we reportrd that : Within the developing age of focused synthetic treatments for RA, severe infections persist as the primary consequence of long-term treatment. In all patients with rheumatoid arthritis, it is necessary to conduct initial screenings for hepatitis B virus and tuberculosis. Additionally, it is important to administer vaccinations for specific pathogens (such as pneumococcal, herpes zoster, and influenza) before and during treatment. Aggressive therapy should be pursued to effectively manage disease activity in RA patients, while also maintaining constant vigilance for early signs of infections. Extra care should be given to senior rheumatoid arthritis (RA) patients who are over 65 years old and have other medical conditions. These people are often more susceptible to developing infections, regardless of the medication they get. The trials conducted with different antibiotics have confirmed the effectiveness of these medications in treating rheumatoid arthritis. Thus, it is plausible that the culprit responsible for rheumatoid arthritis is a microbe, namely periodontopathic bacteria.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"8-14"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microfilaria coexisting with multifocal hepatocellular carcinoma: A case report.","authors":"Ruchi Sinha, Tanya Prasad, Satyajeet Kumar, Avinash Singh, Puja Khanna","doi":"10.4103/jfmpc.jfmpc_862_24","DOIUrl":"10.4103/jfmpc.jfmpc_862_24","url":null,"abstract":"<p><p>Filariasis is an endemic health issue in India and Southeast Asian countries. The diagnosis is conventionally made by demonstrating microfilaria in a peripheral blood smear. Detection of microfilaria is rarely reported in cytological evaluation, and even more infrequent is the presence of microfilaria in a neoplastic lesion. Here we report a rare case of microfilaria in a routine cytological smear of a liver aspirate, which was diagnosed as hepatocellular carcinoma.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"478-480"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinico-demographic factors affecting mortality in COVID-19 patients at a health care facility, Western Uttar Pradesh.","authors":"Swati Singh, Anupam Sisodia, Meghna Athwani","doi":"10.4103/jfmpc.jfmpc_983_24","DOIUrl":"10.4103/jfmpc.jfmpc_983_24","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) a global problem, has affected all aspects of health, that is, physical, social, and mental. Our study aimed to describe various social-demographic factors and existing comorbidities that affected mortality in COVID-19 admitted patients.</p><p><strong>Materials and methods: </strong>This was a hospital-based retrospective study. The study included medical records of COVID-19 patients admitted from April 2021 to August 2021. Data was entered in Microsoft Excel 2013 and analyzed in STATA version 18.0. The Chi-square test, unpaired <i>t</i>-test, and Cox proportional hazard model were employed for analysis.</p><p><strong>Results: </strong>Of the total 1156 admitted patients, 103 hospitalized patients progressed to death (8.91%). Factors found to be significant with non-survivorship were age, residence, admission status, and coexisting comorbidities. In hazard analysis, geriatric patients had 4.358 times more hazard of death. Patients with diabetes and hypertension had two times higher hazard of death than patients without these comorbidities.</p><p><strong>Conclusion: </strong>Mortality of patients was substantially higher in patients' ages above 60 years and patients with comorbidities. Therefore, close monitoring and priority treatment should be provided to elderly patients and patients with comorbidities.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"196-200"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two faces of the same coin non alcoholic fatty liver disease; with and without diabetes: Comparative clinico pathological analysis: A cross sectional observational study.","authors":"Syed Mushfiq, Ghulam Nabi Yatoo, Bilal Ahmad Mir, Zubaida Rasool","doi":"10.4103/jfmpc.jfmpc_1208_23","DOIUrl":"10.4103/jfmpc.jfmpc_1208_23","url":null,"abstract":"<p><strong>Background and aim: </strong>Non-alcohol fatty liver disease (NAFLD) is a metabolic disorder that represents the hepatic manifestation of systemic process, and is a strong risk factor for diabetes Meletus, whereas the presence of DM increases the severity of NAFLD/NASH and its progression. Data on the impact of diabetes on NASH phenotype is sparse from northern India. We studied and compared the clinical profile of NALFD in the presence and absence of DM and the effect of diabetes on NASH.</p><p><strong>Methods: </strong>We did a cross-sectional analysis of data from NAFLD patients (n = 90) who were divided into diabetic and non-diabetic cohorts and their respective demographic, biochemical, imaging and histological features were recorded and compared.</p><p><strong>Results: </strong>Out of 90 patients, 53.3% were females with a mean age of 44 ± 12 years. The mean BMI and WHR of the study cohort were 28.9 ± 3.4 and 1.01 ± 0.15, respectively. The current study showed that 35.8% were diabetics. The mean age and WHR were 52 ± 11 years vs 40 ± 10 years and 1.1 ± 0.17 vs 0.99 ± 0.09, respectively, in diabetic and non-diabetic NAFLD patients. Non-invasive fibrosis scores, including BARD (2.8 vs 1.73), FIB-4 (3.4 vs 2.2) and NFS (0.97 vs -1.13), were significantly higher in diabetic NAFLD compared to non-diabetic NAFLD (<i>P</i> < 0.03). The histological grade of steatosis and fibrosis as depicted by the mean NAS score (5.7 ± 1.2 vs 4.63 ± 0.8) was higher in diabetic NAFLD vs non-diabetic NAFLD; however, only the fibrosis stage was statistically significant between the groups (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Despite the small no of cases, we should conclude that there is a bidirectional relationship between NAFLD and DM where the progression of one increases the rate of progression of other. Diabetic patients have higher risk of NASH and hence increased risk of liver related mortality and should be screened early for NAFLD/NASH.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"56-61"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinico-spirometrical correlation of newly detected COPD patients with known tobacco smoking exposure or biomass smoke exposure presenting to a teaching institution in Vadodara, Gujarat.","authors":"Bhavesh Patel, G Mothiganesh, Arti D Shah, Chirag H Chakravarti, Parshwa Naik, Princee Patel","doi":"10.4103/jfmpc.jfmpc_836_24","DOIUrl":"10.4103/jfmpc.jfmpc_836_24","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic respiratory symptoms (dyspnoea, coughing, sputum production) associated with abnormalities of the airways (bronchitis, bronchiolitis) and/or alveoli (emphysema) that result in persistent, frequently progressive airflow obstruction are the hallmarks of COPD, a diverse lung illness. The current investigation aimed to establish a clinical profile of patients with recently diagnosed COPD who present to a healthcare facility in Vadodara.</p><p><strong>Materials and methods: </strong>The Department of Respiratory Medicine conducted an observational cross-section study on individuals with recently discovered COPD. The study comprised records of 50 participants, from September 2022 to January 2024. Along with the spirometry results, pertinent clinical data were gathered.</p><p><strong>Results: </strong>The study's patient population presented with an average age of 61.52 years. The fact that every patient in the research was over 40 years old suggests that COPD is becoming more common in people over 40. There was a male majority among the 50 patients, with 40 (80%) male and 10 (20%) female. Most common age group was smokers accounted for 80% of the total cases, suggesting that their incidence of COPD is greater. Average FEV1 at presentation was 41 L/min for 50 patients. Among 50 patients, 6% falls under mild, 28% under moderate, 42% under severe, and 24% under very severe according to GOLD grading and severity of airflow obstruction.</p><p><strong>Conclusion: </strong>Despite the fact that tobacco smoke is thought to be the main cause of COPD. Indoor and outdoor air pollution are major issues in many nations, including India. One of the main risk factors for COPD is smoke from activities such as burning wood or biomass fuels in addition to work exposure. The ageing of the global population and ongoing exposure to COPD risk factors are expected to contribute to a rise in the prevalence and burden of COPD in the ensuing decades. The fact that most newly diagnosed patients in this research were older and more symptomatic and that most identified individuals had moderate to severe COPD, indicates the importance of spirometry programs in primary care for the early detection of COPD. Our findings suggest that a new campaign requiring patients to undergo spirometry and routine follow-up may be able to identify a sizable proportion of patients with undiagnosed COPD and perhaps improve their quality of life.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"97-100"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}