Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists

Chronic cough (CC; cough that lasts 8 weeks or longer) poses major effective assessment challenges. Assessment of CC may vary considerably among medical specialists. The aim was to evaluate similarities and consistency of responses across different specialists when performing a basic assessment of C...

Descripción completa

Detalles Bibliográficos
Autores: Domingo, Christian|||0000-0001-8358-773X, Gonzálvez, Jaime, Dávila, Ignacio|||0000-0001-8485-5513, del Cuvillo, Alfonso|||0000-0003-4332-0920, Sánchez-Jareño, Marta, Cea-Calvo, Luis, Naberán, Karlos
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:319147
Acceso en línea:https://ddd.uab.cat/record/319147
https://dx.doi.org/urn:doi:10.1177/17534666231178694
Access Level:acceso abierto
Palabra clave:Cough
Delphi technique
Diagnosis
Differential
Interdisciplinary communication
Primary health care
Referral and consultation
Symptom assessment
id ES_a2aec0505e44effe980a3d50c080688d
oai_identifier_str oai:ddd.uab.cat:319147
network_acronym_str ES
network_name_str España
repository_id_str
spelling Basic assessment of chronic cough in primary care and referral pathways of patients to different specialistsDomingo, Christian|||0000-0001-8358-773XGonzálvez, JaimeDávila, Ignacio|||0000-0001-8485-5513del Cuvillo, Alfonso|||0000-0003-4332-0920Sánchez-Jareño, MartaCea-Calvo, LuisNaberán, KarlosCoughDelphi techniqueDiagnosisDifferentialInterdisciplinary communicationPrimary health careReferral and consultationSymptom assessmentChronic cough (CC; cough that lasts 8 weeks or longer) poses major effective assessment challenges. Assessment of CC may vary considerably among medical specialists. The aim was to evaluate similarities and consistency of responses across different specialists when performing a basic assessment of CC patients in primary care, and referring patients based on clinical findings or test results. A modified Delphi approach was used. A survey with 74 statements on initial assessment of CC and referral pathways was addressed to a panel of different specialists, who voted the statements in two rounds. Seventy-seven physicians [18 primary care physicians (PCPs), 24 pulmonologists, 22 allergists, and 13 ear, nose, and throat specialists] from the National Healthcare System of Spain answered the questionnaire. After two rounds, the panel reached a consensus on 63 out of the 74 proposed items (85.1%). Consensus was not reached among the panelists of at least one specialty on 15 out of these 63 agreed items. The panel agreed on those clinical aspects that should be evaluated by PCPs in all patients with CC including the impact of CC on quality of life. Agreement was reached on initial actions to be taken in primary care, including substitution of drugs that may induce cough, performing a chest X-ray, introduction of anti-reflux measures, initiation of empirical anti-reflux pharmacological therapy in some cases, and performing a spirometry with bronchodilator test and hemogram if an etiological diagnosis was not reached. The panelists agreed on a list of diseases that PCPs should assess before referring CC patients. Algorithms were developed for initial assessment and targeted referral of patients with CC from primary care. This study provides the perspective of different medical specialists on how to perform a basic assessment of CC patients in primary care and how and when to refer patients to other specialists.Universitat Autònoma de Barcelona. Departament de Medicina 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/319147https://dx.doi.org/urn:doi:10.1177/17534666231178694reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3191472026-06-06T12:50:31Z
dc.title.none.fl_str_mv Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
title Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
spellingShingle Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
Domingo, Christian|||0000-0001-8358-773X
Cough
Delphi technique
Diagnosis
Differential
Interdisciplinary communication
Primary health care
Referral and consultation
Symptom assessment
title_short Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
title_full Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
title_fullStr Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
title_full_unstemmed Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
title_sort Basic assessment of chronic cough in primary care and referral pathways of patients to different specialists
dc.creator.none.fl_str_mv Domingo, Christian|||0000-0001-8358-773X
Gonzálvez, Jaime
Dávila, Ignacio|||0000-0001-8485-5513
del Cuvillo, Alfonso|||0000-0003-4332-0920
Sánchez-Jareño, Marta
Cea-Calvo, Luis
Naberán, Karlos
author Domingo, Christian|||0000-0001-8358-773X
author_facet Domingo, Christian|||0000-0001-8358-773X
Gonzálvez, Jaime
Dávila, Ignacio|||0000-0001-8485-5513
del Cuvillo, Alfonso|||0000-0003-4332-0920
Sánchez-Jareño, Marta
Cea-Calvo, Luis
Naberán, Karlos
author_role author
author2 Gonzálvez, Jaime
Dávila, Ignacio|||0000-0001-8485-5513
del Cuvillo, Alfonso|||0000-0003-4332-0920
Sánchez-Jareño, Marta
Cea-Calvo, Luis
Naberán, Karlos
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona. Departament de Medicina
dc.subject.none.fl_str_mv Cough
Delphi technique
Diagnosis
Differential
Interdisciplinary communication
Primary health care
Referral and consultation
Symptom assessment
topic Cough
Delphi technique
Diagnosis
Differential
Interdisciplinary communication
Primary health care
Referral and consultation
Symptom assessment
description Chronic cough (CC; cough that lasts 8 weeks or longer) poses major effective assessment challenges. Assessment of CC may vary considerably among medical specialists. The aim was to evaluate similarities and consistency of responses across different specialists when performing a basic assessment of CC patients in primary care, and referring patients based on clinical findings or test results. A modified Delphi approach was used. A survey with 74 statements on initial assessment of CC and referral pathways was addressed to a panel of different specialists, who voted the statements in two rounds. Seventy-seven physicians [18 primary care physicians (PCPs), 24 pulmonologists, 22 allergists, and 13 ear, nose, and throat specialists] from the National Healthcare System of Spain answered the questionnaire. After two rounds, the panel reached a consensus on 63 out of the 74 proposed items (85.1%). Consensus was not reached among the panelists of at least one specialty on 15 out of these 63 agreed items. The panel agreed on those clinical aspects that should be evaluated by PCPs in all patients with CC including the impact of CC on quality of life. Agreement was reached on initial actions to be taken in primary care, including substitution of drugs that may induce cough, performing a chest X-ray, introduction of anti-reflux measures, initiation of empirical anti-reflux pharmacological therapy in some cases, and performing a spirometry with bronchodilator test and hemogram if an etiological diagnosis was not reached. The panelists agreed on a list of diseases that PCPs should assess before referring CC patients. Algorithms were developed for initial assessment and targeted referral of patients with CC from primary care. This study provides the perspective of different medical specialists on how to perform a basic assessment of CC patients in primary care and how and when to refer patients to other specialists.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/319147
https://dx.doi.org/urn:doi:10.1177/17534666231178694
url https://ddd.uab.cat/record/319147
https://dx.doi.org/urn:doi:10.1177/17534666231178694
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869415317774532608
score 15.811543

Similares en LA Referencia