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Related Experiment Videos

Should general practitioners screen smokers for COPD?

Tone Smith-Sivertsen1, Guri Rortveit

  • 1Department of Public Health and Primary Health Care, University of Bergen, Norway. tone.smith-sivertsen@isf.uib.no

Scandinavian Journal of Primary Health Care
|March 16, 2005
PubMed
Summary
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Screening for early chronic obstructive lung disease (COPD) using spirometry is not currently recommended for smokers. More research is needed to prove spirometry aids smoking cessation efforts.

Area of Science:

  • Pulmonary Medicine
  • General Practice
  • Preventive Healthcare

Background:

  • Chronic obstructive lung disease (COPD) can often be diagnosed via spirometry before symptom onset.
  • General practitioners are increasingly encouraged to screen smokers for early COPD.
  • Smoking cessation is the primary intervention for improving COPD prognosis, yet motivation through lung function results lacks evidence.

Purpose of the Study:

  • To evaluate the justification for screening for early chronic obstructive lung disease (COPD).

Main Methods:

  • A literature search was conducted on PubMed using terms: "mass screening", "COPD", and "spirometry".

Main Results:

  • Current evidence does not support spirometry screening as an aid to smoking cessation.

Related Experiment Videos

  • There is a lack of documentation showing that knowledge of lung function results motivates smoking cessation.

    • Conclusions:

    • Screening for pre-clinical COPD in general practice is not advised without further evidence from randomized controlled trials and cost-benefit analyses.
    • Spirometry should be offered to patients with smoking-related symptoms to identify those who may benefit from treatment.
    • General practitioners should consistently offer smoking cessation counseling to all smokers, irrespective of their lung function.