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Published on: August 24, 2019
Pharmacist-managed chronic obstructive pulmonary disease screening in a community setting.
Leah Fuller1, Wayne F Conrad, Pamela C Heaton
1College of Pharmacy, University of Cincinnati, 3225 Eden Ave., Cincinnati, OH 45267-0004, USA. leah.fuller@stores.kroger.com
Journal of the American Pharmacists Association : Japha
|September 15, 2012
Summary
Community pharmacists can accurately perform spirometry for chronic obstructive pulmonary disease (COPD) screening. This pharmacy-based screening also encouraged smoking cessation program enrollment among participants.
Area of Science:
- Community Pharmacy Practice
- Respiratory Medicine
- Public Health Screening
Background:
- Chronic Obstructive Pulmonary Disease (COPD) is a significant public health concern.
- Early detection through screening can improve patient outcomes.
- Community pharmacies offer accessible points for health interventions.
Purpose of the Study:
- To implement and evaluate spirometry-based COPD screening in a community pharmacy chain.
- To assess the accuracy and reproducibility of spirometry performed by pharmacists.
- To determine the impact of screening on enrollment in smoking cessation programs.
Main Methods:
- Prospective study conducted in community pharmacies and off-site events.
- Pharmacists administered validated COPD screening questionnaires and performed spirometry on individuals over 35 years old.
- Results were interpreted, communicated to patients, and sent to primary care physicians.
Main Results:
- Pharmacists achieved high technical quality (99% acceptable, 90% reproducible spirometry).
- Airflow limitation was detected in 9% of patients.
- Screening identified individuals at risk, with some current smokers enrolling in cessation programs.
Conclusions:
- Pharmacists are capable of performing accurate and reproducible spirometry in a community pharmacy setting.
- Pharmacy-based spirometry is a feasible method for COPD screening.
- The intervention showed potential to increase engagement with smoking cessation services.
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