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Informing community pharmacists on COPD case-finding methods: A scoping review
Omowumi Idowu1, Meghan Sebastianski2, Janice Y Kung3
1Rexall Pharmacies ULC, Mississauga, Ontario.
Summary
Early detection of Chronic Obstructive Pulmonary Disease (COPD) is crucial. The most effective case-finding strategy involves questionnaires, peak flow meters, and pre-post spirometry for identifying at-risk individuals.
Area of Science:
- Pulmonary Medicine
- Public Health
- Clinical Pharmacy
Background:
- Chronic Obstructive Pulmonary Disease (COPD) presents significant human and economic burdens.
- Early detection is a key strategy to mitigate the impact of COPD.
- Pharmacists can play a vital role in improving COPD case-finding strategies.
Purpose of the Study:
- To provide an overview of current case-finding approaches for COPD.
- To inform pharmacists' strategies for identifying patients with undiagnosed COPD.
- To analyze the effectiveness and yield of various case-finding methods.
Main Methods:
- A comprehensive scoping review was conducted.
- Methodology adhered to Joanna Briggs Institute and PRISMA ScR guidelines.
- Studies were thematically analyzed, focusing on case-finding strategies, yield, and practitioner involvement.
Main Results:
- 170 eligible studies were identified, revealing 20 distinct case-finding approaches.
- Average yields for new COPD cases ranged from 3.8% to 29%.
- The highest yield was achieved using a combination of questionnaires, peak flow meters, and pre-post spirometry, often initiated with questionnaires.
Conclusions:
- The most effective case-finding approach for COPD involves pre-post spirometry after initial screening with a peak flow meter and questionnaire.
- These evidence-based methods can guide pharmacists and researchers in identifying high-risk patients for timely interventions.
- Optimizing case-finding enhances early diagnosis and management of COPD.
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