通知社区药剂师关于COPD病例发现方法:一个范围审查
Omowumi Idowu1, Meghan Sebastianski2, Janice Y Kung3
1Rexall Pharmacies ULC, Mississauga, Ontario.
概括
早期发现慢性阻塞性肺病 (COPD) 是至关重要的. 最有效的案例发现策略包括问卷,峰值流量计和前后螺旋计,用于识别有风险的个体.
科学领域:
- 肺部医学 肺部医学
- 公共卫生 公共卫生
- 临床药房 临床药房
背景情况:
- 慢性阻塞性肺病 (COPD) 对人类和经济造成重大负担.
- 早期检测是减轻COPD影响的关键策略.
- 药剂师可以在改善COPD病例发现策略方面发挥重要作用.
研究的目的:
- 为 COPD 提供当前病例查找方法的概述.
- 为药剂师确定未诊断的COPD患者的策略提供信息.
- 分析各种案件调查方法的有效性和收益率.
主要方法:
- 进行了全面的范围审查.
- 方法遵循乔安娜·布里格斯研究所和PRISMA ScR指导方针.
- 研究被主题分析,重点关注案例寻找策略,收益率和从业人员参与.
主要成果:
- 确定了170项符合条件的研究,揭示了20种不同的案例调查方法.
- 新出现的COPD病例的平均收益率在3.8%至29%之间.
- 使用问卷,峰值流量计和前后螺旋计的组合实现了最高的产量,通常是通过问卷开始的.
结论:
- 对于COPD,最有效的病例查找方法是使用峰值流量计和问卷进行初始查后进行前后螺旋计.
- 这些基于证据的方法可以指导药剂师和研究人员识别高风险患者及时干预.
- 优化案例寻找可以提高COPD的早期诊断和管理.
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