Imperial College London
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DrCosettaMinelli

Faculty of Medicine, National Heart & Lung Institute

Emeritus Reader in Medical Statistics
 
 
 
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Contact

 

cosetta.minelli1 Website

 
 
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Location

 

G 49Emmanuel Kaye BuildingRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Gayle:2022:10.3399/BJGPO.2022.0060,
author = {Gayle, A and Lenoir, A and Minelli, C and Quint, J},
doi = {10.3399/BJGPO.2022.0060},
journal = {British Journal of General Practice Open},
title = {Are we missing lifetime COPD diagnosis among people with COPD recorded death?},
url = {http://dx.doi.org/10.3399/BJGPO.2022.0060},
volume = {6},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: The British Lung Foundation previously estimated that 2.2 million symptomatic but undiagnosed people with COPD live in the UK. Aim: This study investigates the proportion of patients with a missed COPD diagnosis among those with COPD as the cause of death on their death certificate and how this has changed over the past 17 years. Design and Setting: We linked Clinical Practice Research Datalink Aurum and GOLD primary care data with Office for National Statistics mortality data and Hospital Episode Statistics data. We included adults who died between 2000 and 2017 with COPD as their main cause of death.  Method: Using a range of diagnostic COPD criteria, we estimated the proportion of patients with a missed COPD diagnosis, and described the demographic and clinical characteristics of patients with and without prior COPD diagnosis using a mixed effect logistic regression model. Results: Depending on the COPD definition used, between 96% and 27% of the 78,621 patients included received a diagnosis of COPD prior to death. Using presence of a COPD Read or SNOMED CT code and performed spirometry as a main definition, just over half of the patients (52%) had received a COPD diagnosis overall, with a proportion of those who did not decreasing from 91% in 2000 to 31% in 2017 (p-trend <0.001). Conclusion: The proportion of people with COPD-recorded death who had received a diagnosis of COPD has improved over time and currently represents the majority of them, suggesting that few patients are being missed.
AU  - Gayle,A
AU  - Lenoir,A
AU  - Minelli,C
AU  - Quint,J
DO  - 10.3399/BJGPO.2022.0060
PY  - 2022///
SN  - 2398-3795
TI  - Are we missing lifetime COPD diagnosis among people with COPD recorded death?
T2  - British Journal of General Practice Open
UR  - http://dx.doi.org/10.3399/BJGPO.2022.0060
UR  - http://hdl.handle.net/10044/1/97881
VL  - 6
ER  -
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