Making a diagnosis of COPD – ICST

National Welsh Standard

Making a diagnosis of COPD

The aim of this programme is to help instil correct COPD diagnosis in practice, identify patients on COPD registers that may not have the condition, and to identify the missing patients who may be living with undiagnosed COPD.

Check out the All Wales guideline, TV show and tutorials on the diagnosis of COPD in practice. When you are ready, navigate to the assessment to achieve the certificate.

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Tutorials
Sub-tutorials
Guidelines
Resources
Assessments
QI Projects

NICE Quality standards [QS10]:

People aged over 35 years who present with a risk factor and one or more symptoms of chronic obstructive pulmonary disease (COPD) have post‑bronchodilator spirometry.

TV Show: Making a diagnosis of COPD

The publication of the National COPD audit has highlighted some of the key issues in respiratory care. Anonymised routine data extracted from the records of almost 50,000 patients on COPD registers in Welsh general practices highlight that there are serious concerns about the diagnosis of COPD; one in four patients on COPD registers in Wales do not have a record of post-bronchodilator spirometry, and therefore could be mis-diagnosed.

The All-Wales COPD Management and Prescribing guideline is a simple, one-page guideline, providing specific guidance for anyone making a diagnosis of COPD across Wales. It standardises the diagnostic process, and provides a consistent approach to care in Wales.

In this TV show, Natalie Janes, Respiratory Nurse Specialist, explores the problem further and introduces the Guideline.

Mark as Understood

Tutorials

The Clinical Assessment

Confirming a diagnosis of COPD

Sub-tutorials

The breathlessness pathway

Subjective clinical impression of COPD

Screening or case finding?

Pre and post bronchodilator spirometry

Spirometry and COPD diagnosis

Consider a differential diagnosis

Asthma COPD Overlap Syndrome (ACOS)

The impact of misdiagnosis

Guidelines

	All-Wales COPD Management and Prescribing Guideline

Resources

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Global Strategy for the Diagnosis, Management and Prevention of COPD

The GOLD report has been used worldwide as a “strategy document” for healthcare professionals to use as a tool to implement effective management programmes based on local healthcare systems. The ABCD assessment tool has been used by many to structure their assessment of COPD symptom burden and create treatment plans.

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Quality Assured Diagnostic Spirometry for Chronic Obstructive Pulmonary Disease

The aim of this article is to provide an overview of the role of Quality Assured Diagnostic Spirometry in ensuring the appropriate diagnosis of COPD.

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NICE Quality Standard: Chronic obstructive pulmonary disease in adults

This quality standard covers the assessment, diagnosis and management of chronic obstructive
pulmonary disease (COPD). It does not cover prevention, screening or case finding.

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Opportunities to diagnose COPD in routine care in the UK: a retrospective study of a clinical cohort

Patterns of health-care use and comorbidities present in patients in the period before diagnosis of chronic obstructive pulmonary disease (COPD) are unknown. We investigated these factors to inform future case-finding strategies.

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Diagnosis and management of COPD in primary care

A guide for those working in primary care, produced by PCRS-UK, is endorsed by the Royal College of General Practitioners and the British Lung Foundation.

Assessments

Making a Diagnosis of COPD

45-minute case-based assessment

25 multiple choice questions

80% pass mark (20 out of 25)

Unlimited retakes

On successful completion, your certificate will appear under this tab.

Undertake Assessment

QI Projects

Getting the diagnosis right for patients on the COPD register

Fixing the COPD register (Project ONE of TWO)

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completed

Overview of the project

This is the first of two projects, with the aim to review the COPD register and ensure all patients have an accurate diagnosis of COPD.

Why is it important?

Data collected from GP practices across Wales suggest that only 11.5% patients on the COPD registers have evidence to support their diagnosis of COPD.

Getting the diagnosis right for patients on the COPD register

The COPD Diagnostic Review (Project TWO of TWO)

0%
completed

Overview of the project

This is the second of two projects, which involves inviting a patient in for a review of their COPD diagnosis and coding them correctly.

Why is it important?

Data collected from GP practices across Wales suggest that only 11.5% patients on the COPD registers have evidence to support their diagnosis of COPD.

Your Collections

Making a diagnosis of COPD

NICE Quality standards [QS10]:

Your Collections

TV Show: Making a diagnosis of COPD

Tutorials

Your Collections

The Clinical Assessment

Your Collections

Confirming a diagnosis of COPD

Sub-tutorials

Your Collections

The breathlessness pathway

Your Collections

Subjective clinical impression of COPD

Your Collections

Screening or case finding?

Your Collections

Pre and post bronchodilator spirometry

Your Collections

Spirometry and COPD diagnosis

Your Collections

Consider a differential diagnosis

Your Collections

Asthma COPD Overlap Syndrome (ACOS)

Your Collections

The impact of misdiagnosis

Guidelines

Your Collections

All-Wales COPD Management and Prescribing Guideline

Resources

Your Collections

Global Strategy for the Diagnosis, Management and Prevention of COPD

Your Collections

Quality Assured Diagnostic Spirometry for Chronic Obstructive Pulmonary Disease

Your Collections

NICE Quality Standard: Chronic obstructive pulmonary disease in adults

Your Collections

Opportunities to diagnose COPD in routine care in the UK: a retrospective study of a clinical cohort

Your Collections

Diagnosis and management of COPD in primary care

Assessments

Your Collections

Making a Diagnosis of COPD

QI Projects

Your Collections

Getting the diagnosis right for patients on the COPD register

Overview of the project

Why is it important?

Your Collections

Getting the diagnosis right for patients on the COPD register

Overview of the project

Why is it important?