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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/39436

Title: Clinical Audits in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Methodological Considerations and Workflow
Authors: López-Campos, José Luis
Abad Arranz, María
Calero Acuña, Carmen
Romero Valero, Fernando
Ayerbe García, Ruth
Hidalgo Molina, Antonio
Aguilar Pérez-Grovas, Ricardo Ismael
García Gil, Francisco
Casas-Maldonado, Francisco
Caballero Ballesteros, Laura
Sánchez Palop, María
Pérez-Tejero, Dolores
Segado, Alejandro
Calvo Bonachera, José
Hernández Sierra, Bárbara
Doménech, Adolfo
Arroyo Varela, Macarena
González Vargas, Francisco
Cruz Rueda, Juan José
Issue Date: 2015
Abstract: Objectives: Previous clinical audits for chronic obstructive pulmonary disease (COPD) have provided valuable information on the clinical care delivered to patients admitted to medical wards because of COPD exacerbations. However, clinical audits of COPD in an outpatient setting are scarce and no methodological guidelines are currently available. Based on our previous experience, herein we describe a clinical audit for COPD patients in specialized outpatient clinics with the overall goal of establishing a potential methodological workflow.
Methods: A pilot clinical audit of COPD patients referred to respiratory outpatient clinics in the region of Andalusia, Spain (over 8 million inhabitants), was performed. The audit took place between October 2013 and September 2014, and 10 centers (20% of all public hospitals) were invited to participate. Cases with an established diagnosis of COPD based on risk factors, clinical symptoms, and a post-bronchodilator FEV1/FVC ratio of less than 0.70 were deemed eligible. The usefulness of formally scheduled regular follow-up visits was assessed. Two different databases (resources and clinical database) were constructed. Assessments were planned over a year divided by 4 three-month periods, with the goal of determining seasonal-related changes. Exacerbations and survival served as the main endpoints.
Conclusions: This paper describes a methodological framework for conducting a clinical audit of COPD patients in an outpatient setting. Results from such audits can guide health information systems development and implementation in real-world settings.
Sponsorship: This study was financially supported by an unrestricted grant from Laboratorios Menarini, SA (Barcelona, Spain).
Publisher: Public Library of Science (PLOS)
Keywords: Chronic obstructive pulmonary disease
Bronchodilators
Drugtherapy
Outpatients
Hospitals
Outpatient clinics
Patients
Databases
URI: http://hdl.handle.net/10481/39436
ISSN: 1932-6203
Rights : Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License
Citation: López-Campos, J.L.; et al. Clinical Audits in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Methodological Considerations and Workflow. Plos One, 10(11): e0141856 (2015). [http://hdl.handle.net/10481/39436]
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