Table S3.
Key indicators for considering a COPD diagnosis: GOLD global strategy by country and by physician type
USA n=200 |
Mexico n=101 |
Brazil n=101 |
France n=100 |
Germany n=100 |
Italy n=100 |
Spain n=100 |
UK n=100 |
NL n=101 |
Russia n=100 |
Japan n=101 |
SK n=103 |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | PC | RS | |
Chronic symptoms of airflow obstruction (wheezing, dyspnea) | ||||||||||||||||||||||||
Yes (%) | 53 | 59 | 15 | 19 | 55 | 69 | 23 | 50 | 20 | 28 | 54 | 81 | 48 | 36 | 51 | 44 | 80 | 85 | 80 | 88 | 41 | 50 | 42 | 59 |
Chronic cough with phlegm/sputum | ||||||||||||||||||||||||
Yes (%) | 36 | 41 | 11 | 15 | 44 | 62 | 38 | 50 | 20 | 12 | 61 | 65 | 37 | 24 | 49 | 24 | 59 | 81 | 61 | 73 | 22 | 32 | 32 | 44 |
History of cigarette smoking/exposure to passive smoking | ||||||||||||||||||||||||
Yes (%) | 77 | 78 | 88 | 85 | 59 | 73 | 85 | 100 | 84 | 76 | 72 | 62 | 44 | 84 | 85 | 92 | 73 | 78 | 50 | 42 | 95 | 89 | 66 | 85 |
Occupational exposure to smoke, fumes, or dust | ||||||||||||||||||||||||
Yes (%) | 9 | 6 | 59 | 77 | 8 | 4 | 27 | 15 | 31 | 20 | 30 | 15 | 8 | 4 | 15 | 16 | 8 | 0 | 15 | 12 | 19 | 14 | 24 | 19 |
Family history of emphysema/bronchitis/COPD | ||||||||||||||||||||||||
Yes (%) | 11 | 10 | 4 | 8 | 15 | 12 | 23 | 15 | 11 | 20 | 7 | 4 | 32 | 48 | 19 | 16 | 8 | 0 | 16 | 23 | 4 | 11 | 18 | 0 |
Notes: Percentages within a physician type will sum to greater than 100%; results from an open-ended question asking physicians to provide the top three most important factors in a patient’s history when establishing a COPD diagnosis; no predefined list provided.
Abbreviations: COPD, chronic obstructive pulmonary disease; GOLD, Global initiative for chronic Obstructive Lung Disease; NL, the Netherlands; SK, South Korea; PC, primary care; RS, respiratory specialist.