Bronchiectasis
Conditions
Keywords
Bronchiectasis, pulmonary exacerbations, pulmonary infections
Brief summary
A study of an educational intervention of primary care practice physicians to assist in the identification of patients who have Bronchiectasis and to assess the effectiveness of the specific didactic educational intervention targeting primary care physicians in the recognition of Bronchiectasis.
Detailed description
A pilot study will be conducted for the purpose of evaluating an educational intervention (Description in Appendix A). As part of the educational intervention, primary care physician(s) will be trained in the use of an algorithm to guide assessment of patients seen with a respiratory chief complaint, and who have not previously been identified as having a diagnosis of BE. We propose an evaluation of three primary care practice(s) to compare the number of patients identified in three three-month periods as having a diagnosis of BE. The evaluation periods will be as follows: Period 1) the three-month period immediately following the intervention, Period 2) the three-month period immediately preceding the intervention, Period 3) the three month period starting one year prior to the intervention.
Interventions
The purpose of this study is to assess the accuracy of primary care physicians in diagnosing BE and evaluate the impact of an educational intervention targeting those primary care physicians and providing instruction in the recognition and treatment of BE. The hope is that a better understanding of the disease will result in more accurate diagnoses and ultimately in more appropriate care for these patients. In addition to better care for patients, earlier recognition of bronchiectasis may result in a decrease in health care costs.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Respiratory is the chief complaint 2. Patient \> 35 years of age 3. Seen in practice for \> 12 months
Exclusion criteria
1\) Prior diagnosis with bronchiectasis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number / Percent of BE patients | 18 months | The primary outcome for this study will be the number/proportion of patients that meet entrance criteria that are subsequently diagnosed with bronchiectasis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| HRCT patients | 18 months | Secondary outcomes are the number/proportion of those subjects that undergo HRCT, and the number/proportion of subjects that are then identified as having Bronchiectasis. |
Countries
United States