title: [Early detection of COPD by high risk population spirometric screening].
abstract: COPD is the most frequent chronic lung disease in Poland. The disease is however under-diagnosed, especially at the early stages. The aim of the study was to assess the efficacy of spirometric screening for COPD in middle aged smokers. Informations on causes and symptoms of COPD were disseminated in mass media in 14 large cities. Subject aged over 39 and with smoking history of > 10 packyears were invited for a free spirometry in local chest clinic. However, everyone attending had the spirometry performed. Spirometry was performed according to ATS recommendations. Airway obstruction (AO) was diagnosed when FEV1/FVC < 85% of N and categorised as mild (FEV1 > 70% of N), moderate (FEV1 50-69% of N) or severe (FEV1 < 50% of N). Spirometry was accompanied by an antismoking advice.
  
  
  RESULTS
  12.781 subjects were screened (mean age 52 +/- 12 years, 57% males). In 8.269 subjects who complied with inclusion criteria AO was diagnosed in 29.8% (mild in 10.9%, moderate in 12% and severe in 6.9%). In smokers < 40 years of age and a history of < 10 packyears AO was found in 8.8% (mild in 6.0%, moderate in 1.8% and severe in 1.0%).
  
  
  CONCLUSIONS
  Mass spirometry is an effective and easy method for early detection of COPD.
authors.affiliation: Instytut Gruźlicy i Chorób Płuc, Klinika Chorób Płuc, Warszawa.
authors.forename: J
authors.initials: J
authors.lastname: Zieliński
authors.forename: M
authors.initials: M
authors.lastname: Czajkowska-Malinowska
authors.forename: Z
authors.initials: Z
authors.lastname: Sankowski
authors.forename: A
authors.initials: A
authors.lastname: Kisło
authors.forename: K
authors.initials: K
authors.lastname: Krawczyk
authors.forename: W
authors.initials: W
authors.lastname: Skucha
authors.forename: A
authors.initials: A
authors.lastname: Zalewska
authors.forename: W
authors.initials: W
authors.lastname: Remiszewski
authors.forename: T
authors.initials: T
authors.lastname: Kachel
authors.forename: B
authors.initials: B
authors.lastname: Cynowska
authors.forename: M
authors.initials: M
authors.lastname: Jedrzejczak
authors.forename: I
authors.initials: I
authors.lastname: Lichota
authors.forename: U
authors.initials: U
authors.lastname: Czechowska
authors.forename: E
authors.initials: E
authors.lastname: Trawińska
authors.forename: M
authors.initials: M
authors.lastname: Bednarek
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D015897:Comorbidity; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008173:Lung Diseases, Obstructive / Q000175:diagnosis* / Q000453:epidemiology; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D012907:Smoking / Q000453:epidemiology; D013147:Spirometry