title: Continuing to confront COPD International Surveys: comparison of patient and physician perceptions about COPD risk and management.
abstract: OBJECTIVE
  Using data from the Continuing to Confront COPD International Physician and Patient Surveys, this paper describes physicians' attitudes and beliefs regarding chronic obstructive pulmonary disease (COPD) prognosis, and compares physician and patient perceptions with respect to COPD.
  
  
  METHODS
  In 12 countries worldwide, 4,343 patients with COPD were identified through systematic screening of population samples, and 1,307 physicians who regularly saw patients with COPD were sampled from in-country professional databases. Both patients and physicians completed surveys about their COPD knowledge, beliefs, and perceptions; physicians answered further questions about diagnostic methods and treatment choices for COPD.
  
  
  RESULTS
  Most physicians (79%) responded that the long-term health outlook for patients with COPD has improved over the past decade, largely attributed to the introduction of better medications. However, patient access to medication remains an issue in many countries, and some physicians (39%) and patients (46%) agreed/strongly agreed with the statement "there are no truly effective treatments for COPD". There was strong concordance between physicians and patients regarding COPD management practices, including the use of spirometry (86% of physicians and 76% of patients reporting they used/had undergone a spirometry test) and smoking cessation counseling (76% of physicians reported they counseled their smoking patients at every clinic visit, and 71% of smoking patients stated that they had received counseling in the past year). However, the groups differed in their perception about the role of smoking in COPD, with 78% of physicians versus 38% of patients strongly agreeing with the statement "smoking is the cause of most cases of COPD".
  
  
  CONCLUSIONS
  The Continuing to Confront COPD International Surveys demonstrate that while physicians and patients largely agreed about COPD management practices and the need for more effective treatments for COPD, a gap exists about the causal role of smoking in COPD.
authors: Federal University of Pelotas, Pelotas, Brazil.
authors: Ana M
authors: AM
authors: Menezes
authors: Worldwide Epidemiology, GlaxoSmithKline, Uxbridge, UK.
authors: Sarah H
authors: SH
authors: Landis
authors: Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA.
authors: MeiLan K
authors: MK
authors: Han
authors: Worldwide Epidemiology, GlaxoSmithKline, Uxbridge, UK.
authors: Hana
authors: H
authors: Muellerova
authors: Pulmonology Research Institute, Moscow, Russia.
authors: Zaurbek
authors: Z
authors: Aisanov
authors: University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
authors: Thys
authors: T
authors: van der Molen
authors: University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
authors: Yeon-Mok
authors: YM
authors: Oh
authors: Tohoku University Graduate School of Medicine, Sendai, Japan.
authors: Masakazu
authors: M
authors: Ichinose
authors: University of Kentucky College of Public Health, Lexington, KY, USA.
authors: David M
authors: DM
authors: Mannino
authors: Worldwide Epidemiology, GlaxoSmithKline, Wavre, Belgium.
authors: Kourtney J
authors: KJ
authors: Davis
mesh_terms: D001291:Attitude of Health Personnel; D001938:Brazil; D001993:Bronchodilator Agents / Q000600:supply & distribution / Q000627:therapeutic use; D005060:Europe; D005260:Female; D019983:Guideline Adherence / Q000592:standards / Q000639:trends*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007564:Japan; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D010465:Perception; D017410:Practice Guidelines as Topic / Q000592:standards; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000639:trends*; D011237:Predictive Value of Tests; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D056910:Republic of Korea; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation; D000074606:Smoking Prevention; D013147:Spirometry; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States
chemical_list: D001993:Bronchodilator Agents
keywords: beliefs; chronic obstructive pulmonary disease; patient survey; perceptions; physician survey
references: Am J Med. 2005 Dec;118(12):1415
references: 16378794
references: Int J Chron Obstruct Pulmon Dis. 2008;3(2):311-7
references: 18686740
references: Int J Chron Obstruct Pulmon Dis. 2008;3(3):371-84
references: 18990964
references: Int J Chron Obstruct Pulmon Dis. 2012;7:101-8
references: 22371651
references: Int J Chron Obstruct Pulmon Dis. 2012;7:271-82
references: 22563246
references: Respir Med. 2012 Jul;106(7):989-97
references: 22483189
references: Lancet. 2012 Dec 15;380(9859):2095-128
references: 23245604
references: Lancet. 2012 Dec 15;380(9859):2197-223
references: 23245608
references: Respir Med. 2012 Dec;106 Suppl 2:S60-74
references: 23290705
references: Prim Care Respir J. 2013 Mar;22(1):79-85
references: 23443222
references: Can Respir J. 2013 Mar-Apr;20(2):97-105
references: 23616966
references: J Prim Care Community Health. 2013 Jul 1;4(3):172-6
references: 23799703
references: Respir Med. 2013 Oct;107(10):1481-90
references: 23643487
references: PLoS One. 2013;8(12):e80633
references: 24312488
references: Int J Chron Obstruct Pulmon Dis. 2014;9:597-611
references: 24944511
references: Int J Chron Obstruct Pulmon Dis. 2015;10:39-55
references: 25565799
references: Eur Respir J. 2002 Oct;20(4):799-805
references: 12412667
references: Respir Med. 2004 Oct;98(10):932-7
references: 15481268
references: Respirology. 2005 Jun;10(3):341-8
references: 15955147