title: [Chronic obstructive pulmonary disease in real life. LEONPOC study].
abstract: OBJECTIVE
  The purpose of this study was to evaluate different characteristics of COPD patients according to phenotypes and GOLD guidelines.according to GesEPOC phenotypes and GOLD 2011 ABCD guidelines and pharmacological treatment agreement.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  COPD patients aged 40-85 from León were randomly selected from Primary Care database, MEDORA.
  
  
  METHODS
  5222 eligible COPD patients were collected from MEDORA database. We calculated a sample size of 734 patients and finally studied 577 of them.
  
  
  METHODS
  Patientś clinical, functional and health related quality of life information were collected. Spirometry and postbroncodilator test were performed.
  
  
  RESULTS
  A total of 577 patients were included in this study. 28.7% of them did not have a spirometry recorded in their files. 123 patients had a normal or non-obstructive spirometry pattern, so they were excluded from a COPD diagnostic. With regard to treatments, there was an overprescribing of inhaled steroids in patients from GOLD A and B groups, and also in patients with the called exacerbator phenotype (GesEPOC).
  
  
  CONCLUSIONS
  Although there have been several published guidelines, management of COPD patients in real life should be improved.
authors.affiliation: Sección de Neumología, Complejo Asistencial Universitario de León, León, España. Electronic address: sgarciagarcia@saludcastillayleon.es.
authors.forename: Silvia
authors.initials: S
authors.lastname: García García
authors.affiliation: Sección de Neumología, Complejo Asistencial Universitario de León, León, España.
authors.forename: Luis
authors.initials: L
authors.lastname: Carazo Fernández
authors.affiliation: Sección de Neumología, Complejo Asistencial Universitario de León, León, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Juan García
authors.affiliation: Gerencia de Atención Primaria de León, León, España.
authors.forename: José Cesáreo
authors.initials: JC
authors.lastname: Naveiro Rilo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy
keywords: Chronic obstructive pulmonary desease; Diagnostic; Diagnóstico; Enfermedad pulmonar obstructiva crónica; Espirometría; Spirometry; Tratamiento; Treatment