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Pulmonary Medicine
Volume 2017, Article ID 7620397, 5 pages
Research Article

Guideline-Based Early Detection of Chronic Obstructive Pulmonary Disease in Eight Danish Municipalities: The TOP-KOM Study

1Municipality of Vordingborg, Health Secretariat, Langgade 57, 4780 Stege, Denmark
2Municipality of Billund, Department of Health, Sydtoften 102, 7200 Grindsted, Denmark
3Pfizer Denmark ApS, Lautrupvang 8, 2750 Ballerup, Denmark
4Dmc Dollerup Medical Consultancy, Holmegårdsvej 49, 3100 Hornbæk, Denmark

Correspondence should be addressed to Peter Bo Poulsen; moc.rezifp@nesluop.obretep

Received 26 October 2016; Accepted 26 January 2017; Published 20 February 2017

Academic Editor: Kazuyoshi Kuwano

Copyright © 2017 Ulla Borup Hemmingsen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Early detection of chronic obstructive pulmonary disease (COPD) and prevention of disease progression are important. Only 40% of COPD cases are diagnosed in Denmark. Recommendations for early case finding have been established. This study investigates early detection of pulmonary obstruction in a Danish municipality setting. Methods. Eight municipalities participated. Citizens fulfilling national case finding recommendations, age ≥35 years, smokers/ex-smokers/relevant occupational exposure, and at least one respiratory symptom, were invited to spirometry. Citizens with indication of pulmonary obstruction, forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) < 0.70, were referred to their general practitioner (GP). Results. 1,499 citizens were examined (53.6% male, mean age 57.2 years). 44.8% were current smokers with 57% planning for smoking cessation. The citizens recorded significant airway symptoms with dyspnea being the most important (71%). The mean FEV1/FVC score was 73.54 (SD 22.84). 456 citizens (30.4%) were found to have indication for pulmonary obstruction and were referred to GP for further diagnosis. Conclusion. Early detection in Danish municipalities proved effective finding nearly 1/3 being pulmonary obstructive. It seems to be of value to have municipalities to perform case finding together with smoking cessation as a primary intervention in COPD management.