Detección de casos de EPOC en atención primaria en 4 países de Latinoamérica: Metodología del Estudio PUMA

Translated title of the contribution: COPD screening in primary care in four latin American countries: Methodology of the PUMA study

Eduardo Schiavi, Roberto Stirbulov, Ramón Hernández Vecino, Sandra Mercurio, Valentina Di Boscio, Gustavo Zabert, Carlos Aguirre, Alejandra Rey, Dolores Moreno, María Montes De Oca, Alejandro Casas, Eliseo Guallar, José Jardim, María Victorina López Varela, Alejandra Ramírez Venegas

Research output: Contribution to journalArticlepeer-review


Introduction: The prevalence of COPD among patients treated in the healthcare system in Latin America is unknown. The PUMA study (Prevalencia y práctica habitUal -diagnóstico y tratamiento- en población de riesgo de EPOC en Médicos generalistas de 4 países de América Latina) screened at-risk patients attending primary care centers to evaluate the prevalence, diagnosis and treatment of COPD in this setting. The aim of this report is to describe the study methodology. Methods: Multicenter, observational, cross-sectional study conducted in Argentina, Colombia, Uruguay and Venezuela. Subjects were. ≥. 40 years, smokers, former smokers and/or exposed to fossil fuels attending primary care centers. Eligible patients underwent pre- and post- bronchodilator spirometry and completed standardized questionnaires on demographics, smoking, exposure to environmental/domestic pollution, symptoms/history and management of respiratory diseases, comorbidities, and use of healthcare resources. Results: A total of 57 centers in 4 countries participated; 1,907 patients were included, 1,743 completed the PUMA questionnaire and 1,540 patients underwent validated spirometry. Conclusions: We describe the methodology used in the PUMA study, the first systematic multicenter study in four Latin American countries aimed at detecting COPD cases confirmed by spirometry in primary care. Approximately 90% of patients who completed the PUMA questionnaire underwent valid spirometry tests. This gives room for reflection on the feasibility of opportunistic screening at the primary care level to detect patients in the early stages of COPD or with undiagnosed COPD, and improve the diagnosis and management of this disease.

Translated title of the contributionCOPD screening in primary care in four latin American countries: Methodology of the PUMA study
Original languageSpanish
Pages (from-to)469-474
Number of pages6
JournalArchivos de Bronconeumologia
Issue number11
StatePublished - Nov 1 2014


  • Chronic obstructive pulmonary disease
  • Diagnosis
  • Opportunistic screening
  • Prevalence
  • Primary care
  • Spirometry

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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