Deteksi Dini Penyakit Paru Obstruktif Kronis dengan Metode CaptureTM: Potensi Skrining Rutin di Layanan Kesehatan Primer
Keywords:
Keywords: CAPTURE method, COPD, primary health care, routine screening testAbstract
Pendahuluan: Penyakit Paru Obstruktif Kronik (PPOK) adalah salah satu dari sepuluh besar penyebab utama kematian di Indonesia. Prevalensi dan angka kematian akibat PPOK yang tinggi menunjukkan pentingnya deteksi dan tatalaksana dini PPOK. Gold standard diagnosis PPOK adalah spirometri. Namun, penggunaan spirometri untuk tes skrining rutin tidak dianjurkan dan sulit dilakukan di layanan kesehatan primer. Maka dari itu, diperlukan metode skrining yang lebih efektif dan sederhana.
Pembahasan: Metode CAPTURETM menggunakan lima pertanyaan sederhana untuk menilai adanya paparan, gangguan napas, rasa mudah lelah, dan penyakit pernapasan akut selama 12 bulan terakhir. Berdasarkan skor kuesioner tersebut, dapat ditentukan apakah perlu pemeriksaan lanjutan yang diperlukan berupa peak flow meter dan/atau spirometri. Dengan demikian, deteksi dini pasien PPOK simtomatik dan/atau berisiko eksaserbasi akut dapat dilakukan dengan lebih efektif.
Kesimpulan: Metode CAPTURETM memiliki potensi untuk digunakan sebagai tes skrining rutin PPOK yang efektif di layanan kesehatan primer.
Kata Kunci: layanan kesehatan primer, metode CAPTURE, PPOK, tes skrining rutin.
References
1. Adeloye, D., S. Chua, C. Lee, C. Basquill, A. Papana, E. Theodoratou E, et. al. Global and regional estimates of COPD prevalence: Systematic review and meta– analysis. J Glob Heal. 2015;5(2):020415.
2. GBD 2015 Chronic Respiratory Disease Collaborators. Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Respir Med. 2017;5(9):691– 706.
3. Alwan A. Global status report on noncommunicable diseases 2010. Geneva: World Health Organization, 2011.
4. Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar. Jakarta: Kementerian Kesehatan Republik Indonesia, 2013.
5. Tim Kelompok Kerja PPOK. PPOK (Penyakit Paru Obstruktif Kronis): Diagnosis dan Penatalaksanaan. Jakarta: Perhimpunan Dokter Paru Indonesia, 2011.
6. Tana, L., Delima, M. Sihombing, S. Muljati, L. Ghani. Sensitifitas dan Spesifisitas Pertanyaan Gejala Saluran Pernapasan dan Faktor risiko untuk Kejadian Penyakit Paru Obstruktif Kronik (PPOK). Bul Penelit Kesehat. 2016;44(4):287–96.
7. Soriano, J. B., J. Zielinski, D. Price. Screening for and early detection of chronic obstructive pulmonary disease. Lancet.2009;374(9691):721–32.
8. Hegewald, M. J., H. M. Gallo, E. L. Wilson. Accuracy and Quality of Spirometry in Primary Care Offices. AnnalsATS. 2016;13(12):2119–24.
9. Global Initiative for Chronic Obstructive Lung Disease. Pocket Guide to COPD Diagnosis, Management and Prevention. Global Initiative for Chronic Obstructive Lung Disease, 2018.
10. Postma, D. S., G. Brusselle, A. Bush,J. W. Holloway. I have taken my umbrella, so of course it does not rain. Thorax. 2012;67:88–9.
11. Guirguis-Blake, J. M., C. A. Senger,E. M. Webber, R. Mularski, E. P. Whitlock. Screening for Chronic Obstructive Pulmonary Disease: Evidence Report and Systematic Review for the US Preventive Services Task Force. Rockville: Agency for Healthcare Research and Quality, 2016.
12. Martinez, F. J., A. E. Raczek, F. D. Seifer, C. S. Conoscenti, T. G. Curtice, T. D’Eletto, et.al. Development and initial validation of a self-scored COPD Population Screener Questionnaire (COPD-PS). COPD J Chronic Obstr Pulm Dis. 2008;5:85–95.
13. Yawn, B. P., D. W. Mapel, D. M. Mannino, F. J. Martinez, J. F.Donohue, N. A. Hanania, et. al. Development of the Lung Function Questionnaire (LFQ) to identify airflow obstruction. Int J Chron Obs Pulmon Dis. 2010;5:1–10.
14. Han, M. K., A. W. Steenrod, E. D. Bacci, N. K. Leidy, D. M. Mannino, B. M. Thomashow, et. al. Identifying patients with undiagnosed COPD in primary care settings: insight from screening tools and epidemiologic studies. Chronic Obs Pulm Dis. 2015;2:103–21.
15. Martinez, F. J., D. Mannino, N. K. Leidy, K. G. Malley, E. D. Bacci, R. G. Barr, et.al. A New Approach for Identifying Patients with Undiagnosed Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2017;195(6):748–56.
16. Susanti, P. F. E. Influence of Smoking on Chronic Obstructive Pulmonary Disease (COPD). Med J Lampung Univ. 2015;4(5):67–75.
17. Welte, T., C. Vogelmeier, A. Papi. COPD: early diagnosis and treatment to slow disease progression. Int J Clin Pr. 2015;69(3):336–49.
18. López-Campos, J. L., W. Tan, J. B. Soriano. Global burden of COPD. Respirology. 2016;21(1):14–23.
19. Maxim, L. D., R. Niebo, M. J. Utell. Screening tests: a review with examples. Inhal Toxicol. 2014;26(13):811–828.
20. U.S. Preventive Services Task Force. Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Recommendation Statement. Am Fam Physician. 2009;80(8):853–4.
21. Vandevoorde, J., S. Verbanck, L. Gijssels, D. Schuermans, D. Devroey, J. D. Backer, et.al. Early detection of COPD: A case finding study in general practice. Respiratory medicine. 2007;101(3):525–30.
22. U.S. Preventive Services Task Force. Screening for Chronic Obstructive Pulmonary Disease:Recommendation Statement. Am Fam Physician. 2016;94(2):142A– 142C.
23. Jin, J. Screening for Chronic Obstructive Pulmonary Disease. JAMA. 2016;315(13):1419.
24. Ford, E. S., D. M. Mannino, A. G. Wheaton, W. H. Giles, L. Presley- Cantrell, J. B. Croft. Trends in The Prevalence of Obstructive and Restrictive Lung Function Among Adults in the United States: Findings from the National Health and Nutrition Examination Surveys from 1988-1994 to 2007-2010. Chest. 2013;143(5):1395–406.
25. Freeman, D., R. J. Nordyke, S. Isonak, D. V. Nonikov, J. M. Maroni, D. Price, et.al. Questions for COPD diagnostic screening in a primary care setting. Respir Med. 2005;99(10):1311–1318.
26. Nelson, S. B., L. M. Lavange, Y. Nie, J. W. Walsh, P. L. Enrigh, F. Martínez, et. al. Questionnaires and pocket spirometers provide an alternative approach for COPD screening in the general population. Chest. 2012;142:358–66.
27. Criner, G. J., J. Bourbeau, R. L. Diekemper, D. R. Ouellette, D. Goodridge, P. Hernandez, et. al. Executive Summary: Prevention of Acute Exacerbation of COPD: American College of Chest Physicians and Canadian Thoracic Society Guideline. Chest. 2015;147(4):894–942.
28. Leidy, N. K., K. Kim, E. D. Bacci, B. P. Yawn, D. M. Mannino, B. M. Thomashow, et. al. Identifying cases of undiagnosed, clinically significant COPD in primary care: qualitative insight from patients in the target population. NPJ Prim Care Respir Med. 2015;25:1–8.
29. Stanley, A. J., I. Hasan, A. J. Crockett, O. C. van Schayck, N. A. Zwar. Validation of the COPD Diagnostic Questionnaire in an Australian general practice cohort: a cross-sectional study. Prim Care Respir J. 2014;23(1):92–7.
30. Walters, J. A., E. H. Walters, M. Nelson, A. Robinson, J. Scott, P. Turner, et. al. Factors associated with misdiagnosis of COPD in primary care. Prim Care Respir J. 2011;20(4):396–402.
31. Spyratos, D., D. Chloros, A. B. Haidich, N. Hatzidimitriou, A. Karoulias, D. Nella, et. al. Comparison among three screening questionnaires for COPD diagnosis in the primary care. Eur Respir J. 2013;42(Suppl 57):P266.
32. Cooper, B. G. An update on contraindications for lung function testing. Thorax. 2011;66:714–23.
33. Cooper, B. G. Limitations to spirometry being performed in “the office”. Chron Respir Dis. 2005;2:113–5.
34. Haroon, S., R. Jordan, Y. Takwoingi, P. Adab. Diagnostic accuracy of screening tests for COPD: a systematic review and meta- analysis. BMJ Open. 2015;5:e008133.
35. Shin, B., S. L. Cole, S. J. Park, D. K. Ledford, R. F. Lockey. A New Symptom-Based Questionnaire for Predicting the Presence of Asthma. J Investig Allergol Clin Immunol. 2010;20(1):27–34.
36. Taylor, J. A., W. J. Weber, E. T. Martin, R. L. McCarty, J. A. Englund. Development of a symptom score for clinical studies to identify children with a documented viral upper respiratory tract infection. Pediatr Res. 2010;68(3):252–7.
37. Kobayashi, S., M. Hanagama, M. Yanai. Early Detection of Chronic Obstructive Pulmonary Disease in Primary Care. Intern Med. 2017;56(23):3153–3158.
38. Meita, D. Kuisioner Praskrining Perkembangan (KPSP) Anak. Sari Pediatr. 2006;8(1):9–15.
39. Karin, W., V. R. Hiske, H. Henk, S. Aart S, B. Patrick, et. al. The accuracy of Patient Health Questionnaire-9 in detecting depression and measuring
2. GBD 2015 Chronic Respiratory Disease Collaborators. Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Respir Med. 2017;5(9):691– 706.
3. Alwan A. Global status report on noncommunicable diseases 2010. Geneva: World Health Organization, 2011.
4. Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar. Jakarta: Kementerian Kesehatan Republik Indonesia, 2013.
5. Tim Kelompok Kerja PPOK. PPOK (Penyakit Paru Obstruktif Kronis): Diagnosis dan Penatalaksanaan. Jakarta: Perhimpunan Dokter Paru Indonesia, 2011.
6. Tana, L., Delima, M. Sihombing, S. Muljati, L. Ghani. Sensitifitas dan Spesifisitas Pertanyaan Gejala Saluran Pernapasan dan Faktor risiko untuk Kejadian Penyakit Paru Obstruktif Kronik (PPOK). Bul Penelit Kesehat. 2016;44(4):287–96.
7. Soriano, J. B., J. Zielinski, D. Price. Screening for and early detection of chronic obstructive pulmonary disease. Lancet.2009;374(9691):721–32.
8. Hegewald, M. J., H. M. Gallo, E. L. Wilson. Accuracy and Quality of Spirometry in Primary Care Offices. AnnalsATS. 2016;13(12):2119–24.
9. Global Initiative for Chronic Obstructive Lung Disease. Pocket Guide to COPD Diagnosis, Management and Prevention. Global Initiative for Chronic Obstructive Lung Disease, 2018.
10. Postma, D. S., G. Brusselle, A. Bush,J. W. Holloway. I have taken my umbrella, so of course it does not rain. Thorax. 2012;67:88–9.
11. Guirguis-Blake, J. M., C. A. Senger,E. M. Webber, R. Mularski, E. P. Whitlock. Screening for Chronic Obstructive Pulmonary Disease: Evidence Report and Systematic Review for the US Preventive Services Task Force. Rockville: Agency for Healthcare Research and Quality, 2016.
12. Martinez, F. J., A. E. Raczek, F. D. Seifer, C. S. Conoscenti, T. G. Curtice, T. D’Eletto, et.al. Development and initial validation of a self-scored COPD Population Screener Questionnaire (COPD-PS). COPD J Chronic Obstr Pulm Dis. 2008;5:85–95.
13. Yawn, B. P., D. W. Mapel, D. M. Mannino, F. J. Martinez, J. F.Donohue, N. A. Hanania, et. al. Development of the Lung Function Questionnaire (LFQ) to identify airflow obstruction. Int J Chron Obs Pulmon Dis. 2010;5:1–10.
14. Han, M. K., A. W. Steenrod, E. D. Bacci, N. K. Leidy, D. M. Mannino, B. M. Thomashow, et. al. Identifying patients with undiagnosed COPD in primary care settings: insight from screening tools and epidemiologic studies. Chronic Obs Pulm Dis. 2015;2:103–21.
15. Martinez, F. J., D. Mannino, N. K. Leidy, K. G. Malley, E. D. Bacci, R. G. Barr, et.al. A New Approach for Identifying Patients with Undiagnosed Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2017;195(6):748–56.
16. Susanti, P. F. E. Influence of Smoking on Chronic Obstructive Pulmonary Disease (COPD). Med J Lampung Univ. 2015;4(5):67–75.
17. Welte, T., C. Vogelmeier, A. Papi. COPD: early diagnosis and treatment to slow disease progression. Int J Clin Pr. 2015;69(3):336–49.
18. López-Campos, J. L., W. Tan, J. B. Soriano. Global burden of COPD. Respirology. 2016;21(1):14–23.
19. Maxim, L. D., R. Niebo, M. J. Utell. Screening tests: a review with examples. Inhal Toxicol. 2014;26(13):811–828.
20. U.S. Preventive Services Task Force. Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Recommendation Statement. Am Fam Physician. 2009;80(8):853–4.
21. Vandevoorde, J., S. Verbanck, L. Gijssels, D. Schuermans, D. Devroey, J. D. Backer, et.al. Early detection of COPD: A case finding study in general practice. Respiratory medicine. 2007;101(3):525–30.
22. U.S. Preventive Services Task Force. Screening for Chronic Obstructive Pulmonary Disease:Recommendation Statement. Am Fam Physician. 2016;94(2):142A– 142C.
23. Jin, J. Screening for Chronic Obstructive Pulmonary Disease. JAMA. 2016;315(13):1419.
24. Ford, E. S., D. M. Mannino, A. G. Wheaton, W. H. Giles, L. Presley- Cantrell, J. B. Croft. Trends in The Prevalence of Obstructive and Restrictive Lung Function Among Adults in the United States: Findings from the National Health and Nutrition Examination Surveys from 1988-1994 to 2007-2010. Chest. 2013;143(5):1395–406.
25. Freeman, D., R. J. Nordyke, S. Isonak, D. V. Nonikov, J. M. Maroni, D. Price, et.al. Questions for COPD diagnostic screening in a primary care setting. Respir Med. 2005;99(10):1311–1318.
26. Nelson, S. B., L. M. Lavange, Y. Nie, J. W. Walsh, P. L. Enrigh, F. Martínez, et. al. Questionnaires and pocket spirometers provide an alternative approach for COPD screening in the general population. Chest. 2012;142:358–66.
27. Criner, G. J., J. Bourbeau, R. L. Diekemper, D. R. Ouellette, D. Goodridge, P. Hernandez, et. al. Executive Summary: Prevention of Acute Exacerbation of COPD: American College of Chest Physicians and Canadian Thoracic Society Guideline. Chest. 2015;147(4):894–942.
28. Leidy, N. K., K. Kim, E. D. Bacci, B. P. Yawn, D. M. Mannino, B. M. Thomashow, et. al. Identifying cases of undiagnosed, clinically significant COPD in primary care: qualitative insight from patients in the target population. NPJ Prim Care Respir Med. 2015;25:1–8.
29. Stanley, A. J., I. Hasan, A. J. Crockett, O. C. van Schayck, N. A. Zwar. Validation of the COPD Diagnostic Questionnaire in an Australian general practice cohort: a cross-sectional study. Prim Care Respir J. 2014;23(1):92–7.
30. Walters, J. A., E. H. Walters, M. Nelson, A. Robinson, J. Scott, P. Turner, et. al. Factors associated with misdiagnosis of COPD in primary care. Prim Care Respir J. 2011;20(4):396–402.
31. Spyratos, D., D. Chloros, A. B. Haidich, N. Hatzidimitriou, A. Karoulias, D. Nella, et. al. Comparison among three screening questionnaires for COPD diagnosis in the primary care. Eur Respir J. 2013;42(Suppl 57):P266.
32. Cooper, B. G. An update on contraindications for lung function testing. Thorax. 2011;66:714–23.
33. Cooper, B. G. Limitations to spirometry being performed in “the office”. Chron Respir Dis. 2005;2:113–5.
34. Haroon, S., R. Jordan, Y. Takwoingi, P. Adab. Diagnostic accuracy of screening tests for COPD: a systematic review and meta- analysis. BMJ Open. 2015;5:e008133.
35. Shin, B., S. L. Cole, S. J. Park, D. K. Ledford, R. F. Lockey. A New Symptom-Based Questionnaire for Predicting the Presence of Asthma. J Investig Allergol Clin Immunol. 2010;20(1):27–34.
36. Taylor, J. A., W. J. Weber, E. T. Martin, R. L. McCarty, J. A. Englund. Development of a symptom score for clinical studies to identify children with a documented viral upper respiratory tract infection. Pediatr Res. 2010;68(3):252–7.
37. Kobayashi, S., M. Hanagama, M. Yanai. Early Detection of Chronic Obstructive Pulmonary Disease in Primary Care. Intern Med. 2017;56(23):3153–3158.
38. Meita, D. Kuisioner Praskrining Perkembangan (KPSP) Anak. Sari Pediatr. 2006;8(1):9–15.
39. Karin, W., V. R. Hiske, H. Henk, S. Aart S, B. Patrick, et. al. The accuracy of Patient Health Questionnaire-9 in detecting depression and measuring
Downloads
Published
2020-06-10
Issue
Section
Article Review
How to Cite
Deteksi Dini Penyakit Paru Obstruktif Kronis dengan Metode CaptureTM: Potensi Skrining Rutin di Layanan Kesehatan Primer. (2020). JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 6(2), 100-108. http://jimki.bapin.or.id/main/article/view/165
Similar Articles
- Dimas Seto Prasetyo, Johan Nathan, Dimas Seto Prasetyo, SENSITIVITAS DAN SPESIFISITAS TES ANTIGEN FESES DALAM MENDIAGNOSISINFEKSI Helicobacter pylori PADA PASIEN DENGAN ULKUS PEPTIKUM DISERTAI PERDARAHAN , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 11 No. 2 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 11.2 (2025)
- Ayers Gilberth Ivano Kalaij, INTEGRATION OF E-NOSE BASED BREATH-PRINT TEST ANALYSIS AS A NOVEL SOLUTION FOR EARLY DETECTION OF HOUSEHOLD AIR-POLLUTION RELATED CHRONIC PULMONARY OBSTRUCTIVE DISEASE DURING THE COVID-19 PANDEMIC , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 9 No. 3 (2022): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 9.3 Edisi Desember 2021-April 2022
- Ulima Mazaya Ghaisani, Jhons Fatriyadi Suwandi, Tri Umiana Soleha, Betta Kurniawan, PERBEDAAN RERATA KADAR HEMOGLOBIN IBU HAMIL DI DAERAH ENDEMIS DAN NON-ENDEMIS MALARIA PROVINSI LAMPUNG , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 7 No. 1 (2019): JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 7.1 Edisi Januari - April 2019
- Fadlan Hafizh Harahap, THE ASSOCIATION BETWEEN TUBERCULOSIS RISK FACTORS AND VITAMIN D SERUM LEVEL ON TUBERCULOSIS PATIENS , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 9 No. 3 (2022): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 9.3 Edisi Desember 2021-April 2022
- Muhammad Faris -, Adulticidal Effect of Clove Flower Essential Oil (Syzygium aromaticum) As An Electrical Liquid Vaporizer Material To Aedes Aegypti , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 8 No. 3 (2021): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 8.3 Edisi September 2020 - Februari 2021
- Luthfiya Nur Fadhila, I Kadek Ari Sanjaya, CRISPR : ERA BARU TERAPI PENYAKIT PERNAPASAN: MENGATASI PENYAKIT PERNAPASAN DENGAN CRISPR-CAS9 , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 10 No. 3 (2024): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 10.3 2024
- Isra Sabrina, Comparison of Framingham Risk Score (FRS) and QRISK2 Result for Adult in Productive Age to WHO Chart , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 8 No. 3 (2021): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 8.3 Edisi September 2020 - Februari 2021
- Ajeng Fitria Ningrum, PENATALAKSANAAN HOLISTIK PADA PASIEN HYPERTENSIVE HEART DISEASE , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 8 No. 1 (2020): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 8.1 Edisi November 2019 - Februari 2020
- Ajeng Ardhya Ramadhanti, Association of Parenting Styles and Adolescent Depression , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 8 No. 2 (2020): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 8.2 Edisi Maret - Agustus 2020
- Muhammad Luthfi Adnan, Miranti Dewi Pramaningtyas, TELEMEDICINE USE DURING COVID-19 PANDEMIC : PROSPECTS AND CHALLENGES , JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia: Vol. 8 No. 3 (2021): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 8.3 Edisi September 2020 - Februari 2021
1-10 of 142
Next
You may also start an advanced similarity search for this article.