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Thorax 1999;54:472-473 ( June )

Editorial

Screening older patients for obstructive airways disease

The first 150 words of the full text of this article appear below.

Many studies have shown an increase in the number of cases of obstructive airways disease (asthma and chronic obstructive airways disease) in all age groups over the last few decades.1 2 In the elderly, breathlessness is a common symptom3 and is increasingly common with age.4 A large number of patients with this symptom will have obstructive airways disease5 6 and estimates of the proportion of the elderly population who have evidence of chronic airways obstruction range from 20%7 8 to 30%.6 Some elderly subjects with objective evidence of obstructive airways disease will not have received a formal diagnosis6 9 and will not be receiving any specific treatments.9 Many patients may be untroubled by their symptoms10 or have adapted to them.5 In response to these findings, several authors have recommended screening for obstructive airways disease in elderly patients.11 12 The premise is that the prevalence of respiratory symptoms in the elderly is high and therefore a . . . [Full text of this article]




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