{"id":"https://openalex.org/W2323947712","doi":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","title":"P210 Which symptoms prompt patients with an exacerbation of COPD to persevere, self-treat or seek care? A comparison with health professionals","display_name":"P210 Which symptoms prompt patients with an exacerbation of COPD to persevere, self-treat or seek care? A comparison with health professionals","publication_year":2011,"publication_date":"2011-12-01","ids":{"openalex":"https://openalex.org/W2323947712","doi":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","mag":"2323947712"},"language":"en","primary_location":{"id":"doi:10.1136/thoraxjnl-2011-201054c.210","doi":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","is_oa":true,"landing_page_url":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","pdf_url":"https://thorax.bmj.com/content/thoraxjnl/66/Suppl_4/A152.2.full.pdf","source":{"id":"https://openalex.org/S106546978","display_name":"Thorax","issn_l":"0040-6376","issn":["0040-6376","1468-3296"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Thorax","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://thorax.bmj.com/content/thoraxjnl/66/Suppl_4/A152.2.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026417219","display_name":"Jennifer Wilson","orcid":"https://orcid.org/0000-0002-8918-1519","observed_orcids":["https://orcid.org/0000-0002-8918-1519"]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J. S. Wilson","raw_affiliation_strings":["Belfast Heath & Social Care Trust, Belfast, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Belfast Heath & Social Care Trust, Belfast, Northern Ireland","institution_ids":["https://openalex.org/I1289110261"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026825572","display_name":"J. J. Sittlington","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138801177","display_name":"University of Ulster","ror":"https://ror.org/01yp9g959","country_code":"GB","type":"education","lineage":["https://openalex.org/I138801177"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J. J. Sittlington","raw_affiliation_strings":["University of Ulster, Jordanstown, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Ulster, Jordanstown, Northern Ireland","institution_ids":["https://openalex.org/I138801177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113581688","display_name":"Evie McCrum-Gardner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138801177","display_name":"University of Ulster","ror":"https://ror.org/01yp9g959","country_code":"GB","type":"education","lineage":["https://openalex.org/I138801177"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"E. McCrum-Gardner","raw_affiliation_strings":["University of Ulster, Jordanstown, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Ulster, Jordanstown, Northern Ireland","institution_ids":["https://openalex.org/I138801177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041740967","display_name":"Frank Kee","orcid":"https://orcid.org/0000-0002-0606-8167","observed_orcids":["https://orcid.org/0000-0002-0606-8167"]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"F. Kee","raw_affiliation_strings":["Queen's University, Belfast, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen's University, Belfast, Northern Ireland","institution_ids":["https://openalex.org/I126231945"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039017673","display_name":"J.S. Elborn","orcid":"https://orcid.org/0000-0002-2323-442X","observed_orcids":["https://orcid.org/0000-0002-2323-442X"]},"institutions":[{"id":"https://openalex.org/I1289110261","display_name":"Belfast Health and Social Care Trust","ror":"https://ror.org/02tdmfk69","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J. S. Elborn","raw_affiliation_strings":["Belfast Heath & Social Care Trust, Belfast, Northern Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Belfast Heath & Social Care Trust, Belfast, Northern Ireland","institution_ids":["https://openalex.org/I1289110261"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"66","issue":"Suppl 4","first_page":"A152","last_page":"A153"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-exacerbation-of-copd","display_name":"COPD exacerbations","score":0.9269999861717224},{"id":"https://openalex.org/keywords/patient-self-management","display_name":"patient self-management","score":0.5109999775886536},{"id":"https://openalex.org/keywords/symptom-recognition","display_name":"symptom recognition","score":0.5210000276565552},{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.800000011920929},{"id":"https://openalex.org/keywords/clinical-vignettes","display_name":"clinical vignettes","score":0.8140000104904175},{"id":"https://openalex.org/keywords/self-medication","display_name":"self-medication","score":0.5}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9103147983551025},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.7987884283065796},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.6231661438941956},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.6224398016929626},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5803931355476379},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.529911994934082},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.42445114254951477},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3663829565048218},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3287537395954132},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.20079737901687622},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18092873692512512},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1136/thoraxjnl-2011-201054c.210","doi":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","is_oa":true,"landing_page_url":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","pdf_url":"https://thorax.bmj.com/content/thoraxjnl/66/Suppl_4/A152.2.full.pdf","source":{"id":"https://openalex.org/S106546978","display_name":"Thorax","issn_l":"0040-6376","issn":["0040-6376","1468-3296"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Thorax","raw_type":"journal-article"},{"id":"pmh:oai:open-archive.highwire.org:thoraxjnl:66/Suppl_4/A152-b","doi":null,"is_oa":false,"landing_page_url":"http://thorax.bmj.com/cgi/content/short/66/Suppl_4/A152-b","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"}],"best_oa_location":{"id":"doi:10.1136/thoraxjnl-2011-201054c.210","doi":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","is_oa":true,"landing_page_url":"https://doi.org/10.1136/thoraxjnl-2011-201054c.210","pdf_url":"https://thorax.bmj.com/content/thoraxjnl/66/Suppl_4/A152.2.full.pdf","source":{"id":"https://openalex.org/S106546978","display_name":"Thorax","issn_l":"0040-6376","issn":["0040-6376","1468-3296"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Thorax","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2323947712.pdf","grobid_xml":"https://content.openalex.org/works/W2323947712.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2334589464","https://openalex.org/W2047792644","https://openalex.org/W100684655","https://openalex.org/W4404097191","https://openalex.org/W4212782385","https://openalex.org/W2752764986","https://openalex.org/W207301739","https://openalex.org/W2082655425","https://openalex.org/W2031462227","https://openalex.org/W2022916281"],"abstract_inverted_index":{"Introduction":[0],"and":[1,15,41,50,56,79,97,106,122,160],"Objectives":[2],"Exacerbations":[3],"of":[4,13,77,81,86,115,119,162,181],"Chronic":[5,90],"Obstructive":[6,91],"Pulmonary":[7,92],"Disease":[8,93],"are":[9,135,191],"a":[10,75,111,166,179],"major":[11],"cause":[12],"morbidity":[14],"mortality.":[16],"Despite":[17],"the":[18,39,139,158,215],"increased":[19],"healthcare":[20],"utilisation":[21],"involved":[22],"in":[23,138],"treatment,":[24],"little":[25],"is":[26,203],"known":[27],"about":[28],"how":[29],"patients":[30,45,61,88,142,176,196,207,217],"recognise":[31],"an":[32,82],"exacerbation.":[33,83],"This":[34],"study":[35],"aims":[36],"to":[37,46,52,62,70,150,177,194,197,224],"identify":[38,53],"signs":[40,55,78],"symptoms":[42,57,80,140,185,216],"that":[43],"prompt":[44],"seek":[47],"medical":[48],"attention":[49],"also":[51],"which":[54,141],"health":[58,99,124,151,173,186,211],"professionals":[59,100,174,187,212],"expect":[60],"consider.":[63],"Methods":[64],"A":[65,84,117],"Factorial":[66],"Survey":[67],"was":[68],"used":[69,193],"create":[71],"clinical":[72],"vignettes":[73,126],"describing":[74],"variety":[76,180],"total":[85,118],"30":[87],"with":[89],"(mean":[94],"%FEV1":[95],"38.9)":[96],"47":[98],"(14":[101],"GPs,":[102],"19":[103],"Specialist":[104],"Nurses":[105],"15":[107],"Respiratory":[108],"Consultants/Registrars)":[109],"completed":[110],"unique":[112],"random":[113],"set":[114],"vignettes.":[116],"600":[120],"patient":[121],"960":[123],"professional":[125,152],"were":[127],"analysed":[128],"using":[129],"multiple":[130],"regression":[131],"analysis.":[132],"Results":[133],"There":[134],"substantial":[136],"variations":[137],"regard":[143,188],"as":[144,165,189],"important":[145,190],"prompts":[146],"for":[147,168],"action,":[148],"compared":[149],"expectations.":[153],"Patients":[154],"rely":[155,219],"mainly":[156],"on":[157,206,220],"colour":[159],"purulence":[161],"sputum":[163],"(p<0.001)":[164],"cue":[167],"all":[169],"possible":[170],"actions,":[171],"whereas":[172],"expected":[175],"consider":[178],"symptoms.":[182],"Conclusion":[183],"Many":[184],"not":[192],"by":[195],"guide":[198],"their":[199,209,226],"decisions.":[200],"As":[201],"there":[202],"increasing":[204],"focus":[205],"self-managing":[208],"disease,":[210],"should":[213],"exploit":[214],"already":[218],"rather":[221],"than":[222],"trying":[223],"change":[225],"behaviour.":[227]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}