| Author(s) |
Chen, Winnie
Heraganahally, Subash
Howarth, Timothy
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| Publication Date |
2024-12-01
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| Abstract |
Chronic respiratory disorders in the adult Aboriginal and Torres Strait Islander population are common, but there is a sparsity of literature detailing an approach to clinical management.This paper describes a clinical approach to chronic respiratory disorders for clinicians working with Aboriginal and Torres Strait Islander people, particularly in the remote Australian context.There are significant differences in the way chronic respiratory diseases manifest in Aboriginal and Torres Strait Islander people compared with non-Indigenous Australians. Chronic obstructive pulmonary disease (COPD), bronchiectasis and asthma often overlap in clinical features, and can be present concurrently. Restrictive impairment on spirometry is common. The presence of bronchodilator response might indicate asthma, but can also be observed in patients with asthma/COPD/bronchiectasis overlap. Because the management of each of these conditions differs, accurate diagnosis and disease severity classification are important, particularly in the prescribing of guideline-recommended inhaled pharmacotherapy.
|
| Affiliation |
BMedSci, MBBS, MPH, FRACGP, Menzies School of Health Research, Darwin, NT; Lecturer, Flinders NT, Darwin, NT.
FRACP, Director, Department of Respiratory and Sleep Medicine, Royal Darwin Hospital, Darwin, NT; Professor, School of Medicine, Charles Darwin University, Darwin, NT; Associate Professor, College of Medicine and Public Health, Flinders University, Darwin, NT; Respiratory Physician, Darwin Respiratory and Sleep Health, Darwin Private Hospital, Darwin, NT.
PhD, Postdoctoral Researcher, Darwin Respiratory and Sleep Health, Darwin Private Hospital, Darwin, NT; Postdoctoral Researcher, Department of Technical Physics, University of Eastern Finland, Kuopio, Finland.
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| Citation |
Aust J Gen Pract . 2024 Dec-Supplement;53(12 Suppl):S3-S9. doi: 10.31128/AJGP-02-24-7136.
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| ISSN |
2208-7958
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| Pubmed ID |
https://pubmed.ncbi.nlm.nih.gov/39693742/?otool=iaurydwlib
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| Link | |
| MESH subject |
Humans
Native Hawaiian or Other Pacific Islander
Primary Health Care
Australia
Pulmonary Disease, Chronic Obstructive
Asthma
Chronic Disease
Bronchiectasis
Spirometry
Australian Aboriginal and Torres Strait Islander Peoples
Australasian People
|
| Title |
A clinical approach to chronic respiratory disorders in Aboriginal and Torres Strait Islander Australians in primary care.
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| Type of document |
Journal Article
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| Entity Type |
Publication
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| Name | Size | format | Description | Link |
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