{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T07:11:14Z","timestamp":1778310674708,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PM21\/00090"],"award-info":[{"award-number":["PM21\/00090"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the clinical profile, comorbidity burden, follow\u2010up and healthcare utilisation in patients labelled as having Chronic Obstructive Pulmonary Disease (COPD) in Primary Care (PC) nursing consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Real\u2010world data COPD, retrospective, observational study using routinely collected data in electronic health records (EHR). This study adheres to the STROBE reporting guidelines for cross\u2010sectional studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Location<\/jats:title>\n                    <jats:p>Three Primary Care centres in Catalonia, Spain, belong to the Catalan Health Service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All patients aged \u2265\u200915\u2009years with a recorded diagnosis of COPD in their EHR, excluding institutionalised individuals and those deceased before study onset. Final sample: 474 patients (105 women, 369 men; mean age 70\u2009years) from a reference population of 28,000 individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measurements<\/jats:title>\n                    <jats:p>Data included socio\u2010demographics, smoking\/alcohol, mMRC dyspnea, inhaled therapy\/adherence, spirometry, comorbidities, Adjusted Morbidity Groups (GMA), active COPD care plans and 12\u2010month healthcare use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      EHR showed a high rate of missing data in follow\u2010up variables (inhaler adherence 28.5%; dyspnea 17%\u201320%). Despite that, all participants were \u2018labelled\u2019 as COPD, most of them lacked spirometric confirmation. Active smoking was highly prevalent (52.3% women, 45.0% men). Hypertension, obesity and osteoarthritis were the most common comorbidities; anxiety, depression, osteoporosis and thyroid disorders were more frequent in women. Higher GMA complexity correlated with more Primary Care visits, especially nursing consultations, particularly in patients with cardiovascular disease and diabetes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) for 12\u2009months follow\u2010up. No significant differences between groups were found in urgent or hospital care use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EHR\u2010labelled COPD patients with cardiometabolic comorbidity received more structured nursing follow\u2010up and more annual visits than without. Improving EHR recording, integrating spirometry with the EHR, and prioritising high\u2010complexity profiles could enhance monitoring, treatment optimisation and equity\u2014nursing consultations are a key lever.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patients or members of the public were directly engaged in the study design or data analysis. Nevertheless, the research was motivated by patient needs and aims to improve healthcare services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70241","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T16:35:18Z","timestamp":1770914118000},"page":"2744-2754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["COPD Management in Primary Care: Underutilisation of Nursing Consultations"],"prefix":"10.1111","volume":"35","author":[{"given":"Marc","family":"Vila","sequence":"first","affiliation":[{"name":"Equip d'Assist\u00e8ncia Prim\u00e0ria Vic (EAPVIC)  Barcelona Spain"},{"name":"Faculty of Health Sciences and Welfare, Research Group M3O, Methodology, Methods, Models and Outcomes of Health and Social Sciences University of Vic\u2010Central University of Catalonia  Barcelona Spain"},{"name":"Catedra Salud Respiratoria University of Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0447-9015","authenticated-orcid":false,"given":"Meritxell","family":"Mondejar","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Welfare, Research Group M3O, Methodology, Methods, Models and Outcomes of Health and Social Sciences University of Vic\u2010Central University of Catalonia  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Cazorla\u2010Calder\u00f3n","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Welfare, Research Group M3O, Methodology, Methods, Models and Outcomes of Health and Social Sciences University of Vic\u2010Central University of Catalonia  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c0ngels","family":"Ballarin","sequence":"additional","affiliation":[{"name":"Equip d'Assist\u00e8ncia Prim\u00e0ria Vic (EAPVIC)  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