Does pulmonary subspecialty referral from primary care affect the adherence to vaccination recommendations in COPD patients?

Respir Res. 2021 Feb 12;22(1):50. doi: 10.1186/s12931-021-01639-6.

Abstract

The importance of vaccinations for COPD patients has been previously described. However, there is still a gap between guideline recommendations and the implementation of preventive care delivery for these patients. Specially, the rise of SARS-CoV-2 pandemic has made the significance of vaccination adherence more critical to address. Our study showed that referral to pulmonary clinic is associated with increased odds of receiving influenza (OR = 1.97, [95% CI 1.07, 3.65]) and pneumococcal vaccinations (PCV13 OR = 3.55, [1.47, 8.54]; PPSV23 OR = 4.92, [1.51, 16.02]). These data suggest that partnerships between primary care physicians and pulmonologists can potentially improve the vaccination rates for patients with COPD.

Keywords: Chronic obstructive pulmonary disease; Influenza; Pneumococcal vaccine; Referral; Vaccination.

Publication types

  • Letter

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Guideline Adherence
  • Humans
  • Influenza Vaccines / therapeutic use
  • Male
  • Middle Aged
  • Pneumococcal Vaccines / therapeutic use
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'*
  • Primary Health Care*
  • Pulmonary Disease, Chronic Obstructive / diagnosis
  • Pulmonary Disease, Chronic Obstructive / therapy*
  • Pulmonary Medicine*
  • Referral and Consultation*
  • Retrospective Studies
  • Vaccination*

Substances

  • 13-valent pneumococcal vaccine
  • 23-valent pneumococcal capsular polysaccharide vaccine
  • Influenza Vaccines
  • Pneumococcal Vaccines