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There has been increasing interest in recent years in developing and testing strategies for early detection of chronic obstructive pulmonary disease (COPD) in primary care.
Proponents of early detection argue that COPD is underdiagnosed and should be detected early because of its irreversible and progressive nature. Opponents, on the other hand, argue that early detection primarily yields subjects with mild to moderate airflow limitation and that medical services do not have the capacity to provide care for patients with borderline abnormal spirometry.

In this issue of the PCRJ, two studies present findings of a potential new tool for early detection of COPD – the PiKo-6® expiratory flow meter (or ‘mini-spirometer’) – and compare this with an existing strategy – a COPD diagnostic questionnaire.

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