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COPD control: Can a consensus be found?

M Guimarães1, A Bugalho2, A S Oliveira3

  • 1Pulmonology Department, Centro Hospitalar Gaia-Espinho, EPE, Portugal.

Revista Portuguesa De Pneumologia
|March 24, 2016
PubMed
Summary
This summary is machine-generated.

Reliable tools are missing to assess chronic obstructive pulmonary disease (COPD) progression and prognosis. True COPD control requires multidimensional patient assessment, but objective measures are currently lacking for consensus.

Keywords:
COPDCOPD assessmentControlSpirometrySymptoms controlTreatment

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Area of Science:

  • Pulmonary Medicine
  • Respiratory Disease Research

Background:

  • Current assessment of chronic obstructive pulmonary disease (COPD) lacks reliable instruments for tracking disease onset, progression, and prognosis.
  • The absence of validated biomarkers hinders accurate COPD severity assessment, impacting therapeutic strategies and disease control.
  • A consensus on
  • well-controlled disease
  • is difficult due to the lack of objective measurement tools.

Purpose of the Study:

  • To discuss objective and subjective parameters for bridging the gap between COPD assessment and control.
  • To highlight the need for multidimensional patient assessment in COPD management.
  • To identify current limitations in achieving a consensus on COPD control.

Main Methods:

  • Review of current literature on COPD assessment and control parameters.
  • Discussion of existing non-pharmacological and pharmacological measures for COPD management.
  • Analysis of objective and subjective parameters relevant to COPD patient assessment.

Main Results:

  • COPD patient assessment should be multidimensional, incorporating symptom control, pulmonary function decline, physical activity, exacerbations, and Quality of Life.
  • Non-pharmacological measures like smoking cessation, vaccination, and pulmonary rehabilitation are important, with bronchodilators being pivotal pharmacotherapy.
  • Existing objective instruments are insufficient for a consensus on COPD control.

Conclusions:

  • A consensus on COPD control is currently unattainable due to the lack of objective assessment instruments.
  • Multidimensional assessment is recommended, but further development of objective measures is crucial for true COPD control.
  • Future research should focus on developing reliable objective tools to enhance COPD assessment and management.