COPD: The role of primary care in effective diagnosis, treatment and management
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Updated: Jan 4, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Onno Cp van Schayck1, Klaus F Rabe2, Michael Rudolf3
1University of Maastricht, The Netherlands.
Abstract:
Chronic obstructive pulmonary disease (COPD) is a major global problem and its prevalence is increasing; yet under- or misdiagnosis is widespread, possibly due to clinical misinterpretation of symptoms, or lack of symptom reporting by patients. Increasing awareness of COPD, and the implementation of effective screening programmes and treatment strategies in primary care could significantly improve management of the disease.
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Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...

