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Updated: Jul 18, 2025
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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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[COPD: working with treatable traits]
Marlies van Dijk1,2, Alfred P E Sachs3, Huib A M Kerstjens1
1Rijksuniversiteit Groningen en UMC Groningen, afd. Longziekten en Tuberculose, Groningen.
Nederlands Tijdschrift Voor Geneeskunde
|August 23, 2023
Summary
Chronic obstructive pulmonary disease (COPD) is a growing health concern. This review covers COPD causes, diagnosis using spirometry, and personalized treatment strategies based on individual patient traits for better management.
Area of Science:
- Pulmonology and Internal Medicine
- Respiratory Medicine
- Clinical Diagnostics
Background:
- Chronic obstructive pulmonary disease (COPD) is a significant and increasing public health issue in the Netherlands, ranking as the third most common chronic disease.
- Overlapping symptoms between COPD and heart failure present diagnostic challenges, necessitating careful differentiation.
- A 'one size fits all' approach to COPD treatment is suboptimal for individual patient outcomes.
Approach:
- Review of the established causes and etiological factors contributing to COPD development.
- Assessment of the diagnostic utility and role of spirometry in identifying COPD.
- Exploration of differential diagnostic methods to distinguish COPD from heart failure, addressing symptom overlap.
Key Points:
- Spirometry remains a cornerstone in the objective diagnosis of COPD.
- Distinguishing COPD from heart failure requires a nuanced approach due to shared clinical presentations.
- The 'treatable traits' concept emphasizes tailoring treatment to specific patient characteristics for optimized care.
Conclusions:
- Personalized treatment strategies, guided by 'treatable traits,' are crucial for effective COPD management.
- Optimized treatment plans are beneficial for patients during both stable disease periods and exacerbations.
- Addressing individual patient characteristics leads to improved therapeutic efficacy and patient well-being in COPD.
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