慢性阻塞性肺病和慢性阻塞性肺病恶化的定义:修改后的德尔菲调查
Yong Bum Park1, Jin Hwa Lee2, Seung Won Ra3
1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Republic of Korea.
Tuberculosis and respiratory diseases
|May 31, 2023
概括
韩国专家就慢性阻塞性肺病 (COPD) 和COPD恶化的更新定义达成共识,与2023年GOLD指南保持一致. 关于将支气管切除症纳入COPD定义,仍然存在一些不确定性.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
- 临床实践指南 临床实践指南
背景情况:
- 全球慢性阻塞性肺病倡议 (GOLD) 2023年更新引入了慢性阻塞性肺病 (COPD) 和其恶化的修订定义.
- 关于这些新定义的国际和国内的共识仍然难以捉摸.
- 这项研究寻求专家对韩国GOLD 2023定义达成一致.
研究的目的:
- 为了在COPD和COPD恶化的修订定义上达成专家共识,正如GOLD 2023更新所建议的那样.
- 在韩国专家中建立对这些关键呼吸道疾病定义的统一理解.
主要方法:
- 使用修改后的Delphi方法来促进专家的共识.
- 对15名韩国专家组成的COPD,喘和结核病专家小组进行了两轮调查.
- 调查的重点是与COPD和COPD恶化的GOLD 2023定义相关的陈述.
主要成果:
- 在两轮调查中,超过三分之二的专家同意了13个陈述中的12个.
- 达成共识,根据GOLD 2023提案修订COPD和COPD恶化的定义.
- 专家们对将COPD定义中由于支气管切除而导致的持续性气流阻塞纳入COPD定义表示不确定.
结论:
- 德尔菲调查成功地在GOLD 2023更新中提出的COPD和COPD恶化定义上达成专家协议.
- 这种共识为韩国COPD的一致临床实践和研究提供了基础.
相关概念视频
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.9K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.9K
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
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...
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...
1.3K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.9K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.9K