ITEMS IN AFP WITH KEYWORD:
Chronic Obstructive Pulmonary Disease
The American Thoracic Society published guidelines for pharmacologic management of COPD and long-term oxygen therapy for COPD and interstitial lung disease based on systematic reviews.
The U.S. Department of Veterans Affairs and U.S. Department of Defense published guidelines for the primary care management of COPD.
Run by May 2022; run with ATS and VA/DoD PGs; conflicts:
The American Academy of Family Physicians has published guidelines for treating acute exacerbations of COPD.
Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than either a LAMA...
Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.
Jul 1, 2020 Issue
Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD [Cochrane for Clinicians]
Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of COPD.
What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
High-quality, office-based spirometry can be as useful and reliable as testing performed in a pulmonary function laboratory. A stepwise approach to spirometry should be used, including assessing for obstruction and reversibility, grading of severity, and referral for full pulmonary testing as indicated.