Chronic Obstructive Pulmonary Disease

Oct 15, 2009 Issue
Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends against screening adults for chronic obstructive pulmonary disease (COPD) using spirometry.

Aug 1, 2008 Issue
ACP Guideline Recommends Diagnosis and Management Strategies for COPD [Practice Guidelines]

The American College of Physicians (ACP) has released a guideline providing recommendations on the diagnosis and treatment of chronic obstructive pulmonary disease (COPD).

Jul 1, 2008 Issue
Diagnosis of Chronic Obstructive Pulmonary Disease [Article]

Chronic obstructive pulmonary disease affects more than 26 million adults in the United States. Family physicians provide care for most of these patients. Cigarette smoking is the leading risk factor for chronic obstructive pulmonary disease, although other risk factors, including occupational and e...

Jun 1, 2008 Issue
Use of Inhaled Corticosteroids to Treat Stable COPD [Cochrane for Clinicians]

Although the use of inhaled corticosteroids for COPD will not reduce mortality or affect long-term disease progression, inhaled corticosteroids can be useful for reducing COPD exacerbations and slowing declines in quality of life.

Mar 1, 2008 Issue
Fluticasone or Salmeterol Alone vs. Combination Therapy for COPD [AFP Journal Club]

Is fluticasone plus salmeterol better than fluticasone or salmeterol alone for treating patients with COPD? Anticholinergics are the bronchodilators of choice. Neither fluticasone nor the combination of fluticasone and salmeterol were no better than placebo at preventing mortality.

Oct 15, 2007 Issue
Medications for COPD: A Review of Effectiveness [Article]

Chronic obstructive pulmonary disease (COPD) is a common problem among patients presenting to primary care. This condition has multiple individual and combined treatment regimens. The goals of treatment are to improve quality of life, exercise tolerance, sleep quality, and survival; and to reduce dy...

Dec 1, 2006 Issue
Beta-Blocker Use in Patients with COPD [Cochrane for Clinicians]

In 20 studies of cardioselective beta blockers in patients with COPD, participants had no adverse pulmonary or respiratory effects. Because of their salutary cardiovascular effects, cardioselective beta blockers should not be withheld from patients with COPD.

Sep 1, 2006 Issue
Antibiotics for Exacerbations of COPD [Cochrane for Clinicians]

There is consistent evidence from a small number of studies that antibiotics significantly reduce mortality (number needed to treat [NNT] = 8) and treatment failure (NNT = 3) in more severely ill patients with COPD who are hospitalized because of an exacerbation. Two smaller studies found no benefit...

Feb 15, 2006 Issue
Chronic Obstructive Pulmonary Disease: Diagnostic Considerations [Article]

Chronic obstructive pulmonary disease is characterized by the gradual progression of irreversible airflow obstruction and increased inflammation in the airways and lung parenchyma that is generally distinguishable from the inflammation caused by asthma. Most chronic obstructive pulmonary disease is ...

Dec 1, 2005 Issue
Tiotropium Effective in Treatment of COPD [Cochrane for Clinicians]

In patients with moderate or severe COPD, tiotropium reduces exacerbations, hospitalizations, and symptom scores and improves health-related quality of life compared with placebo and ipratropium (Atrovent). However, more study is needed to determine tiotropium’s role in the treatment of COPD compared with long-acting beta agonists.

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