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COPD: Management of Acute Exacerbations and Chronic Stable Disease - American Family ...

Aug 15, 2001 - Acute exacerbations of chronic obstructive pulmonary disease (COPD) are treated with oxygen (in hypoxemic patients), inhaled beta2 agonists, inhaled anticholinergics, antibiotics and systemic corticosteroids. Methylxanthine therapy may be considered in patients who do not respond to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p603.html

Medications for COPD: A Review of Effectiveness - American Family Physician

Oct 15, 2007 - 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...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1141.html

Glycopyrrolate (Seebri Neohaler) for Maintenance Therapy in Patients with COPD - STEPS ...

Sep 15, 2017 - Glycopyrrolate is a safe option for maintenance treatment to prevent moderate to severe exacerbations in patients with moderate to severe COPD, with only mild and rare adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0915/p395.html

Asbestos-Related Lung Disease - American Family Physician

Mar 1, 2007 - The inhalation of asbestos fibers may lead to a number of respiratory diseases, including lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma. Although exposure is now regulated, patients continue to present with these diseases because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p683.html

Umeclidinium (Incruse Ellipta) for COPD - STEPS - American Family Physician

Jan 15, 2017 - Umeclidinium is an easy-to-use, once-daily, well-tolerated, and relatively low-cost anti-cholinergic agent for maintenance therapy in patients with moderate to severe COPD.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0115/p120.html

Chronic Obstructive Pulmonary Disease: Diagnostic Considerations - American Family ...

Feb 15, 2006 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p669.html

Screening for Chronic Obstructive Pulmonary Disease: Recommendation Statement - U.S. ...

Jul 15, 2016 - The USPSTF recommends against screening for chronic obstructive pulmonary disease (COPD) in asymptomatic adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/0715/od1.html

Physician Assessment of COPD Does Not Match Spirometry Results - POEMs - American ...

Oct 1, 2015 - Using immediate, in-office spirometry results as the reference standard, seasoned physicians accurately identified COPD severity in approximately one in three patients, underestimating severity in 41% of patients and overestimating severity in 29% of patients. This mismatch seems to be ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1001/p635a.html

ACCP/CTS Provide Guidance on Preventing Acute COPD Exacerbations - Practice Guidelines ...

Sep 1, 2015 - The American College of Chest Physicians (ACCP) and Canadian Thoracic Society (CTS) have released a guideline with suggestions and recommendations for preventing COPD exacerbations based on available evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0901/p399.html

Aclidinium for Stable COPD - Cochrane for Clinicians - American Family Physician

Jun 1, 2015 - Aclidinium did not decrease all-cause mortality or exacerbations requiring oral steroids, antibiotics, or both. However, aclidinium decreased the number of patients with exacerbations requiring hospitalization and improved quality of life in those with stable COPD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0601/p760.html

Roflumilast (Daliresp) for Chronic Obstructive Pulmonary Disease - STEPS - American ...

Feb 15, 2014 - Roflumilast therapy has a limited role in patients with severe COPD, and no role in patients with mild to moderate COPD. It will not decrease the number of hospitalizations.

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0215/p300.html

Indacaterol (Arcapta) for COPD - STEPS - American Family Physician

Aug 15, 2014 - Indacaterol provides a similar benefit to other long-acting bronchodilators for the treatment of moderate to severe COPD, with once-daily dosing. As with other LABAs, it should be used only as add-on therapy in patients already taking inhaled corticosteroids.

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0815/p252.html

Prophylactic Antibiotics for the Prevention of COPD Exacerbation - Cochrane for ...

Jun 1, 2014 - Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0601/p870.html

Five-Day Steroid Treatment Effective for Acute COPD Exacerbation - POEMs - American ...

Dec 1, 2013 - A five-day course of systemic glucocorticoids is at least as effective as a 14-day course in the treatment of adults with acute exacerbations of COPD.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/od1.html

Evaluation of the Patient with Chronic Cough - American Family Physician

May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2159.html

Role of Breathing Exercises in the Treatment of COPD - Cochrane for Clinicians - ...

Jan 1, 2014 - Patients with COPD who are treated with breathing exercises vs. standard care showed an improvement in exercise capacity, with inconsistent changes in dyspnea and health-related quality of life. Adding breathing exercises to a pulmonary rehabilitation program did not show any increased ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0101/p15.html

Choosing the Right Inhaled Medication Device for COPD - Editorials - American Family ...

Nov 15, 2013 - Data suggest that inhaler devices have similar effectiveness in treating patients with COPD; however, a variety of factors must be considered when selecting the best device for each patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/1115/p650.html

Chronic Bronchitis: Primary Care Management - American Family Physician

May 15, 1998 - Chronic bronchitis is a clinical diagnosis characterized by a cough productive of sputum for over three months' duration during two consecutive years and the presence of airflow obstruction. Pulmonary function testing aids in the diagnosis of chronic bronchitis by documenting the extent...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2365.html

ACP Updates Guideline on Diagnosis and Management of Stable COPD - Practice Guidelines ...

Jan 15, 2012 - Chronic obstructive pulmonary disease (COPD) affects more than 5 percent of U.S adults and is the third leading cause of death. The American College of Physicians (ACP) recently updated its 2007 guideline on the diagnosis and management of stable COPD to include new recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0115/p204.html

ACCP Releases Statement on Dyspnea Treatment in Patients with Advanced Lung or Heart ...

Oct 15, 2010 - The American College of Chest Physicians (ACCP) wrote a consensus statement to influence clinical practice and provide suggestions regarding the management of dyspnea in patients with advanced lung or heart disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/1015/p999.html

Screening for Chronic Obstructive Pulmonary Disease Using Spriometry - Putting ...

Oct 15, 2009 - Case study: A 50-year-old woman presents for a routine check-up and medication refills. She has smoked a pack of cigarettes daily for more than 30 years but does not report chest pain or breathing problems.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/1015/p861.html

Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Recommendation ...

Oct 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends against screening adults for chronic obstructive pulmonary disease (COPD) using spirometry.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2009/1015/p853.html

ACP Guideline Recommends Diagnosis and Management Strategies for COPD - Practice ...

Aug 1, 2008 - The American College of Physicians (ACP) has released a guideline providing recommendations on the diagnosis and treatment of chronic obstructive pulmonary disease (COPD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0801/p401.html

Use of Inhaled Corticosteroids to Treat Stable COPD - Cochrane for Clinicians - ...

Jun 1, 2008 - 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.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0601/p1532.html

Fluticasone or Salmeterol Alone vs. Combination Therapy for COPD - AFP Journal Club - ...

Mar 1, 2008 - 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.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0301/p586.html

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