当前位置： SCI文献检索 > International Journal of Chronic Obstructive Pulmonary Disease期刊下所有文献 > Agreement between a simple dyspnea-guided treatment algorithm for stable COPD and the GOLD guidelines: a pilot study.

Agreement between a simple dyspnea-guided treatment algorithm for stable COPD and the GOLD guidelines: a pilot study.

Abstract：

INTRODUCTION:Guidelines recommendations for the treatment of COPD are poorly followed. This could be related to the complexity of classification and treatment algorithms. The purpose of this study was to validate a simpler dyspnea-based treatment algorithm for inhaled pharmacotherapy in stable COPD, comparing its concordance with the current Global Initiative for Obstructive Lung Disease (GOLD) guideline. METHODS:We enrolled patients who had been diagnosed with COPD in three primary care facilities and two tertiary hospitals in Spain. We determined anthropometric data, forced expiratory volume in the 1st second (percent), exacerbations, and dyspnea based on the modified Medical Research Council scale. We evaluated the new algorithm based on dyspnea and exacerbations and calculated the concordance with the current GOLD recommendations. RESULTS:We enrolled 100 patients in primary care and 150 attending specialized care in a respiratory clinic. There were differences in the sample distribution between cohorts with 41% vs 26% in grade A, 16% vs 12% in grade B, 16% vs 22% in grade C, and 27% vs 40% in grade D for primary and respiratory care, respectively (P=0.005). The coincidence of the algorithm with the GOLD recommendations in primary care was 93% and 91.8% in the respiratory care cohort. CONCLUSION:A simple dyspnea-based treatment algorithm for inhaled pharmacotherapy of COPD could be useful in the management of COPD patients and concurs very well with the recommended schema suggested by the GOLD initiative.

journal_name

Int J Chron Obstruct Pulmon Dis

journal_title

International journal of chronic obstructive pulmonary disease

authors

Cabrera C,Casanova C,Martín Y,Mirabal V,Sánchez Mdel C,Álvarez F,Juliá G,Cabrera-Navarro P,García-Bello MÁ,Marín JM,de-Torres JP,Divo M,Celli B

doi

10.2147/COPD.S100853

subject

Has Abstract

pub_date

2016-06-08 00:00:00

pages

1217-22

eissn

1176-9106

issn

1178-2005

pii

copd-11-1217

journal_volume

11

pub_type

杂志文章,多中心研究

相关文献

International Journal of Chronic Obstructive Pulmonary Disease文献大全
  • COPD in primary lung cancer patients: prevalence and mortality.

    abstract：BACKGROUND:Previous studies have relied on international spirometry criteria to diagnose COPD in patients with lung cancer without considering the effect lung cancer might have on spirometric results. The aim of this study was to examine the prevalence of COPD and emphysema at the time of primary lung cancer diagnosis ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S101183

    authors： Ytterstad E,Moe PC,Hjalmarsen A

    更新日期：2016-03-23 00:00:00

  • Determining prognosis in acute exacerbation of COPD.

    abstract：BACKGROUND:Acute exacerbations are the leading causes of hospitalization and mortality in patients with COPD. Prognostic tools for patients with chronic COPD exist, but there are scarce data regarding acute exacerbations. We aimed to identify the prognostic factors of death and readmission after exacerbation of COPD. ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S122382

    authors： Flattet Y,Garin N,Serratrice J,Perrier A,Stirnemann J,Carballo S

    更新日期：2017-01-31 00:00:00

  • Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial.

    abstract：Purpose:This study compared the effects of inpatient-based rehabilitation program of patients with chronic obstructive pulmonary disease (COPD) using non-immersive virtual reality (VR) training with a traditional pulmonary rehabilitation program. The aims of this study were to determine 1) whether rehabilitation featur...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S223592

    authors： Rutkowski S,Rutkowska A,Kiper P,Jastrzebski D,Racheniuk H,Turolla A,Szczegielniak J,Casaburi R

    更新日期：2020-01-13 00:00:00

  • Occasional review: influenza in COPD: pathogenesis, prevention, and treatment.

    abstract：:Influenza viruses cause respiratory tract infections that in patients with underlying lung diseases such as chronic obstructive pulmonary disease (COPD) are associated with exacerbations and excess morbidity and mortality. Typically, influenza B is associated with relatively mild, local outbreaks, whereas influenza A ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,评审

    doi：10.2147/copd.2007.2.1.5

    authors： Wesseling G

    更新日期：2007-01-01 00:00:00

  • Long-term effects of gastrectomy in patients with spirometry-defined COPD and patients at risk of COPD: a case-control study.

    abstract：OBJECTIVE:Comorbidities are characteristic of COPD. However, little is known about the secondary manifestations of COPD in the gastrointestinal tract. Therefore, we aimed to explore the long-term effects of gastrectomy in patients with spirometry-defined COPD or those at risk of COPD. PARTICIPANTS:Subjects included 87...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S87135

    authors： Saito H,Nomura K,Abe S,Motegi T,Ishii T,Hattori K,Kusunoki Y,Gemma A,Kida K

    更新日期：2015-10-29 00:00:00

  • Effect of a rehabilitation-based chronic disease management program targeting severe COPD exacerbations on readmission patterns.

    abstract：BACKGROUND:Pulmonary rehabilitation (PR) is recommended after a severe COPD exacerbation, but its short- and long-term effects on health care utilization have not been fully established. AIMS:The aims of this study were to evaluate patient compliance with a chronic disease management (CDM) program incorporating home-b...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S138451

    authors： Lalmolda C,Coll-Fernández R,Martínez N,Baré M,Teixidó Colet M,Epelde F,Monsó E

    更新日期：2017-08-23 00:00:00

  • Prevalence of Chronic Obstructive Pulmonary Disease and its Associated Factors in Nepal: Findings from a Community-based Household Survey.

    abstract：Background:Despite chronic obstructive pulmonary disease (COPD) being the commonest non-communicable disease in Nepal, there is limited research evidence estimating the spirometry-based burden of COPD. This study aims to estimate the prevalence of COPD and its correlates through a community-based survey in Pokhara Metr...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S268110

    authors： Adhikari TB,Acharya P,Högman M,Neupane D,Karki A,Drews A,Cooper BG,Sigsgaard T,Kallestrup P

    更新日期：2020-09-29 00:00:00

  • Blood Eosinophilia and Its Stability in Hospitalized COPD Exacerbations are Associated with Lower Risk of All-Cause Mortality.

    abstract：Purpose:Peripheral blood eosinophilic counts are susceptible to many factors and have variability over time. There are limited studies on association of blood eosinophilia with long-term mortality of chronic obstructive pulmonary disease (COPD) patients and these results remain controversial. Our aims were to explore t...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S245056

    authors： Zhang Y,Liang LR,Zhang S,Lu Y,Chen YY,Shi HZ,Lin YX

    更新日期：2020-05-19 00:00:00

  • Airway reactivity to mannitol is similarly increased in chronic cigarette and water pipe smokers.

    abstract：Background:In contrast to cigarette smoking, the association between water pipe smoking and airway hyperresponsiveness remains widely unexplored. Methods:A bronchoprovocation challenge with mannitol was performed in young adults recruited at the University of Basel, Switzerland. Subjects were categorized as acute wate...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S152085

    authors： Scherr A,Schmidlin J,Albisser S,Tamm M,Stolz D

    更新日期：2018-01-03 00:00:00

  • TRPM8 genetic variations associated with COPD risk in the Chinese Han population.

    abstract：:TRPM8 plays a key role in COPD. The development of pulmonary hypertension (PH) in COPD adversely affects survival and exercise capacity. Thus, the aim of this study was to evaluate the possible association between single nucleotide polymorphisms (SNPs) in TRPM8 and COPD or PH in COPD among the Chinese Han population. ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S109026

    authors： Xiong M,Wang J,Guo M,Zhou Q,Lu W

    更新日期：2016-10-14 00:00:00

  • "You Leave There Feeling Part of Something": A Qualitative Study of Hospitalized COPD Patients' Perceptions of Pulmonary Rehabilitation.

    abstract：Rationale:Current guidelines recommend that patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease (COPD) initiate pulmonary rehabilitation (PR) shortly after discharge from the hospital. However, fewer than 2 percent of Medicare beneficiaries do so. Few studies have examined hospitalize...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S234833

    authors： Spitzer KA,Stefan MS,Drake AA,Pack QR,Lagu T,Mazor KM,Pinto-Plata V,Lindenauer PK

    更新日期：2020-03-17 00:00:00

  • A gender difference in circulating neutrophils in malnourished patients with COPD.

    abstract：BACKGROUND:Circulating markers of inflammation in chronic obstructive pulmonary disease (COPD) may correlate to disease progression and extrapulmonary complications such as malnourishment. However, surprisingly little is known about gender-related differences for circulating inflammatory markers in COPD. PURPOSE:To ch...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S15351

    authors： Larsson S,Nordenson A,Glader P,Yoshihara S,Lindén A,Slinde F

    更新日期：2011-01-01 00:00:00

  • Low back pain and gastroesophageal reflux in patients with COPD: the disease in the breath.

    abstract：:COPD is a worsening condition that leads to a pathologic degeneration of the respiratory system. It represents one of the most important causes of mortality and morbidity in the world, and it is characterized by the presence of associated comorbidity. This article analyzes gastroesophageal reflux disease (GERD) and lo...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S150401

    authors： Bordoni B,Marelli F,Morabito B,Sacconi B,Caiazzo P,Castagna R

    更新日期：2018-01-17 00:00:00

  • Efficacy and safety of once-daily glycopyrronium in predominantly Chinese patients with moderate-to-severe chronic obstructive pulmonary disease: the GLOW7 study.

    abstract：BACKGROUND:Glycopyrronium is a once-daily (od) long-acting muscarinic antagonist for the maintenance treatment of chronic obstructive pulmonary disease (COPD). The GLOW7 study evaluated the efficacy and safety of od glycopyrronium 50 μg in predominantly Chinese patients with moderate-to-severe COPD. METHODS:In this 26...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.2147/COPD.S72650

    authors： Wang C,Sun T,Huang Y,Humphries M,Bai L,Li L,Wang Q,Kho P,Firth R,D'Andrea P

    更新日期：2015-01-05 00:00:00

  • miR-190a-5p participates in the regulation of hypoxia-induced pulmonary hypertension by targeting KLF15 and can serve as a biomarker of diagnosis and prognosis in chronic obstructive pulmonary disease complicated with pulmonary hypertension.

    abstract：Purpose:miR-190a-5p expression alters dynamically in response to hypoxia. However, the role of miR-190a-5p expression in hypoxia-induced pulmonary hypertension (PH) remains unclear. We sought to correlate the miR-190a-5p expression levels with the severity, diagnosis, and prognosis of PH in relation to chronic obstruct...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S182504

    authors： Jiang J,Xia Y,Liang Y,Yang M,Zeng W,Zeng X

    更新日期：2018-11-20 00:00:00

  • Bronchoscopic lung volume reduction by endobronchial valve in advanced emphysema: the first Asian report.

    abstract：PURPOSE:Endobronchial valve (EBV) therapy is increasingly being seen as a therapeutic option for advanced emphysema, but its clinical utility in Asian populations, who may have different phenotypes to other ethnic populations, has not been assessed. PATIENTS AND METHODS:This prospective open-label single-arm clinical ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 临床试验,杂志文章

    doi：10.2147/COPD.S85744

    authors： Park TS,Hong Y,Lee JS,Oh SY,Lee SM,Kim N,Seo JB,Oh YM,Lee SD,Lee SW

    更新日期：2015-07-29 00:00:00

  • Increased risk of peripheral arterial occlusive diseases in patients with chronic obstructive pulmonary disease: a nationwide study in Taiwan.

    abstract：Objective:Chronic obstructive pulmonary disease (COPD) is associated with atherosclerosis. Previous studies including limited sample sizes have shown the prevalence of peripheral arterial occlusive disease (PAOD) among COPD patients. We sought to investigate the incidence of PAOD among COPD patients in Taiwan using a n...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S202029

    authors： Liao KM,Kuo LT,Lu HY

    更新日期：2019-07-04 00:00:00

  • Long-term azithromycin therapy in patients with severe COPD and repeated exacerbations.

    abstract：BACKGROUND:The aim of this study was to determine whether long-term intermittent azithromycin therapy reduces the frequency of exacerbation in severe chronic obstructive pulmonary disease (COPD). METHODS:We retrospectively investigated the clinical benefits of long-term azithromycin (500 mg orally three times per week...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S23655

    authors： Pomares X,Montón C,Espasa M,Casabon J,Monsó E,Gallego M

    更新日期：2011-01-01 00:00:00

  • COPD affects worker productivity and health care costs.

    abstract：Purpose:This study aimed to measure the true burden of COPD by calculating incremental direct and indirect costs. Direct medical resource use, productivity metrics, and COPD-specific resource use and costs were also evaluated. Patients and methods:This was a retrospective, observational, matched cohort study using adm...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S163795

    authors： Patel JG,Coutinho AD,Lunacsek OE,Dalal AA

    更新日期：2018-07-30 00:00:00

  • Inhaled corticosteroids might not increase the risk of pneumonia in patients with chronic obstructive pulmonary disease in Japan.

    abstract：Background:The use of inhaled corticosteroid (ICS) in patients with chronic obstructive pulmonary disease (COPD) decreases the frequency of COPD exacerbations. Recently, pneumonia was reported as a complication of ICS in patients with COPD. However, there have been few reports concerning the relationship between ICS an...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S180349

    authors： Hirano R,Fujita M,Matsumoto T,On R,Watanabe K

    更新日期：2018-10-23 00:00:00

  • Symptoms and impact of symptoms on function and health in patients with chronic obstructive pulmonary disease and chronic heart failure in primary health care.

    abstract：BACKGROUND:Patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) seem to have several symptoms in common that impact health. However, methodological differences make this difficult to compare. AIM:Comparisons of symptoms, impact of symptoms on function and health between patients w...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S62563

    authors： Theander K,Hasselgren M,Luhr K,Eckerblad J,Unosson M,Karlsson I

    更新日期：2014-07-18 00:00:00

  • Defect of alveolar regeneration in pulmonary emphysema: role of lung fibroblasts.

    abstract：:Pulmonary emphysema is characterized by the irreversible loss of pulmonary alveoli. Despite recent advances in the understanding this disease, its treatment remains palliative. In this review, we will successively review the data suggesting (1) that alveolar regeneration systems are functional in the mammalian lung an...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,评审

    doi：

    authors： Plantier L,Boczkowski J,Crestani B

    更新日期：2007-01-01 00:00:00

  • Normal lung attenuation distribution and lung volume on computed tomography in a Chinese population.

    abstract：:Backgroud and objectives: Although lung attenuation distribution and lung volume on computed tomography (CT) have been widely used in evaluating COPD and interstitial lung disease, there are only a few studies regarding the normal range of these indices, especially in Chinese subjects. We aimed to describe the normal ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S187596

    authors： Cheng T,Li Y,Pang S,Wan H,Shi G,Cheng Q,Li Q,Pan Z,Huang S

    更新日期：2019-07-24 00:00:00

  • Prevalence of chronic obstructive pulmonary disease and pattern of comorbidities in a general population.

    abstract：BACKGROUND:Nowadays, there is increasing awareness about the frequent chronic comorbidities in patients with chronic obstructive pulmonary disease (COPD) but little information is available to quantify the burden of illness that these conditions cause in this population. We aimed to identify and describe a population s...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：

    authors： Anecchino C,Rossi E,Fanizza C,De Rosa M,Tognoni G,Romero M,working group ARNO project.

    更新日期：2007-01-01 00:00:00

  • Comparison of clinical features between non-smokers with COPD and smokers with COPD: a retrospective observational study.

    abstract：BACKGROUND:Smoking is a major risk factor for chronic obstructive pulmonary disease (COPD); however, the similarities and differences in clinical presentation between smokers and nonsmokers are not fully described in patients with COPD. This study was designed to address this issue in a general teaching hospital in the...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S52416

    authors： Zhang J,Lin XF,Bai CX

    更新日期：2014-01-01 00:00:00

  • Increased brachial intima-media thickness is associated with circulating levels of asymmetric dimethylarginine in patients with COPD.

    abstract：BACKGROUND:Chronic obstructive pulmonary disease (COPD) is associated with an increased cardiovascular risk. However, the mechanisms for this association are yet unclear. The aim of this study was to investigate the relationship between brachial intima-media thickness (B-IMT), an independent predictor of cardiovascular...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S118596

    authors： Urban MH,Eickhoff P,Funk GC,Burghuber OC,Wolzt M,Valipour A

    更新日期：2017-01-04 00:00:00

  • Network meta-analysis of success rate and safety in antibiotic treatments of bronchitis.

    abstract：:The purpose of this study was to compare the relative efficacy and safety of different antibiotic drugs and recommend superior regimens in the treatment of bronchitis. With respect to the antibiotic comparisons against quinolones in terms of intention-to-treat patients, we concluded that quinolones had advantages over...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章,meta分析,评审

    doi：10.2147/COPD.S139521

    authors： Wang J,Xu H,Liu P,Li M

    更新日期：2017-08-09 00:00:00

  • Erratum: Comparative analysis of budesonide/formoterol and fluticasone/salmeterol combinations in COPD patients: findings from a real-world analysis in an Italian setting [Corrigendum].

    abstract：:[This corrects the article on p. 2749 in vol. 11, PMID: 27853362.]. ...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 已发布勘误

    doi：10.2147/COPD.S130231

    authors：

    更新日期：2017-01-10 00:00:00

  • Benefits of short inspiratory muscle training on exercise capacity, dyspnea, and inspiratory fraction in COPD patients.

    abstract：:Abstract: Static lung hyperinflation has important clinical consequences in patients with chronic obstructive pulmonary disease (COPD). Given that most of these patients have respiratory and peripheral muscle weakness, dyspnea and functional exercise capacity may improve as a result of inspiratory muscle training (IMT...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/copd.s1822

    authors： Shahin B,Germain M,Kazem A,Annat G

    更新日期：2008-01-01 00:00:00

  • A simple and rapid test of physical performance inchronic obstructive pulmonary disease.

    abstract：:Impaired physical performance is common in chronic obstructive pulmonary disease (COPD), but its assessment can be difficult in routine clinical practice. We compared the timed up and go (TUG) test and other easily applied assessments of physical performance with the 6-minute walk distance (6MWD). In a longitudinal st...

    journal_title：International journal of chronic obstructive pulmonary disease

    pub_type： 杂志文章

    doi：10.2147/COPD.S106151

    authors： Albarrati AM,Gale NS,Enright S,Munnery MM,Cockcroft JR,Shale DJ

    更新日期：2016-08-02 00:00:00