[Spanish COPD Guidelines (GesEPOC): Pharmacological treatment of stable COPD].

Abstract:

:Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient Forum, has developed these new clinical practice guidelines. This present article describes the severity classification and the pharmacological treatment of stable COPD. GesEPOC identifies four clinical phenotypes with differential treatment: non-exacerbator, mixed COPD-asthma, exacerbator with emphysema and exacerbator with chronic bronchitis. Pharmacological treatment of COPD is based on bronchodilation in addition to other drugs depending on the clinical phenotype and severity. Severity is established by the BODE/BODEx multidimensional scales. Severity can also be approximated by assessing airflow obstruction, dyspnea, level of physical activity and history of exacerbations. GesEPOC is a new, more individualized approach to COPD treatment according to the clinical characteristics of the patients.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Miravitlles M,Soler-Cataluña JJ,Calle M,Molina J,Almagro P,Quintano JA,Riesco JA,Trigueros JA,Piñera P,Simón A,López-Campos JL,Soriano JB,Ancochea J

doi

10.1016/j.aprim.2012.04.005

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

425-37

issue

7

eissn

0212-6567

issn

1578-1275

pii

S0212-6567(12)00185-0

journal_volume

44

pub_type

杂志文章,实务指引
  • [Outbreak of hepatitis A in day nursery: diagnosis and follow-up in a pediatric clinic].

    abstract::We describe one of four epidemic known outbreaks of type "A" hepatitis during the year 1987 in Jaén, and whose focal point was a day nursery placed in our sanitary area. We identify 75 cases; we followed 48 from a pediatric surgery (PS), 33 of them were from a day nursery (attack rate, 31.73%). To the 48 children from...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: García Puga JM,Toledano Cantero E,Ballesta Rodríguez M

    更新日期:1989-08-01 00:00:00

  • [Organized consultation by telephone: preliminary results].

    abstract:OBJECTIVE:To improve follow-up of health problems, once detected, until their resolution. Also to introduce corrective measures to the demand for Primary Care consultations. DESIGN:Prospective study of Organised Telephone Consultations (OTC). SITE. General Medicine quota of the PC team at Ofra-Delicias (Tenerife). PA...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Solbes Caro A,Castro Martín E,Sicilia Sosvilla I

    更新日期:1992-06-01 00:00:00

  • [Impact of the smoke-free legislation on the prevalence and referred time exposure to the environmental tobacco smoke in Zaragoza].

    abstract:OBJECTIVES:To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation. DESIGN:A before-after evaluation by comparing two cross-sectional studies th...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2012.02.010

    authors: Villaverde Royo MV,Marín Izaguerri MP,Requeno Jarabo MN,Val Esco L,Coronas Mateos S,Córdoba-García R

    更新日期:2012-10-01 00:00:00

  • [Differential impact and heterogeneous needs. A peer-led training program for improving chronic patients' health status and health behaviors].

    abstract:OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2018.09.020

    authors: Danet Danet A,Prieto Rodríguez MÁ,Toro Cárdenas SM,Garrido Peña F,Escudero Carretero MJ,March Cerdà JC

    更新日期:2020-02-01 00:00:00

  • [The effects of long-term captopril treatment on the evolution of urinary albumin excretion in patients with non-insulin-dependent diabetes mellitus].

    abstract:OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: González Castro ML,Cordero Guevara J,Sáez Fernández A,Sagredo Pérez J,Arrojo Arias E,del Saz Moreno V

    更新日期:1997-09-30 00:00:00

  • [Description of clinical pathological concordance and patient satisfaction in minor surgery in a Primary Care centre].

    abstract:AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2016.05.002

    authors: Ramírez Arriola MG,Hamido Mohamed N,Abad Vivás-Pérez JJ,Bretones Alcaráz JJ,García Torrecillas JM,Huber E

    更新日期:2017-02-01 00:00:00

  • [Prevalence of serological markers of the hepatitis B virus in the out-patient population of the city of Vigo].

    abstract:OBJECTIVE:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Resina Robert A,Fahim Zawati Z,Domínguez Grandal C

    更新日期:1992-12-01 00:00:00

  • [An analysis of the information in the Medicom International Vade Mecum with respect to drugs with vitamin A].

    abstract:OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Palop Larrea V,López-Martín JM,Catalán Oliver C,Pastor Navarro MC,Moreno Ballesteros R,Rubio Gomis E,Martínez Mir I

    更新日期:1997-05-31 00:00:00

  • [Prevalence and relations of orthostatic hypotension in patients 80 years old and over from a primary care unit].

    abstract:OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eig...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2017.12.003

    authors: Formigo Couceiro FJ,Pena Seijo M,Pose Reino A,Mayán Santos JM,Ayape Amigot FJ,Sueiro Justel J

    更新日期:2019-05-01 00:00:00

  • [Is the Papanicolaou smear useful as aid for diagnosing some sexually transmitted infections?].

    abstract:OBJECTIVE:We undertook this study to assess the validity of cytologic diagnosis of sexually transmitted infections like: bacterial vaginosis (BV), tricomoniasis and candidiasis using the Papanicolaou (Pap) smear. DESIGN:Prospective, descriptive transverse study. SETTING:The present study was carried out in the Health...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: González Pedraza Avilés A,Ortiz Zaragoza C,Topete Barrera L,Mota Vázquez R,Ponce Rosas R

    更新日期:2001-03-15 00:00:00

  • [Prevalence of hidden renal failure calculated through formulas on the degree of renal function in hypertense patients over 60 referred to out-patients for blood pressure monitoring].

    abstract:OBJECTIVES:To validate the Cockroft-Gault and the abbreviated Modification of Diet in Renal Disease (MDRD) formulas in a hypertense population aged over 60 and with blood pressure monitored in out-patients. To evaluate the prevalence of various stages of hidden chronic kidney disease in this population. DESIGN:Descrip...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13101799

    authors: Pozuelos Estrada G,Molina Martínez L,Romero Perera JJ,Díaz Herrera N,Cañón Barroso L,Buitrago Ramírez F

    更新日期:2007-05-01 00:00:00

  • [Do people attending clinics at our health centre know the amount of alcohol consumption that becomes detrimental to health?].

    abstract:OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...

    journal_title:Atencion primaria

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0212-6567(03)79313-5

    authors: Teruel González FE,Martínez Arandigoyen A,Baleztena Gurrea J,Fuertes Goñi C,García de la Noceda MD

    更新日期:2003-11-15 00:00:00

  • [Opinions and expectations of primary care professionals concerning team work].

    abstract:OBJECTIVE:To find the views and expectations of professionals working at primary care centres on team-work. DESIGN:Qualitative study. Focus group. SETTING:The study was conducted during May 1997 at the following primary care centres: Terrassa North, Sant Llatzer (Terrassa) and Antón de Borja (Rubí). These PCCs depend...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(00)78670-7

    authors: Viñas Maestre M,Castel Simón S

    更新日期:2000-09-30 00:00:00

  • [The variability in the care for diabetic and hypertensive patients as a function of the styles of a physician's practice].

    abstract:OBJECTIVES:To analyse the variability of certain indicators of the procedure and outcome of medical care in the clinical records of diabetic and hypertense patients, and their relationship with the doctor's style of practice. DESIGN:An observational, descriptive study. SETTING:Seven health centres in the public netwo...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Mira JJ,Llinás G,Gil V,Lorenzo S,Palazón I,Orozco D

    更新日期:1999-02-15 00:00:00

  • [Appraisal of self-measurement of blood pressure in the diagnosis of isolated clinical hypertension. VAMPAHICA study].

    abstract:INTRODUCTION:There are no existing studies that appraise cardiovascular morbidity-mortality in patients diagnosed with isolated clinical hypertension (HCA) through self-measurement of blood pressure (AMPA). OBJECTIVE:To find the prognostic value of AMPA for diagnosing HCA, by means of assessment of cardiovascular morb...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13086703

    authors: Coll de Tuero G,Foguet-Boreu Q,Rodríguez-Poncelas A,Sanmartín-Albertos M,Sáez-Zafra M,Barceló-Rado MA,Grupo del Estudio VAMPAHICA.

    更新日期:2006-04-15 00:00:00

  • [Anemia in the pregnancies followed-up at a health center].

    abstract::We retrospectively evaluated the 134 pregnancies which were controlled in our health center in a 4-year period, so as to evaluate anemia in pregnancy and the factors influencing its development. In the study sample, 18.65% of the women had anemia. The age did not have any influence on the hemoglobin and packed red cel...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Rodríguez García MS,Grande JM,García Pérez A,Bajo A,Gutiérrez Almarza MA,Navarro Córdoba MM

    更新日期:1990-10-01 00:00:00

  • [Domiciliary care of the terminal cancer patient: evaluation and proposals by physicians and nurses].

    abstract:OBJECTIVE:To detect problems that terminal cancer patients pose to primary health care (PHC) professionals. DESIGN:Cross-sectional study. SETTING:PHC professionals of the Manresa (province of Barcelona) health Sector of the National Health System. PARTICIPANTS:151 professionals (87 physicians and 64 nurses). MEASUR...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Busquet Durán X,Porta Serra M,Jariod M,Busquet Mas C,Sánchez Blanco AM,Duocastella Bastardes P

    更新日期:1994-04-15 00:00:00

  • [Evaluation of the quality of care of diabetic population at a health center].

    abstract::An evaluation study of the quality of care was carried out in diabetic patients aged 20 years or more diagnosed since the primary health care center had been opened. 20 criteria accepted by consensus were evaluated in all be clinical records of the diabetic population. A remarkable result was the high rate of incorrec...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Buitrago Ramírez F,Vegas Jiménez T,Poblador Curto MD

    更新日期:1989-05-01 00:00:00

  • Perspective of health professionals on hand hygiene.

    abstract:OBJECTIVE:To identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. MATERIAL AND METHODS:A descriptive-correlational and cross-sectional study conducted...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/S0212-6567(14)70080-0

    authors: Silva D,Andrade O,Silva E

    更新日期:2014-11-01 00:00:00

  • [Cohesion and family adaptability in women with epilepsy: cross-sectional study].

    abstract:OBJECTIVE:To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women. DESIGN:Cross-sectional study. SETTING:A retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mex...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2013.10.005

    authors: Ornelas-Aguirre JM,Sánchez-Castro O

    更新日期:2014-05-01 00:00:00

  • [Continuity of care: role of the link nurse].

    abstract:OBJECTIVE:To evaluate the link nurse programme after 2 years of operation. DESIGN:Descriptive study. SETTING:Primary vare in the towns of Sant Boi de Llobregat and Sant Vicenç dels Horts (Barcelona) and the County Hospital of Sant Boi, Spain. PATIENTS:Patients discharged from the hospital (October 2000-October 2002)...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(05)70566-7

    authors: Jódar-Solà G,Cadena-Andreu A,Parellada-Esquius N,Martínez-Roldán J

    更新日期:2005-12-01 00:00:00

  • [Study of use of psychiatric drugs in primary care].

    abstract:OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13079144

    authors: Vedia Urgell C,Bonet Monne S,Forcada Vega C,Parellada Esquius N

    更新日期:2005-09-30 00:00:00

  • [Attitudes of family doctors to patients' rights].

    abstract:OBJECTIVES:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13098275

    authors: Pérez Cárceles MD,Pereñíguez Barranco JE,Pérez Flores D,Osuna Carrillo de Albornoz E,Luna Maldonado A

    更新日期:2007-01-01 00:00:00

  • [Adverse reactions to drugs in a health center].

    abstract:OBJECTIVE:To study the adverse side-effects to medication and define their principle characteristics. DESIGN:A descriptive, crossover, observation study with no random distribution. SETTING:The population cared for at a Health Centre in Toledo. PATIENTS:Those over 15 years old during a 6-month period. MEASUREMENTS ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: de Frutos Hernansanz MJ,Lázaro Damas A,Llinares Gómez V,Azpiazu Garrido M,Serrano Vázquez A,López de Castro F

    更新日期:1994-09-30 00:00:00

  • [Is breast-feeding a protective factor for infectious diseases? A case-control study].

    abstract:AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13071939

    authors: Carratalá Munuera MC,Gascón Pérez E,Raga Ortega M

    更新日期:2005-02-28 00:00:00

  • [Irritable bowel syndrome with constipation and functional constipation in adults: Treatment (Part 2 of 2)].

    abstract::In this Clinical practice guide we examine the diagnostic and therapeutic management of adult patients with constipation and abdominal discomfort, at the confluence of the spectrum of irritable bowel syndrome and functional constipation. Both fall within the framework of functional intestinal disorders and have major ...

    journal_title:Atencion primaria

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1016/j.aprim.2017.01.003

    authors: Mearin F,Ciriza C,Mínguez M,Rey E,Mascort JJ,Peña E,Cañones P,Júdez J,en nombre de la SEPD, la semFYC, la SEMERGEN y la SEMG.

    更新日期:2017-03-01 00:00:00

  • [Family doctors and psychiatrists and the patient with depression: the need to re-adjust health care approaches and organisational dynamics].

    abstract:OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2008.04.003

    authors: Calderón Gómez C,Retolaza Balsategui A,Bacigalupe De La Hera A,Payo Gordón J,Grandes Odriozola G

    更新日期:2009-01-01 00:00:00

  • [Study on incidence and validity of questionnaire in the diagnosis of oxyuriasis].

    abstract::Oxyuriasis is one of the commonest infestations in our area, with rates ranging from 5% to 75% in several studies. The present study was carried out in 100% of schoolchildren in a rural town with a population of 1,000 in the Lerida province. The study had two parts. On the one side, the prevalence of oxyuriasis was ev...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Guiu Bardají JM

    更新日期:1990-11-01 00:00:00

  • [Health self-perception in the elderly: relationship with several socioeconomic and health variables].

    abstract:AIMS:To learn how the elderly people in our health area see their own state of health (AS) in relation with certain variables. DESIGN:Transverse. Survey of socio-economic and health characteristics. LOCATION:Community oriented primary care. PATIENTS OR OTHERS PARTICIPANTS:232 psychically capable people aged 65 or ov...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Gorroñogoitia Iturbe A,Ibáñez Pérez F,Olaskoaga Arrate A

    更新日期:1992-10-01 00:00:00

  • [Comparison of family functioning profile in adolescents with and without drug-dependency in a high school].

    abstract:OBJECTIVE:To compare the family functioning profile (FFP) in adolescents addicted to drugs and those not addicted to drugs. DESIGN:Cross-sectional study comparative. SETTING:A high school in Querétaro State, Mexico. PARTICIPANTS:Study of 63 adolescents with and without addiction, of both sexes between the ages of 13...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2010.04.009

    authors: Cruz-Salmerón VH,Martínez-Martínez ML,Garibay-López L,Camacho-Calderón N

    更新日期:2011-02-01 00:00:00