Weighing the evidence for pharmacological treatment interventions in mild COPD; a narrative perspective.

Abstract:

:There is increasing focus on understanding the nature of chronic obstructive pulmonary disease (COPD) during the earlier stages. Mild COPD (Global Initiative for Chronic Obstructive Lung Disease [GOLD] stage 1 or the now-withdrawn GOLD stage 0) represents an early stage of COPD that may progress to more severe disease. This review summarises the disease burden of patients with mild COPD and discusses the evidence for treatment intervention in this subgroup.Overall, patients with mild COPD suffer a substantial disease burden that includes persistent or potentially debilitating symptoms, increased risk of exacerbations, increased healthcare utilisation, reduced exercise tolerance and physical activity, and a higher rate of lung function decline versus controls. However, the evidence for treatment efficacy in these patients is limited due to their frequent exclusion from clinical trials. Careful assessment of disease burden and the rate of disease progression in individual patients, rather than a reliance on spirometry data, may identify patients who could benefit from earlier treatment intervention.

journal_name

Respir Res

journal_title

Respiratory research

authors

Singh D,D'Urzo AD,Donohue JF,Kerwin EM

doi

10.1186/s12931-019-1108-9

subject

Has Abstract

pub_date

2019-07-08 00:00:00

pages

141

issue

1

eissn

1465-9921

issn

1465-993X

pii

10.1186/s12931-019-1108-9

journal_volume

20

pub_type

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