Characteristics of COPD Patients Managed in Respiratory Medicine Departments in Spain, According to GOLD Groups and GesEPOC Clinical Phenotypes.

Archivos de bronconeumología
José Luis IzquierdoPilar de Lucas

Abstract

The objective of this study was to analyze the clinical characteristics of COPD patients attending general respiratory clinics, adherence to clinical guidelines, classification accuracy, and therapeutic management. Multicenter, cross-sectional study, with the primary objective of describing the number, intensity, and variability of symptoms in COPD patients. Data were collected in 2015 by 300 pulmonologists who evaluated a total of 3,010 patients, of which 2,669 (88.6%) were eligible for analysis. A total of 22% were active smokers, notably 21% and 17% of GOLD groups C and D, and 17% and 19% of exacerbators in the GesEPOC classification; 62.3% had associated comorbidities. The diagnostic process was characterized by limited use of tests such as diffusion capacity or lung volumes, even in the more severe GOLD groups or the GesEPOC exacerbator phenotypes. The use of multidimensional scales, such as BODE (12%), and specific rehabilitation protocols was also rare. Treatment was based on different combinations of bronchodilators and inhaled corticosteroids. Methylxanthines were used in very few patients (7%). A large proportion of COPD patients seen in respiratory clinics have non-complex disease and pulmonology tests are rarely per...Continue Reading

Citations

Oct 3, 2019·COPD·José Luis López-CamposEsther Barreiro
Oct 2, 2019·International Journal of Clinical Practice·Francisco-Javier Gonzalez-BarcalaFrancisco-Javier Salgado
Apr 7, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·Marc MiravitllesUNKNOWN Respiratory Effectiveness Group (REG)
Jun 2, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Begoña López-LoisDavid Facal
Aug 29, 2020·Journal of Clinical Medicine·José Luis Lopez-CamposCandelaria Caballero-Eraso
Aug 9, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Marc MiravitllesJaume Puig-Junoy
Jun 6, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Alexa Nuñez, Marc Miravitlles
May 23, 2020·The European Respiratory Journal·Daiana Stolz, Marc Miravitlles
Feb 18, 2020·Archivos de bronconeumología·Marc MiravitllesBernardino Alcázar
Mar 24, 2021·NPJ Primary Care Respiratory Medicine·Mònica MonteagudoMarc Miravitlles

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