Diagnosis of chronic obstructive pulmonary disease (COPD) in primary care is complex, as many clinical symptoms are similar to asthma and heart disease, which may lead to misdiagnosis and suboptimal disease management. Spirometry is the best method for diagnosing COPD and distinguishing between COPD, asthma, and cardiovascular diseases. Airway obstruction is fully reversible in asthma, but not in COPD, and can be confirmed when the postbronchodilator ratio of forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) is <0.7. Knowledge of COPD treatment guidelines and a proactive attitude toward disease management by primary care physicians are key to improving symptom control and patients' quality of life. Identification of the appropriate drug/inhaler combination, patient education, training on inhaler use followed by regular monitoring, and pulmonary rehabilitation are also vital to successful COPD management. This review outlines steps to aid physicians in devising and implementing an optimal management plan for COPD patients.
Can moderate chronic obstructive pulmonary disease be diagnosed by historical and physical findings alone?
Management of acute exacerbations of chronic obstructive pulmonary disease: a summary and appraisal of published evidence
Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper
Inhalation technique and variables associated with misuse of conventional metered-dose inhalers and newer dry powder inhalers in experienced adults
Device selection and outcomes of aerosol therapy: Evidence-based guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology
Confidence and understanding among general practitioners and practice nurses in the UK about diagnosis and management of COPD
How are you doing? What are you doing? Differing perspectives in the assessment of individuals with COPD
Effect of an integrated primary care model on the management of middle-aged and old patients with obstructive lung diseases
Similarity and differences in elderly patients with fixed airflow obstruction by asthma and by chronic obstructive pulmonary disease
Quality of care for older adults with chronic obstructive pulmonary disease and asthma based on comparisons to practice guidelines and smoking status
Diagnostic certainty, co-morbidity and medication in a primary care population with presumed airway obstruction: the DIDASCO2 study
Factors associated with short-term recovery of health status among emergency department patients with acute exacerbations of chronic obstructive pulmonary disease
Using insights from behavioral economics and social psychology to help patients manage chronic diseases
Practical aspects of inhaler use in the management of chronic obstructive pulmonary disease in the primary care setting
The Saudi guidelines for chronic obstructive pulmonary disease: A fresh "Real-World" approach to COPD
Cost-effectiveness of the LABA/LAMA dual bronchodilator indacaterol/glycopyrronium in a Swedish healthcare setting
Better awareness, better service: seeking currently optimal strategies against the "preventable and treatable" chronic obstructive pulmonary disease
This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.
Allergy and Asthma
Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.