Canadian Thoracic Society recommendations for management of chronic obstructive pulmonary disease - 2008 update - highlights for primary care

被引：212

作者：

O'Donnell, Denis E. ^{[1
]}

Hernandez, Paul ^{[2
]}

Kaplan, Alan ^{[3
]}

Aaron, Shawn ^{[4
]}

Bourbeau, Jean ^{[5
]}

Marciniuk, Darcy ^{[6
]}

Balter, Meyer ^{[7
]}

Ford, Gordon ^{[8
]}

Gervais, Andre ^{[9
]}

Lacasse, Yves ^{[10
]}

Maltais, Francois ^{[10
]}

Road, Jeremy ^{[11
]}

Rocker, Graeme ^{[2
]}

Sin, Don ^{[11
]}

Sinuff, Tasmin ^{[12
]}

Voduc, Nha ^{[4
]}

机构：

[1] Queens Univ, Dept Med, Div Resp & Crit Care Med, Kingston, ON K7L 2V6, Canada

[2] Dalhousie Univ, Halifax, NS, Canada

[3] Family Phys Airway Grp Canada, Richmond Hill, ON, Canada

[4] Univ Ottawa, Ottawa, ON, Canada

[5] McGill Univ, Montreal, PQ, Canada

[6] Univ Saskatchewan, Saskatoon, SK, Canada

[7] Univ Toronto, Toronto, ON, Canada

[8] Univ Calgary, Calgary, AB, Canada

[9] Univ Montreal, Montreal, PQ, Canada

[10] Univ Laval, Ste Foy, PQ G1K 7P4, Canada

[11] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada

[12] McMaster Univ, Hamilton, ON, Canada

来源：

CANADIAN RESPIRATORY JOURNAL | 2008年 / 15卷

关键词：

chronic obstructive pulmonary disease; management; national guidelines;

D O I：

10.1155/2008/641965

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Chronic obstructive pulmonary disease (COPD) is a major respiratory illness in Canada that is preventable and treatable but unfortunately remains Underdiagnosed. The purpose of the present article from the Canadian Thoracic Society is to provide up-to-date information so that patients with this condition receive optimal care that is firmly based on scientific evidence. Important summary messages for clinicians are derived from the more detailed Update publication and are highlighted throughout the document. Three key messages contained in the update are: use targeted screening spirometry to establish a diagnosis and initiate prompt management (including smoking cessation) of mild COPD; improve dyspnea and activity limitation in stable COPE) using new evidence-based treatment algorithms; and understand the importance of preventing and managing acute exacerbations, particularly in moderate to severe disease.

引用

页码：1A / 8A

页数：8