COPD - do the right thing

被引:62
作者
Sandelowsky, Hanna [1 ,2 ,3 ]
Weinreich, Ulla Moller [4 ,5 ]
Aarli, Bernt B. [6 ,7 ]
Sundh, Josefin [8 ]
Hoines, Kristian [9 ]
Stratelis, Georgios [10 ,11 ]
Lokke, Anders [12 ,13 ]
Janson, Christer [10 ]
Jensen, Christian [14 ]
Larsson, Kjell [15 ]
机构
[1] Karolinska Inst, Karolinska Univ Hosp, Dept Med, Clin Epidemiol Div T2, SE-17176 Stockholm, Sweden
[2] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Family Med & Primary Care, Stockholm, Sweden
[3] Acad Primary Healthcare Ctr, Stockholm, Sweden
[4] Aalborg Univ Hosp, Dept Resp Dis, Aalborg, Denmark
[5] Aalborg Univ, Clin Inst, Aalborg, Denmark
[6] Univ Bergen, Dept Clin Sci, Bergen, Norway
[7] Haukeland Hosp, Dept Thorac Med, Bergen, Norway
[8] Orebro Univ, Fac Med & Hlth, Dept Resp Med, Orebro, Sweden
[9] Tananger Med Ctr, Tananger, Norway
[10] Uppsala Univ, Dept Med Sci Resp Allergy & Sleep Res, Uppsala, Sweden
[11] AstraZeneca Nordic, Sodertalje, Sweden
[12] Little Belt Hosp, Dept Med, Vejle, Denmark
[13] Univ Southern Denmark, Dept Reg Hlth Res, Odense, Denmark
[14] Laegehuset Remisen, Praesto, Denmark
[15] Karolinska Inst, Natl Inst Environm Med, IMM, Integrat Toxicol, Stockholm, Sweden
关键词
Pulmonary disease; Chronic obstructive; Primary health care; Referral and consultation general practice; OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; ALL-CAUSE MORTALITY; POST-HOC ANALYSIS; PHYSICAL-ACTIVITY; PRIMARY-CARE; NATURAL-HISTORY; HEALTH-STATUS; EXACERBATION FREQUENCY; FLUTICASONE PROPIONATE;
D O I
10.1186/s12875-021-01583-w
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A gap exists between guidelines and real-world clinical practice for the management and treatment of chronic obstructive pulmonary disease (COPD). Although this has narrowed in the last decade, there is room for improvement in detection rates, treatment choices and disease monitoring. In practical terms, primary care practitioners need to become aware of the huge impact of COPD on patients, have non-judgemental views of smoking and of COPD as a chronic disease, use a holistic consultation approach and actively motivate patients to adhere to treatment. This article is based on discussions at a virtual meeting of leading Nordic experts in COPD (the authors) who were developing an educational programme for COPD primary care in the Nordic region. The article aims to describe the diagnosis and lifelong management cycle of COPD, with a strong focus on providing a hands-on, practical approach for medical professionals to optimise patient outcomes in COPD primary care.
引用
收藏
页数:17
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