Inhaled therapies in patients with moderate COPD in clinical practice Current thinking /

COPD is a complex, heterogeneous condition. Even in the early clinical stages, COPD carries a significant burden, with breathlessness frequently leading to a reduction in exercise capacity and changes that correlate with long-term patient outcomes and mortality. Implementation of an effective manage...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Ariel Amnon
Altraja Alan
Belevskiy Andrey
Boros Piotr W.
Danila Edvardas
Fležar Matjaz
Koblizek Vladimir
Fridlender Zvi G.
Kostov Kosta
Krams Alvils
Milenkovic Branislava
Somfay Attila
Tkacova Ruzena
Tudoric Neven
Ulmeanu Ruxandra
Valipour Arschang
Dokumentumtípus: Cikk
Megjelent: 2018
Sorozat:INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE 13
doi:10.2147/COPD.S145573

mtmt:3410554
Online Access:http://publicatio.bibl.u-szeged.hu/15186
Leíró adatok
Tartalmi kivonat:COPD is a complex, heterogeneous condition. Even in the early clinical stages, COPD carries a significant burden, with breathlessness frequently leading to a reduction in exercise capacity and changes that correlate with long-term patient outcomes and mortality. Implementation of an effective management strategy is required to reduce symptoms, preserve lung function, quality of life, and exercise capacity, and prevent exacerbations. However, current clinical practice frequently differs from published guidelines on the management of COPD. This review focuses on the current scientific evidence and expert opinion on the management of moderate COPD: the symptoms arising from moderate airflow obstruction and the burden these symptoms impose, how physical activity can improve disease outcomes, the benefits of dual bronchodilation in COPD, and the limited evidence for the benefits of inhaled corticosteroids in this disease. We emphasize the importance of maximizing bronchodilation in COPD with inhaled dual-bronchodilator treatment, enhancing patient-related outcomes, and enabling the withdrawal of inhaled corticosteroids in COPD in well-defined patient groups. © 2018 Ariel et al.
Terjedelem/Fizikai jellemzők:45-56
ISSN:1176-9106