Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary.
Jørgen Vestbo,Suzanne S. Hurd,Alvar Agusti,Paul W. Jones,Claus Vogelmeier,Antonio Anzueto,Peter J. Barnes,Leonardo M. Fabbri,Fernando J. Martinez,Masaharu Nishimura,Robert A. Stockley,Don D. Sin,Roberto Rodriguez-Roisin +12 more
Reads0
Chats0
TLDR
It is recommended that spirometry is required for the clinical diagnosis of COPD to avoid misdiagnosis and to ensure proper evaluation of severity of airflow limitation.Abstract:
Chronic obstructive pulmonary disease (COPD) remains a major public health problem. It is the fourth leading cause of chronic morbidity and mortality in the United States, and is projected to rank fifth in 2020 in burden of disease worldwide, according to a study published by the World Bank/World Health Organization. Yet, COPD remains relatively unknown or ignored by the public as well as public health and government officials. In 1998, in an effort to bring more attention to COPD, its management, and its prevention, a committed group of scientists encouraged the U.S. National Heart, Lung, and Blood Institute and the World Health Organization to form the Global Initiative for Chronic Obstructive Lung Disease (GOLD). Among the important objectives of GOLD are to increase awareness of COPD and to help the millions of people who suffer from this disease and die prematurely of it or its complications. The first step in the GOLD program was to prepare a consensus report, Global Strategy for the Diagnosis, Management, and Prevention of COPD, published in 2001. The present, newly revised document follows the same format as the original consensus report, but has been updated to reflect the many publications on COPD that have appeared. GOLD national leaders, a network of international experts, have initiated investigations of the causes and prevalence of COPD in their countries, and developed innovative approaches for the dissemination and implementation of COPD management guidelines. We appreciate the enormous amount of work the GOLD national leaders have done on behalf of their patients with COPD. Despite the achievements in the 5 years since the GOLD report was originally published, considerable additional work is ahead of us if we are to control this major public health problem. The GOLD initiative will continue to bring COPD to the attention of governments, public health officials, health care workers, and the general public, but a concerted effort by all involved in health care will be necessary.read more
Citations
More filters
Journal ArticleDOI
Do Insomnia Complaints Cause Hypertension or Cardiovascular Disease
TL;DR: A combination of 3 sleep complaints predicted a slightly increased risk of cardiovascular disease but not hypertension, and a complaint of either DFA or SCD predicted increased hypertensive risk.
Journal ArticleDOI
Hereditary alpha-1-antitrypsin deficiency and its clinical consequences.
Laura Fregonese,Jan Stolk +1 more
TL;DR: Alpha-1-antitrypsin deficiency is a genetic disorder that manifests as pulmonary emphysema, liver cirrhosis and, rarely, as the skin disease panniculitis, and is characterized by low serum levels of AAT, the main protease inhibitor in human serum.
Journal ArticleDOI
Socioeconomic status, race and COPD health outcomes
Mark D. Eisner,Paul D. Blanc,Theodore A. Omachi,Edward H. Yelin,Stephen Sidney,Patricia P. Katz,Lynn Ackerson,Gabriela Sanchez,Irina Tolstykh,Carlos Iribarren +9 more
TL;DR: Low SES is a risk factor for a broad array of adverse COPD health outcomes and Clinicians and disease management programs should consider SES as a key patient-level marker of risk for poor outcomes.
Journal ArticleDOI
Frequency of exacerbations in patients with chronic obstructive pulmonary disease: an analysis of the SPIROMICS cohort
MeiLan K. Han,Pedro Miguel Quibrera,Elizabeth E. Carretta,R. Graham Barr,Eugene R. Bleecker,Russell P. Bowler,Christopher B. Cooper,A.P. Comellas,David Couper,Jeffrey L. Curtis,Gerard J. Criner,Mark T. Dransfield,Nadia N. Hansel,Eric A. Hoffman,Richard E. Kanner,Jerry A. Krishnan,Carlos H. Martinez,Cheryl B Pirozzi,Wanda K. O'Neal,Stephen I. Rennard,Stephen I. Rennard,Donald P. Tashkin,Jadwiga A. Wedzicha,Prescott G. Woodruff,Robert Paine,Robert Paine,Fernando J. Martinez,Neil E. Alexis,Wayne Anderson,Richard C. Boucher,Stephanie A Christenson,Alejandro P. Comellas,Gerard J. Criner,Ronald G. Crystal,Claire M. Doerschuk,Christine M. Freeman,Annette T. Hastie,Robert J. Kaner,Eric C. Kleerup,Lisa M. LaVange,Stephen C. Lazarus,Deborah A. Meyers,John D. Newell,Elizabeth C. Oelsner,Nirupama Putcha,Stephen I. Rennard,Stephen I. Rennard,Mary Beth Scholand,J. Michael Wells,Robert A. Wise,P.G. Woodruff +50 more
TL;DR: This longitudinal, prospective analysis of exacerbations in the Subpopulations and Intermediate Outcome Measures in COPD Study (SPIROMICS) cohort identified several novel biomarkers associated with consistent exacerbations, including CT-defined small airway abnormality on CT, lower interleukin-15 concentrations, and higher interleucin-8 concentrations.
Journal ArticleDOI
Acute exacerbation of COPD.
Fanny W.S. Ko,Ka Pang Chan,David S.C. Hui,John R. Goddard,Janet G. Shaw,David W. Reid,David W. Reid,Ian A. Yang +7 more
TL;DR: This review focuses on several aspects of acute exacerbation of COPD (AECOPD) including epidemiology, diagnosis and management, and nonpharmacological interventions including disease‐specific self‐management, pulmonary rehabilitation, early medical follow-up, and home visits by respiratory health workers.
References
More filters
Journal ArticleDOI
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal ArticleDOI
Standardisation of spirometry
Martin R. Miller,John L. Hankinson,Vito Brusasco,Felip Burgos,Richard Casaburi,Allan L. Coates,Robert O. Crapo,Paul L. Enright,C.P.M. van der Grinten,P. Gustafsson,R. Jensen,D.C. Johnson,Neil R. MacIntyre,Roy T. McKay,Daniel Navajas,O. F. Pedersen,Riccardo Pellegrino,Giovanni Viegi,J. Wanger +18 more
TL;DR: This research presents a novel and scalable approach called “Standardation of LUNG FUNCTION TESTing” that combines “situational awareness” and “machine learning” to solve the challenge of integrating nanofiltration into the energy system.
Journal ArticleDOI
Projections of Global Mortality and Burden of Disease from 2002 to 2030
Colin Mathers,Dejan Loncar +1 more
TL;DR: These projections represent a set of three visions of the future for population health, based on certain explicit assumptions, which enable us to appreciate better the implications for health and health policy of currently observed trends, and the likely impact of fairly certain future trends.
Book
The global burden of disease: a comprehensive assessment of mortality and disability from diseases injuries and risk factors in 1990 and projected to 2020.
TL;DR: This is the first in a planned series of 10 volumes that will attempt to "summarize epidemiological knowledge about all major conditions and most risk factors" and use historical trends in main determinants to project mortality and disease burden forward to 2020.
Journal ArticleDOI
Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.
TL;DR: List of participants (GOLD Scientific Committee): Nicholas Anthonisen, Winnipeg, Canada, William C. Bailey, Birmingham, US, Tim Clark, London, UK, Leonardo Fabbri, Modena, Italy, Yoshinosuke Fukuchi, Tokyo, Japan; Lawrence Grouse, Seattle, US; James C. Hogg, Vancouver, Canada; Dirkje S. Postma, Groningen, the Netherlands.
Related Papers (5)
Standardisation of spirometry
Martin R. Miller,John L. Hankinson,Vito Brusasco,Felip Burgos,Richard Casaburi,Allan L. Coates,Robert O. Crapo,Paul L. Enright,C.P.M. van der Grinten,P. Gustafsson,R. Jensen,D.C. Johnson,Neil R. MacIntyre,Roy T. McKay,Daniel Navajas,O. F. Pedersen,Riccardo Pellegrino,Giovanni Viegi,J. Wanger +18 more
Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper
Bartolome R. Celli,William MacNee,Alvar Agusti,Antonio Anzueto,B. Berg,A. S. Buist,Peter M.A. Calverley,Niels H. Chavannes,T. Dillard,Bonnie F. Fahy,Alan M. Fein,John E. Heffner,Suzanne C. Lareau,Paula Meek,Fernando J. Martinez,Walter T. McNicholas,Jean W M Muris,E. Austegard,Romain Pauwels,S. I. Rennard,Adriano G. Rossi,NM Siafakas,B. Tiep,Jørgen Vestbo,E. F. M. Wouters,Richard ZuWallack +25 more