Navigation Links
New Guideline Targets Treatment of Stable COPD
Date:11/12/2007

Physicians' group says adding spirometry to clinical exams benefits those with symptoms

MONDAY, Nov. 12 (HealthDay News) -- A new clinical guideline for diagnosing and treating the lung illness known as stable chronic obstructive pulmonary disease (COPD) has been released by the American College of Physicians (ACP).

COPD, typically caused by smoking, causes a gradual loss of lung function. It affects more than 5 percent of American adults and is the fourth leading cause of death and the 12th leading cause of illness in the United States. Symptoms range from chronic cough and wheezing to shortness of breath and significant limitation of activity.

According to the guideline:

  • Spirometry -- a test in which person blows into a machine -- should be performed to check for airflow obstruction in patients with respiratory symptoms, particularly shortness of breath. Spirometry shouldn't be used for patients with no symptoms.
  • Treatment of stable COPD should be limited to patients who have respiratory symptoms and forced expiratory volume in one second (FEV1) less than 60 percent predicted, as documented by spirometry.
  • Patients with COPD and FEV1 less than 60 percent predicted should be prescribed long-acting inhaled-agonists, long-acting inhaled anticholinergics, or inhaled corticosteroids.
  • Patients with COPD and insufficient levels of oxygen in the blood while resting should be prescribed oxygen therapy.

"The evidence does not support using spirometry as a diagnostic strategy for individuals not reporting respiratory symptoms," guideline co-author Dr. Steven Weinberger, the ACP's senior vice president of medical education and publishing, said in a prepared statement. "However, adding spirometry to clinical examinations for individuals with respiratory symptoms, especially shortness of breath, has demonstrated benefits," he added.

The guideline, based on a review of published studies, was published in the Nov. 6 issue of the journal Annals of Internal Medicine.

More information

The U.S. National Heart, Lung, and Blood Institute has more about COPD.



-- Robert Preidt



SOURCE: American College of Physicians, news release, Nov. 5, 2007


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. FDA Updates Prescription Guidelines for Blood Thinner
2. New Asthma Guidelines Stress Disease Control
3. Study finds primary care depression treatment often does not follow quality guidelines
4. New lung cancer guidelines oppose general CT screening
5. New Lung Cancer Guidelines Oppose General CT Screening
6. OSHA Issues Draft Ergonomics Guidelines on Preventing Musculoskeletal Injuries in Shipyards
7. Long-awaited international ethical guidelines for biobank researchers
8. Experts Publish New Lung Disease Guidelines
9. Heart Failure Society of America 11th Annual Scientific Meeting to Focus on Heart Failure Guidelines, Innovation and New Research
10. New guidelines set to improve standard of cows milk allergy care
11. GlycoMark Blood Test Included in Global Diabetes Care Guidelines as Emerging Technology
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... , ... October 13, 2017 ... ... of Pharmacy (SOP) alumni Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ... on guideline updates for the primary prevention of cardiovascular diseases during the ...
(Date:10/13/2017)... ... October 13, 2017 , ... Ellevate Network, the leading network ... advocate for action towards gender equality at their inaugural Summit in New York City ... and reached a social audience of over 3 million. To watch the Mobilize Women ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of a ... “The Journey: From the Mountains to the Mission Field” is the creation of published ... all ages and currently teaches a class of ladies at her church, which she ...
(Date:10/12/2017)... WAUSAU, Wis. (PRWEB) , ... October 12, 2017 ... ... formulated standard products to meet the demand of today’s consumer and regulatory authorities ... team of probiotic experts and tested to meet the highest standard. , ...
(Date:10/12/2017)... ... 12, 2017 , ... Dr. Parsa Mohebi, the Los Angeles ... to the newly revamped Cosmetic Town journal section, featuring articles written ... known as Follicular Unit Extraction (FUE). , Dr. Mohebi says “I ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... PROVIDENCE, R.I. , Sept. 25, 2017 /PRNewswire/ ... immunogenicity assessment, vaccine design, and immune-engineering today announced ... focused on the development of personalized therapeutic cancer ... and has provided exclusive access to enabling technologies ... MSc Eng., MBA will lead EpiVax Oncology as ...
(Date:9/19/2017)... , Sept. 19, 2017   ZirMed Inc ., a ... today announced that it has been ranked #1 by its ... Book™ Rankings 2017 User Survey. ZirMed was recognized as ... large hospitals and medical centers over 200 beds and holds ... healthcare technology user survey history. ...
(Date:9/12/2017)... N.J. , Sept. 12, 2017  Consumer reviews on the ... Hearing as the number one company for hearing aids, ranking ... and fifteen other brands. ... Embrace Hearing Named #1 by Consumers For Hearing Aids ... Embrace Hearing is an online store that provides high ...
Breaking Medicine Technology: