Navigation Links
Updated GOLD report presents new understandings in diagnosis, treatment and prevention of COPD
Date:9/14/2007

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) has released new standards for the diagnosis, management and prevention of chronic obstructive pulmonary disease (COPD). The latest recommendations emphasize the importance of proper diagnosis, assessment of the diseases severity, and the need for a better understanding of co-morbidities to improve treatment of disease.

The GOLD report is updated annually online, but this is the first complete makeover since its initial publication in 2002. This is an absolutely up-to-date summary of all the available evidence on the diagnosis, management and prevention of COPD, said Klaus Rabe, M.D., Ph.D., lead author of the report.

The executive summary of the updated GOLD report appears in the second issue for September of the American Thoracic Societys American Journal of Respiratory and Critical Care Medicine.

According to the report, COPD is the fourth leading cause of death in the U.S. and is projected to be fifth worldwide by 2020. It currently affects 15 to 25 percent of adults over the age of 40, says Dr. Rabe, of the Department of Pulmonology at the Leiden University Medical Center in the Netherlands. Yet in spite of the prevalence and seriousness of COPD as a public health threat, COPD is relatively unknown and ignored by the public as well as by health officials.

The new standards reflect the evolution of current scientific and medical thought. One of the most important points is that we now say COPD is preventable and treatable, said Dr. Rabe. There are steps we can take to prevent it, and it is no longer viewed with therapeutic nihilism.

Other updates include:

  • New staging guidelines for determining the severity of COPD;

  • Management recommendations for exacerbations including the use of antibiotics; and

  • Recommendations for identifying and building the comprehensive healthcare teams that are necessary for the coordinated treatment of patients with COPD, who frequently present with co-morbidities.

Unfortunately, despite the significant progress that has been made in the understanding and management of the disease, the behavioral and cultural factors that have pushed the disease into the top-five list of killer diseases worldwide remain largely unchanged.

Cigarette smoking and secondhand smoke exposure are the most commonly encountered risk factors for COPD in the developed world. In developing countries, COPD arises primarily from long-term exposure to smoke from biomass fuel used for indoor cooking and heating. Women, who began smoking in higher numbers after World War II, and who bear the brunt of indoor exposures in developing countries, are now more likely to die of the disease than men. Furthermore, because COPD generally develops over a period of decades, the current rise in cases is unlikely to abate soon.

The prevalence and burden of COPD are projected to increase in the coming decades due to continued exposure to COPD risk factors and the changing age structure of the worlds population, wrote the researchers.

While the new guidelines represent a significant step toward more comprehensive treatment and understanding of COPD, they are also a work in progress. Continuous updates of the literature provide the opportunity to identify areas of weakness, noted Leonardo M. Fabbri, M.D., who wrote an editorial on the report in the same issue of the journal. As examples, he cited areas of COPD research that require more investigation and further refinement, including the need to improve methods for determining the severity of the disease, and developing a more comprehensive approach to assessing co-morbidities.


'/>"/>

Contact: Suzy Martin
smartin@thoracic.org
212-315-8631
American Thoracic Society
Source:Eurekalert

Related medicine news :

1. High -tech Mitochondrial DNA Sequencing Tool Updated
2. Updated Sleep Apnea Screening Recommended for Commercial Drivers
3. Warning on Avastin Updated
4. No harm in reducing prenatal check up to 3 - 6 times says WHO report
5. Autopsy reports could be valuable and informative
6. China reports declining number of SARS Cases
7. Russia Reports First SARS Case
8. Report on the Safety and Effectiveness of Melatonin supplements
9. WHO report asks for improved healthcare for mother and child
10. Research reports that c-section deliveries are rising
11. Jharkhand reports 13,000 Malaria cases
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... ... 26, 2017 , ... Amir Qureshi, MD is the first physician in Arkansas ... stimulation system. The Nuvectra™ Algovita SCS System has been FDA approved as a treatment ... in Arkansas to introduce the most powerful SCS system and the only stretchable lead ...
(Date:5/26/2017)... MA (PRWEB) , ... May 26, 2017 , ... On ... Act (AHCA), which narrowly passed the U.S. House on May 4, would result in ... be expected under continued implementation of the 2010 Patient Protection and Affordable Care Act ...
(Date:5/26/2017)... ... May 26, 2017 , ... Dr. Alex Rabinovich, a highly-skilled ... a new, informational blog post on insurance options. If a Bay Area patient has ... help save time and money. Visiting an in-network provider for a second opinion can ...
(Date:5/26/2017)... ... 2017 , ... “Cactus Jack: Against All Odds”: the story of Coach Cactus ... Against All Odds” is the creation of published author, Walter Hubbard, a retired wildlife ... Carlisle’s third child Jane. Walter. Walter and Jane have three adult children and ...
(Date:5/24/2017)... , ... May 24, 2017 , ... Altec ... participation in nVerge 2017 – a one-day technology conference in San Diego, CA. ... solution, which allows users to fully utilize and enhance their Sage ERP solutions by ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... -- Global Health Intelligence (GHI), the leading healthcare ... published its 2017 ranking of the Best-Equipped Hospitals in ... analysis from GHI,s hospitals database for Latin America , ... The GHI database covers 86% of the hospitals in ... points for each institution in key areas such as beds, ...
(Date:5/9/2017)... Zimmer Biomet Holdings, Inc. (NYSE and SIX: ... it has earned a spot on Forbes, ... was ranked among 500 U.S. employers as well as ... and Services. The annual Forbes ... survey of over 30,000 employees across 25 industries. The ...
(Date:5/8/2017)... NEW YORK , May 8, 2017 ... in the transition from fee for service reimbursement. Black ... April 2017. 1.       The Market for ... 77% of physician practices with 3 or ... Compliance Technology Solutions by Q4. "Given the magnitude of ...
Breaking Medicine Technology: