Early Diagnosis and Management of Chronic Obstructive Pulmonary Disease.

Tuberculosis and Respiratory Diseases

article

Lee, Sei Won¹  Yoo, Jee Hong²  Park, Myung Jae²  Kim, Eun Kyung³  Yoon, Ho Il¹  Kim, Deog Kyeom⁴  Lee, Chang Hoon⁴  Park, Yong Bum⁵  Park, Joo Hun⁶  Hwang, Yong Il⁷  Jung, Ki Suck⁷  Yoo, Kwang Ha⁸  Park, Hye Yoon⁹  Lee, Jae Seung^1,10  Huh, Jin Won^1,10  Oh, Yeon Mok^1,10  Lim, Seong Yong^1,11  Jung, Ji Ye^1,12  Kim, Young Sam^1,12  Kim, Hui Jung^1,13  Rhee, Chin Kook^1,14  Kim, Young Kyoon^1,14  Kim, Jin Woo^1,15  Yoon, Hyoung Kyu^1,16  Lee, Sang Do^1,10 

[1] Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine;Department of Internal Medicine, Kyung Hee University Hospital;Department of Internal Medicine, CHA Bundang Medical Center, CHA University;Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine;Department of Internal Medicine, Kang-Dong Sacred Heart Hospital, Hallym University College of Medicine;Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine;Department of Internal Medicine, Hallym University Sacred Heart Hospital;Department of Internal Medicine, Konkuk University College of Medicine;Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine;Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine;Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine;Department of Internal Medicine, Yonsei University College of Medicine;Department of Internal Medicine, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine;Department of Internal Medicine, Seoul St. Mary's Hospital;Department of Internal Medicine, Uijeongbu St. Mary's Hospital;Department of Internal Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine

关键词: Pulmonary Disease;    Chronic Obstructive;    Early Diagnosis;    Spirometry;   

DOI  :  10.4046/trd.2011.70.4.293

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Chronic obstructive pulmonary disease (COPD) is a substantially under-diagnosed disorder, and the diagnosis is usually delayed until the disease is advanced. However, the benefit of early diagnosis is not yet clear, and there are no guidelines in Korea for doing early diagnosis. This review highlights several issues regarding early diagnosis of COPD. On the basis of several lines of evidence, early diagnosis seems quite necessary and beneficial to patients. Early diagnosis can be approached by several methods, but it should be confirmed by quality-controlled spirometry. Compared with its potential benefit, the adverse effects of spirometry or pharmacotherapy appear relatively small. Although it is difficult to evaluate the benefit of early diagnosis by well-designed trials, several lines of evidence suggest that we should try to diagnose and manage patients with COPD at early stages of the disease.

【 授权许可】

CC BY-NC