COPD – do the right thing

BMC Family Practice

Bernt B. Aarli¹  Christer Janson²  Georgios Stratelis³  Hanna Sandelowsky⁴  Anders Løkke⁵  Ulla Møller Weinreich⁶  Josefin Sundh⁷  Kjell Larsson⁸  Christian Jensen⁹  Kristian Høines^1,10 

[1] Department of Clinical Science, University of Bergen, Bergen, Norway;Department of Thoracic Medicine, Haukeland University Hospital, Bergen, Norway;Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden;Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden;AstraZeneca Nordic, Södertälje, Sweden;Department of Medicine, Clinical Epidemiology Division T2, Karolinska University Hospital, Karolinska Institutet, Solna, SE-171 76, Stockholm, Sweden;Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden;Academic Primary Healthcare Centre, Stockholm, Stockholm County, Sweden;Department of Medicine, Little Belt Hospital, Vejle, Denmark;Department of Regional Health Research, University of Southern Denmark, Odense, Denmark;Department of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark;The Clinical Institute, Aalborg University, Aalborg, Denmark;Department of Respiratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden;Integrative Toxicology, National Institute of Environmental Medicine, IMM, Karolinska Institutet, Stockholm, Sweden;Lægehuset Remisen, Præstø, Denmark;Tananger Medical Center, Tananger, Norway;

关键词: Pulmonary disease;    Chronic obstructive;    Primary health care;    Referral and consultation general practice;   

DOI  :  10.1186/s12875-021-01583-w

来源: Springer

【 摘 要 】

A gap exists between guidelines and real-world clinical practice for the management and treatment of chronic obstructive pulmonary disease (COPD). Although this has narrowed in the last decade, there is room for improvement in detection rates, treatment choices and disease monitoring. In practical terms, primary care practitioners need to become aware of the huge impact of COPD on patients, have non-judgemental views of smoking and of COPD as a chronic disease, use a holistic consultation approach and actively motivate patients to adhere to treatment.This article is based on discussions at a virtual meeting of leading Nordic experts in COPD (the authors) who were developing an educational programme for COPD primary care in the Nordic region. The article aims to describe the diagnosis and lifelong management cycle of COPD, with a strong focus on providing a hands-on, practical approach for medical professionals to optimise patient outcomes in COPD primary care.

【 授权许可】

CC BY