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A Stepwise Approach to the Interpretation of Pulmonary Function Tests - American Family...

Mar 1, 2014 - Office-based pulmonary function testing, also known as spirometry, is a powerful tool for primary care physicians to diagnose and manage respiratory problems. An obstructive defect is indicated by a low forced expiratory volume in one second/forced vital capacity (FEV1/FVC) ratio, which...

American Family Physician : Article

https://www.aafp.org/afp/2014/0301/p359.html

Chronic Obstructive Pulmonary Disease: Diagnosis and Management - American Family ...

Apr 1, 2017 - The diagnosis of chronic obstructive pulmonary disease (COPD) should be suspected in patients with risk factors (primarily a history of smoking) who report dyspnea at rest or with exertion, chronic cough with or without sputum production, or a history of wheezing. COPD may be suspected ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0401/p433.html

Chronic Obstructive Pulmonary Disease - American Family Physician

Jun 1, 2019 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32

Common Occupational Disorders: Asthma, COPD, Dermatitis, and Musculoskeletal Disorders ...

Jun 15, 2016 - An occupational illness is an event or exposure that occurs in the workplace that causes or contributes to a condition or worsens a preexisting condition. If an occupational disorder is suspected, a directed history should be taken with particular attention to establishing a temporal ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0615/p1000.html

Management of COPD Exacerbations - American Family Physician

Mar 1, 2010 - Exacerbations of chronic obstructive pulmonary disease contribute to the high mortality rate associated with the disease. Randomized controlled trials have demonstrated the effectiveness of multiple interventions. The first step in outpatient management should be to increase the dosage ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0301/p607.html

Treatment of Stable Chronic Obstructive Pulmonary Disease: the GOLD Guidelines - ...

Nov 15, 2013 - Chronic obstructive pulmonary disease (COPD) is a common problem in primary care. COPD is diagnosed with spirometry only in clinically stable patients with a postbronchodilator forced expiratory volume in one second/forced vital capacity ratio of less than 0.70. All patients with COPD ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p655.html

An Approach to Interpreting Spirometry - American Family Physician

Mar 1, 2004 - Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit. However, interpreting spirometry results can be ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1107.html

Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease - ...

Sep 15, 2010 - Pulmonary rehabilitation is a nonpharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p655.html

Diagnosis of Chronic Obstructive Pulmonary Disease - American Family Physician

Jul 1, 2008 - Chronic obstructive pulmonary disease affects more than 26 million adults in the United States. Family physicians provide care for most of these patients. Cigarette smoking is the leading risk factor for chronic obstructive pulmonary disease, although other risk factors, including ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p87.html

Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...

Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p295.html

Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...

Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0601/od1.html

Glycopyrrolate (Lonhala Magnair) for Treatment of Chronic Obstructive Pulmonary Disease...

May 15, 2019 - Glycopyrrolate is a safe alternative to long-acting muscarinic antagonists delivered by metered-dose inhaler for patients with moderate to severe COPD.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0515/p643.html

Antibiotic Prophylaxis for COPD Exacerbations - FPIN's Clinical Inquiries - American ...

Apr 15, 2018 - Prophylactic antibiotics may be used to reduce the overall rate of COPD exacerbations and delay their onset. However, the appropriate antibiotic regimen and target population are unclear.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/0415/p527.html

COPD: Management of Acute Exacerbations and Chronic Stable Disease - American Family ...

Aug 15, 2001 - Acute exacerbations of chronic obstructive pulmonary disease (COPD) are treated with oxygen (in hypoxemic patients), inhaled beta2 agonists, inhaled anticholinergics, antibiotics and systemic corticosteroids. Methylxanthine therapy may be considered in patients who do not respond to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p603.html

Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...

Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0401/p463.html

Medications for COPD: A Review of Effectiveness - American Family Physician

Oct 15, 2007 - Chronic obstructive pulmonary disease (COPD) is a common problem among patients presenting to primary care. This condition has multiple individual and combined treatment regimens. The goals of treatment are to improve quality of life, exercise tolerance, sleep quality, and survival; and...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1141.html

Written Action Plans for Self-Management of COPD Exacerbations - Cochrane for ...

Mar 1, 2018 - Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0301/p310.html

Glycopyrrolate (Seebri Neohaler) for Maintenance Therapy in Patients with COPD - STEPS ...

Sep 15, 2017 - Glycopyrrolate is a safe option for maintenance treatment to prevent moderate to severe exacerbations in patients with moderate to severe COPD, with only mild and rare adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0915/p395.html

Umeclidinium (Incruse Ellipta) for COPD - STEPS - American Family Physician

Jan 15, 2017 - Umeclidinium is an easy-to-use, once-daily, well-tolerated, and relatively low-cost anti-cholinergic agent for maintenance therapy in patients with moderate to severe COPD.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0115/p120.html

Chronic Obstructive Pulmonary Disease: Diagnostic Considerations - American Family ...

Feb 15, 2006 - Chronic obstructive pulmonary disease is characterized by the gradual progression of irreversible airflow obstruction and increased inflammation in the airways and lung parenchyma that is generally distinguishable from the inflammation caused by asthma. Most chronic obstructive ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p669.html

Asbestos-Related Lung Disease - American Family Physician

Mar 1, 2007 - The inhalation of asbestos fibers may lead to a number of respiratory diseases, including lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma. Although exposure is now regulated, patients continue to present with these diseases because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p683.html

Screening for Chronic Obstructive Pulmonary Disease: Recommendation Statement - U.S. ...

Jul 15, 2016 - The USPSTF recommends against screening for chronic obstructive pulmonary disease (COPD) in asymptomatic adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/0715/od1.html

Physician Assessment of COPD Does Not Match Spirometry Results - POEMs - American ...

Oct 1, 2015 - Using immediate, in-office spirometry results as the reference standard, seasoned physicians accurately identified COPD severity in approximately one in three patients, underestimating severity in 41% of patients and overestimating severity in 29% of patients. This mismatch seems to be ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1001/p635a.html

ACCP/CTS Provide Guidance on Preventing Acute COPD Exacerbations - Practice Guidelines ...

Sep 1, 2015 - The American College of Chest Physicians (ACCP) and Canadian Thoracic Society (CTS) have released a guideline with suggestions and recommendations for preventing COPD exacerbations based on available evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0901/p399.html

Aclidinium for Stable COPD - Cochrane for Clinicians - American Family Physician

Jun 1, 2015 - Aclidinium did not decrease all-cause mortality or exacerbations requiring oral steroids, antibiotics, or both. However, aclidinium decreased the number of patients with exacerbations requiring hospitalization and improved quality of life in those with stable COPD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0601/p760.html

Roflumilast (Daliresp) for Chronic Obstructive Pulmonary Disease - STEPS - American ...

Feb 15, 2014 - Roflumilast therapy has a limited role in patients with severe COPD, and no role in patients with mild to moderate COPD. It will not decrease the number of hospitalizations.

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0215/p300.html

Indacaterol (Arcapta) for COPD - STEPS - American Family Physician

Aug 15, 2014 - Indacaterol provides a similar benefit to other long-acting bronchodilators for the treatment of moderate to severe COPD, with once-daily dosing. As with other LABAs, it should be used only as add-on therapy in patients already taking inhaled corticosteroids.

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0815/p252.html

Prophylactic Antibiotics for the Prevention of COPD Exacerbation - Cochrane for ...

Jun 1, 2014 - Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0601/p870.html

Role of Breathing Exercises in the Treatment of COPD - Cochrane for Clinicians - ...

Jan 1, 2014 - Patients with COPD who are treated with breathing exercises vs. standard care showed an improvement in exercise capacity, with inconsistent changes in dyspnea and health-related quality of life. Adding breathing exercises to a pulmonary rehabilitation program did not show any increased ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0101/p15.html

Evaluation of the Patient with Chronic Cough - American Family Physician

May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2159.html

Choosing the Right Inhaled Medication Device for COPD - Editorials - American Family ...

Nov 15, 2013 - Data suggest that inhaler devices have similar effectiveness in treating patients with COPD; however, a variety of factors must be considered when selecting the best device for each patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/1115/p650.html

Five-Day Steroid Treatment Effective for Acute COPD Exacerbation - POEMs - American ...

Dec 1, 2013 - A five-day course of systemic glucocorticoids is at least as effective as a 14-day course in the treatment of adults with acute exacerbations of COPD.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/od1.html

Chronic Bronchitis: Primary Care Management - American Family Physician

May 15, 1998 - Chronic bronchitis is a clinical diagnosis characterized by a cough productive of sputum for over three months' duration during two consecutive years and the presence of airflow obstruction. Pulmonary function testing aids in the diagnosis of chronic bronchitis by documenting the extent...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2365.html

ACP Updates Guideline on Diagnosis and Management of Stable COPD - Practice Guidelines ...

Jan 15, 2012 - Chronic obstructive pulmonary disease (COPD) affects more than 5 percent of U.S adults and is the third leading cause of death. The American College of Physicians (ACP) recently updated its 2007 guideline on the diagnosis and management of stable COPD to include new recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0115/p204.html

ACCP Releases Statement on Dyspnea Treatment in Patients with Advanced Lung or Heart ...

Oct 15, 2010 - The American College of Chest Physicians (ACCP) wrote a consensus statement to influence clinical practice and provide suggestions regarding the management of dyspnea in patients with advanced lung or heart disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/1015/p999.html

Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Recommendation ...

Oct 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends against screening adults for chronic obstructive pulmonary disease (COPD) using spirometry.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2009/1015/p853.html

Screening for Chronic Obstructive Pulmonary Disease Using Spriometry - Putting ...

Oct 15, 2009 - Case study: A 50-year-old woman presents for a routine check-up and medication refills. She has smoked a pack of cigarettes daily for more than 30 years but does not report chest pain or breathing problems.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/1015/p861.html

ACP Guideline Recommends Diagnosis and Management Strategies for COPD - Practice ...

Aug 1, 2008 - The American College of Physicians (ACP) has released a guideline providing recommendations on the diagnosis and treatment of chronic obstructive pulmonary disease (COPD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0801/p401.html

Use of Inhaled Corticosteroids to Treat Stable COPD - Cochrane for Clinicians - ...

Jun 1, 2008 - Although the use of inhaled corticosteroids for COPD will not reduce mortality or affect long-term disease progression, inhaled corticosteroids can be useful for reducing COPD exacerbations and slowing declines in quality of life.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0601/p1532.html

Fluticasone or Salmeterol Alone vs. Combination Therapy for COPD - AFP Journal Club - ...

Mar 1, 2008 - Is fluticasone plus salmeterol better than fluticasone or salmeterol alone for treating patients with COPD? Anticholinergics are the bronchodilators of choice. Neither fluticasone nor the combination of fluticasone and salmeterol were no better than placebo at preventing mortality.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0301/p586.html

ACCP and AACVPR Release Evidence-Based Guidelines on Pulmonary Rehabilitation - ...

Jan 15, 2008 - The American College of Chest Physicians (ACCP) and the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) has released pulmonary rehabilitation guidelines that update the recommendations published in 1997 and examine new areas of research.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0115/p242.html

Beta-Blocker Use in Patients with COPD - Cochrane for Clinicians - American Family ...

Dec 1, 2006 - In 20 studies of cardioselective beta blockers in patients with COPD, participants had no adverse pulmonary or respiratory effects. Because of their salutary cardiovascular effects, cardioselective beta blockers should not be withheld from patients with COPD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1201/p1858.html

Antibiotics for Exacerbations of COPD - Cochrane for Clinicians - American Family ...

Sep 1, 2006 - There is consistent evidence from a small number of studies that antibiotics significantly reduce mortality (number needed to treat [NNT] = 8) and treatment failure (NNT = 3) in more severely ill patients with COPD who are hospitalized because of an exacerbation. Two smaller studies ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0901/p749.html

Cochrane for Clinicians - Jun 1, 2006 - American Family Physician

Jun 1, 2006 - An antidepressant such as imipramine (Tofranil) or sertraline (Zoloft), possibly with the addition of an antipsychotic, is the preferred initial pharmacologic treatment for psychotic depression.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0601/p1935.html

Cochrane for Clinicians - Jun 1, 2006 - American Family Physician

Jun 1, 2006 - For adult patients who are taking a minimum maintenance dosage of inhaled corticosteroid for asthma, adding a long-acting beta2 agonist permits reduction of the dosage of inhaled corticosteroid by 253 mcg beclomethasone equivalent per day without worsening the patient's symptoms. In ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0601/p1935a.html

Cochrane for Clinicians - Dec 1, 2005 - American Family Physician

Dec 1, 2005 - In patients with moderate or severe COPD, tiotropium reduces exacerbations, hospitalizations, and symptom scores and improves health-related quality of life compared with placebo and ipratropium (Atrovent). However, more study is needed to determine tiotropium’s role in the treatment of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1201/p2219a.html

Cochrane for Clinicians - Dec 1, 2005 - American Family Physician

Dec 1, 2005 - Three days of antibiotic therapy is as effective as longer courses for treatment of uncomplicated UTIs in women.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1201/p2219.html

Systemic Corticosteroids for Acute Exacerbations of COPD - Cochrane for Clinicians - ...

Aug 1, 2005 - Systemic corticosteroids improve symptoms of acute COPD exacerbations at three days and reduce the likelihood of treatment failure. There is no evidence that they reduce mortality or prevent recurrence at 30 days, but the existing studies may be too small to detect such a benefit. ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0801/p437.html

The Changing Face of COPD - Editorials - American Family Physician

Feb 1, 2007 - Advertisement << Previous article Next article >> Feb 1, 2007 Issue Editorials The Changing Face of COPD ANTONELLO PUNTURIERI, M.D., PH.D., THOMAS L. CROXTON, PH.D., M.D., GAIL WEINMANN, M.D., and JAMES P. KILEY, PH.D., M.S., National Heart, Lung, and Blood Institute Bethesda,...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0201/p315.html

Home Oxygen Therapy for Treatment of Patients with Chronic Obstructive Pulmonary ...

Sep 1, 2004 - There is good evidence that the addition of home long-term continuous oxygen therapy for COPD increases survival rates in patients with severe hypoxemia (i.e., O2 saturation of less than 90 percent or partial pressure of arterial oxygen [PaO2] of less than 8 kPa per 60 mm Hg) but not in...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0901/p864.html

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