Management of the COPD patient with comorbidities: an experts recommendation document
Recio Iglesias J ; Díez-Manglano J (Universidad de Zaragoza) ; Lopez Garcia F ; Diaz Peromingo JA ; Almagro P ; Varela Aguilar JM
Resumen: Background: Chronic obstructive pulmonary disease (COPD) is associated with multiple comorbidities, which impact negatively on patients and are often underdiagnosed, thus lacking a proper management due to the absence of clear guidelines.
Purpose: To elaborate expert recommendations aimed to help healthcare professionals to provide the right care for treating COPD patients with comorbidities.
Methods: A modified RAND-UCLA appropriateness method consisting of nominal groups to draw up consensus recommendations (6 Spanish experts) and 2-Delphi rounds to validate them (23 Spanish experts) was performed.
Results: A panel of Spanish internal medicine experts reached consensus on 73 recommendations and 81 conclusions on the clinical consequences of the presence of comorbidities. In general, the experts reached consensus on the issues raised with regard to cardiovascular comorbidity and metabolic disorders. Consensus was reached on the use of selective serotonin reuptake inhibitors in cases of depression and the usefulness of referring patients
with anxiety to respiratory rehabilitation programmes. The results also showed consensus on the usefulness of investigating the quality of sleep, the treatment of pain with opioids and the evaluation of osteoporosis by lateral chest radiography.
Conclusion: This study provides conclusions and recommendations that are intended to improve the management of the complexity of patients with COPD and important comorbidities, usually excluded from clinical trials.
Keywords: chronic obstructive pulmonary disease, COPD, comorbidities, modified RANDUCLA, Delphi technique
Idioma: Inglés
DOI: 10.2147/COPD.S242009
Año: 2020
Publicado en: International journal of chronic obstructive pulmonary disease 15 (2020), 1015 - 1037
ISSN: 1176-9106
Factor impacto JCR: 3.355 (2020)
Categ. JCR: RESPIRATORY SYSTEM rank: 30 / 64 = 0.469 (2020) - Q2 - T2
Factor impacto SCIMAGO: 1.393 - Health Policy (Q1) - Pulmonary and Respiratory Medicine (Q1) - Public Health, Environmental and Occupational Health (Q1) - Medicine (miscellaneous) (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
Exportado de SIDERAL (2024-01-24-15:05:17)
Visitas y descargas
Purpose: To elaborate expert recommendations aimed to help healthcare professionals to provide the right care for treating COPD patients with comorbidities.
Methods: A modified RAND-UCLA appropriateness method consisting of nominal groups to draw up consensus recommendations (6 Spanish experts) and 2-Delphi rounds to validate them (23 Spanish experts) was performed.
Results: A panel of Spanish internal medicine experts reached consensus on 73 recommendations and 81 conclusions on the clinical consequences of the presence of comorbidities. In general, the experts reached consensus on the issues raised with regard to cardiovascular comorbidity and metabolic disorders. Consensus was reached on the use of selective serotonin reuptake inhibitors in cases of depression and the usefulness of referring patients
with anxiety to respiratory rehabilitation programmes. The results also showed consensus on the usefulness of investigating the quality of sleep, the treatment of pain with opioids and the evaluation of osteoporosis by lateral chest radiography.
Conclusion: This study provides conclusions and recommendations that are intended to improve the management of the complexity of patients with COPD and important comorbidities, usually excluded from clinical trials.
Keywords: chronic obstructive pulmonary disease, COPD, comorbidities, modified RANDUCLA, Delphi technique
Idioma: Inglés
DOI: 10.2147/COPD.S242009
Año: 2020
Publicado en: International journal of chronic obstructive pulmonary disease 15 (2020), 1015 - 1037
ISSN: 1176-9106
Factor impacto JCR: 3.355 (2020)
Categ. JCR: RESPIRATORY SYSTEM rank: 30 / 64 = 0.469 (2020) - Q2 - T2
Factor impacto SCIMAGO: 1.393 - Health Policy (Q1) - Pulmonary and Respiratory Medicine (Q1) - Public Health, Environmental and Occupational Health (Q1) - Medicine (miscellaneous) (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2024-01-24-15:05:17)
Permalink:
Visitas y descargas
Este artículo se encuentra en las siguientes colecciones:
Articles
Record created 2024-01-24, last modified 2024-01-24