000130359 001__ 130359
000130359 005__ 20240124152851.0
000130359 0247_ $$2doi$$a10.2147/COPD.S242009
000130359 0248_ $$2sideral$$a136416
000130359 037__ $$aART-2020-136416
000130359 041__ $$aeng
000130359 100__ $$aRecio Iglesias J
000130359 245__ $$aManagement of the COPD patient with comorbidities: an experts recommendation document
000130359 260__ $$c2020
000130359 5060_ $$aAccess copy available to the general public$$fUnrestricted
000130359 5203_ $$aBackground: 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
000130359 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000130359 590__ $$a3.355$$b2020
000130359 591__ $$aRESPIRATORY SYSTEM$$b30 / 64 = 0.469$$c2020$$dQ2$$eT2
000130359 592__ $$a1.393$$b2020
000130359 593__ $$aHealth Policy$$c2020$$dQ1
000130359 593__ $$aPulmonary and Respiratory Medicine$$c2020$$dQ1
000130359 593__ $$aPublic Health, Environmental and Occupational Health$$c2020$$dQ1
000130359 593__ $$aMedicine (miscellaneous)$$c2020$$dQ1
000130359 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000130359 700__ $$0(orcid)0000-0002-3132-2171$$aDíez-Manglano J$$uUniversidad de Zaragoza
000130359 700__ $$aLopez Garcia F
000130359 700__ $$aDiaz Peromingo JA
000130359 700__ $$aAlmagro P
000130359 700__ $$aVarela Aguilar JM
000130359 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000130359 773__ $$g15 (2020), 1015 - 1037$$pInt. j. chronic obstr. pulm. dis.$$tInternational journal of chronic obstructive pulmonary disease$$x1176-9106
000130359 8564_ $$s859415$$uhttps://zaguan.unizar.es/record/130359/files/texto_completo.pdf$$yVersión publicada
000130359 8564_ $$s2427702$$uhttps://zaguan.unizar.es/record/130359/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000130359 909CO $$ooai:zaguan.unizar.es:130359$$particulos$$pdriver
000130359 951__ $$a2024-01-24-15:05:17
000130359 980__ $$aARTICLE