000056152 001__ 56152
000056152 005__ 20200221144211.0
000056152 0247_ $$2doi$$a10.2147/COPD.S100853
000056152 0248_ $$2sideral$$a95227
000056152 037__ $$aART-2016-95227
000056152 041__ $$aeng
000056152 100__ $$aCabrera, C.
000056152 245__ $$aAgreement between a simple dyspnea-guided treatment algorithm for stable COPD and the GOLD guidelines: A pilot study
000056152 260__ $$c2016
000056152 5060_ $$aAccess copy available to the general public$$fUnrestricted
000056152 5203_ $$aIntroduction: Guidelines recommendations for the treatment of COPD are poorly followed. This could be related to the complexity of classification and treatment algorithms. The purpose of this study was to validate a simpler dyspnea-based treatment algorithm for inhaled pharmacotherapy in stable COPD, comparing its concordance with the current Global Initiative for Obstructive Lung Disease (GOLD) guideline. Methods: We enrolled patients who had been diagnosed with COPD in three primary care facilities and two tertiary hospitals in Spain. We determined anthropometric data, forced expiratory volume in the 1st second (percent), exacerbations, and dyspnea based on the modified Medical Research Council scale. We evaluated the new algorithm based on dyspnea and exacerbations and calculated the concordance with the current GOLD recommendations. Results: We enrolled 100 patients in primary care and 150 attending specialized care in a respiratory clinic. There were differences in the sample distribution between cohorts with 41% vs 26% in grade A, 16% vs 12% in grade B, 16% vs 22% in grade C, and 27% vs 40% in grade D for primary and respiratory care, respectively (P=0.005). The coincidence of the algorithm with the GOLD recommendations in primary care was 93% and 91.8% in the respiratory care cohort. Conclusion: A simple dyspnea-based treatment algorithm for inhaled pharmacotherapy of COPD could be useful in the management of COPD patients and concurs very well with the recommended schema suggested by the GOLD initiative.
000056152 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000056152 590__ $$a3.157$$b2016
000056152 591__ $$aRESPIRATORY SYSTEM$$b20 / 59 = 0.339$$c2016$$dQ2$$eT2
000056152 592__ $$a1.256$$b2016
000056152 593__ $$aHealth Policy$$c2016$$dQ1
000056152 593__ $$aPulmonary and Respiratory Medicine$$c2016$$dQ1
000056152 593__ $$aPublic Health, Environmental and Occupational Health$$c2016$$dQ1
000056152 593__ $$aMedicine (miscellaneous)$$c2016$$dQ1
000056152 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000056152 700__ $$aCasanova, C.
000056152 700__ $$aMartín, Y.
000056152 700__ $$aMirabal, V.
000056152 700__ $$aSánchez, M.C.
000056152 700__ $$aÁlvarez, F.
000056152 700__ $$aJuliá, G.
000056152 700__ $$aCabrera-Navarro, P.
000056152 700__ $$aGarcía-Bello, M.Á.
000056152 700__ $$0(orcid)0000-0001-9096-2294$$aMarín, J.M.$$uUniversidad de Zaragoza
000056152 700__ $$ade-Torres, J.
000056152 700__ $$aDivo, M.
000056152 700__ $$aCelli, B.
000056152 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000056152 773__ $$g11, 1 (2016), 1217-1222$$pInt. j. chronic obstr. pulm. dis.$$tInternational journal of chronic obstructive pulmonary disease$$x1176-9106
000056152 8564_ $$s609839$$uhttps://zaguan.unizar.es/record/56152/files/texto_completo.pdf$$yVersión publicada
000056152 8564_ $$s74813$$uhttps://zaguan.unizar.es/record/56152/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000056152 909CO $$ooai:zaguan.unizar.es:56152$$particulos$$pdriver
000056152 951__ $$a2020-02-21-13:11:53
000056152 980__ $$aARTICLE