An Integrated Approach to the Medical Treatment of Chronic Obstructive Pulmonary Disease

Asthma and COPD Program, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
The Medical clinics of North America (Impact Factor: 2.61). 07/2012; 96(4):811-26. DOI: 10.1016/j.mcna.2012.05.002
Source: PubMed


COPD is a treatable condition for which careful and objective evaluation of patients’ lung function, symptoms, exercise capacity, and exacerbation history on an ongoing basis is essential so that treatments may be individualized as much as possible. Although the comparative effectiveness of drug classes has not yet been tested completely in COPD, virtually all inhaled COPD therapies improve lung function, quality of life, and reduce COPD exacerbations, which fulfills the major goals of care. Pulmonary rehabilitation is safe, effective, and a crucial component of COPD therapy. Newer therapies have been developed with the specific purpose of reducing COPD exacerbations and should be prescribed to individuals who have evidence of recurrent exacerbations despite maximal inhaled maintenance medications.

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