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COPD management: role of symptom assessment in routine clinical practice.

Abstract

Patients with chronic obstructive pulmonary disease (COPD) present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients' everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed.

Authors+Show Affiliations

Department of General Practice, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands ; GRIAC (Groningen Research Institute for Asthma and COPD), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

24143085

Citation

van der Molen, Thys, et al. "COPD Management: Role of Symptom Assessment in Routine Clinical Practice." International Journal of Chronic Obstructive Pulmonary Disease, vol. 8, 2013, pp. 461-71.
van der Molen T, Miravitlles M, Kocks JW. COPD management: role of symptom assessment in routine clinical practice. Int J Chron Obstruct Pulmon Dis. 2013;8:461-71.
van der Molen, T., Miravitlles, M., & Kocks, J. W. (2013). COPD management: role of symptom assessment in routine clinical practice. International Journal of Chronic Obstructive Pulmonary Disease, 8, 461-71. https://doi.org/10.2147/COPD.S49392
van der Molen T, Miravitlles M, Kocks JW. COPD Management: Role of Symptom Assessment in Routine Clinical Practice. Int J Chron Obstruct Pulmon Dis. 2013;8:461-71. PubMed PMID: 24143085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - COPD management: role of symptom assessment in routine clinical practice. AU - van der Molen,Thys, AU - Miravitlles,Marc, AU - Kocks,Janwillem W H, Y1 - 2013/10/14/ PY - 2013/10/22/entrez PY - 2013/10/22/pubmed PY - 2014/4/4/medline KW - chronic obstructive pulmonary disease KW - questionnaires KW - symptoms SP - 461 EP - 71 JF - International journal of chronic obstructive pulmonary disease JO - Int J Chron Obstruct Pulmon Dis VL - 8 N2 - Patients with chronic obstructive pulmonary disease (COPD) present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients' everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed. SN - 1178-2005 UR - https://wwww.unboundmedicine.com/medline/citation/24143085/COPD_management:_role_of_symptom_assessment_in_routine_clinical_practice_ L2 - https://dx.doi.org/10.2147/COPD.S49392 DB - PRIME DP - Unbound Medicine ER -