Diagnosis, Treatment, and Management of COPD and Asthma

Chronic obstructive pulmonary disease (COPD) is a disorder characterized by airflow limitation and is one of the major causes of mortality and morbidity across the globe. Although several guidelines have been published over the past three decades, they were generated in response to the fact that COP...

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collection Directory of Open Access Books
description Chronic obstructive pulmonary disease (COPD) is a disorder characterized by airflow limitation and is one of the major causes of mortality and morbidity across the globe. Although several guidelines have been published over the past three decades, they were generated in response to the fact that COPD is a major cause of mortality and morbidity and remains an important social problem. In the 20th century, forced expiratory volume in one second (FEV1) was the single most important measure in patients with COPD from discriminative, evaluative, and predictive standpoints. We found that dyspnea is a better mortality predictor than FEV1 in 2002 and exercise capacity in 2003. Subsequently, it has become apparent that physical activity is more predictive of mortality. Furthermore, we have recently developed the tendency to use the reduction of the future risk of exacerbation as the endpoint of relatively large-scale clinical trials rather than the improvement of FEV1. Many researchers have continued to seek better outcome markers and have also discussed what should be used as primary or secondary endpoints in clinical trials in subjects with COPD. We have undoubtedly made great progress but still have a lot of work to do for the best interests of patients.
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spelling doab-20.500.12854ir-1287132024-03-31T13:10:07Z Diagnosis, Treatment, and Management of COPD and Asthma Nishimura, Koichi COPD biomass-burning HHIP sputum supernatant lung function indoor pollution chronic obstructive pulmonary disease cytokines systemic inflammation clusters adenosine triphosphate heat shock protein 70 lung cancer saliva biochemistry diagnostics prognosis 6MWT STST exercise capacity oxygen desaturation acidosis breathing cardiopulmonary exercise testing dynamic hyperinflation muscle ventilation inhaled corticosteroids (ICS) chronic obstructive pulmonary disease (COPD) blood eosinophil count (BEC) eosinophil the Global Initiative for Chronic Obstructive Lung Disease (GOLD) acute exacerbation of COPD (AECOPD) SERS multivariate analysis spirometry lower limit of normal underdiagnosis early detection app-based spirometer asthma–COPD overlap asthma fractional exhaled nitric oxide immunoglobulin E COPD guideline Asia respiratory pathophysiology bronchodilator reversibility biomarker treatment response the Brief Fatigue Inventory (BFI) the revised Short–Form McGill Pain Questionnaire 2 (SF-MPQ-2) the Kihon Checklist fatigue pain respiratory diseases inflammatory markers neutrophil-to-lymphocyte ratio (NLR) platelet-to-lymphocyte (PLR) telemedicine telehealth telemonitoring acute exacerbation COPD diagnosis prevention biomarkers biologics eosinophils inflammation neutrophils treatment n/a thema EDItEUR::M Medicine and Nursing Chronic obstructive pulmonary disease (COPD) is a disorder characterized by airflow limitation and is one of the major causes of mortality and morbidity across the globe. Although several guidelines have been published over the past three decades, they were generated in response to the fact that COPD is a major cause of mortality and morbidity and remains an important social problem. In the 20th century, forced expiratory volume in one second (FEV1) was the single most important measure in patients with COPD from discriminative, evaluative, and predictive standpoints. We found that dyspnea is a better mortality predictor than FEV1 in 2002 and exercise capacity in 2003. Subsequently, it has become apparent that physical activity is more predictive of mortality. Furthermore, we have recently developed the tendency to use the reduction of the future risk of exacerbation as the endpoint of relatively large-scale clinical trials rather than the improvement of FEV1. Many researchers have continued to seek better outcome markers and have also discussed what should be used as primary or secondary endpoints in clinical trials in subjects with COPD. We have undoubtedly made great progress but still have a lot of work to do for the best interests of patients. 2023-11-30T20:45:49Z 2023-11-30T20:45:49Z 2023 book ONIX_20231130_9783036589657_165 9783036589657 9783036589640 https://directory.doabooks.org/handle/20.500.12854/128713 eng application/octet-stream Attribution 4.0 International https://mdpi.com/books/pdfview/book/8177 https://mdpi.com/books/pdfview/book/8177 MDPI - Multidisciplinary Digital Publishing Institute 10.3390/books978-3-0365-8964-0 10.3390/books978-3-0365-8964-0 46cabcaa-dd94-4bfe-87b4-55023c1b36d0 9783036589657 9783036589640 286 Basel open access
spellingShingle COPD
biomass-burning
HHIP
sputum supernatant
lung function
indoor pollution
chronic obstructive pulmonary disease
cytokines
systemic inflammation
clusters
adenosine triphosphate
heat shock protein 70
lung cancer
saliva
biochemistry
diagnostics
prognosis
6MWT
STST
exercise capacity
oxygen desaturation
acidosis
breathing
cardiopulmonary exercise testing
dynamic hyperinflation
muscle
ventilation
inhaled corticosteroids (ICS)
chronic obstructive pulmonary disease (COPD)
blood eosinophil count (BEC)
eosinophil
the Global Initiative for Chronic Obstructive Lung Disease (GOLD)
acute exacerbation of COPD (AECOPD)
SERS
multivariate analysis
spirometry
lower limit of normal
underdiagnosis
early detection
app-based spirometer
asthma–COPD overlap
asthma
fractional exhaled nitric oxide
immunoglobulin E
COPD guideline
Asia
respiratory pathophysiology
bronchodilator reversibility
biomarker treatment
response
the Brief Fatigue Inventory (BFI)
the revised Short–Form McGill Pain Questionnaire 2 (SF-MPQ-2)
the Kihon Checklist
fatigue
pain
respiratory diseases
inflammatory markers
neutrophil-to-lymphocyte ratio (NLR)
platelet-to-lymphocyte (PLR)
telemedicine
telehealth
telemonitoring
acute exacerbation COPD
diagnosis
prevention
biomarkers
biologics
eosinophils
inflammation
neutrophils
treatment
n/a
thema EDItEUR::M Medicine and Nursing
Diagnosis, Treatment, and Management of COPD and Asthma
title Diagnosis, Treatment, and Management of COPD and Asthma
title_full Diagnosis, Treatment, and Management of COPD and Asthma
title_fullStr Diagnosis, Treatment, and Management of COPD and Asthma
title_full_unstemmed Diagnosis, Treatment, and Management of COPD and Asthma
title_short Diagnosis, Treatment, and Management of COPD and Asthma
title_sort diagnosis treatment and management of copd and asthma
topic COPD
biomass-burning
HHIP
sputum supernatant
lung function
indoor pollution
chronic obstructive pulmonary disease
cytokines
systemic inflammation
clusters
adenosine triphosphate
heat shock protein 70
lung cancer
saliva
biochemistry
diagnostics
prognosis
6MWT
STST
exercise capacity
oxygen desaturation
acidosis
breathing
cardiopulmonary exercise testing
dynamic hyperinflation
muscle
ventilation
inhaled corticosteroids (ICS)
chronic obstructive pulmonary disease (COPD)
blood eosinophil count (BEC)
eosinophil
the Global Initiative for Chronic Obstructive Lung Disease (GOLD)
acute exacerbation of COPD (AECOPD)
SERS
multivariate analysis
spirometry
lower limit of normal
underdiagnosis
early detection
app-based spirometer
asthma–COPD overlap
asthma
fractional exhaled nitric oxide
immunoglobulin E
COPD guideline
Asia
respiratory pathophysiology
bronchodilator reversibility
biomarker treatment
response
the Brief Fatigue Inventory (BFI)
the revised Short–Form McGill Pain Questionnaire 2 (SF-MPQ-2)
the Kihon Checklist
fatigue
pain
respiratory diseases
inflammatory markers
neutrophil-to-lymphocyte ratio (NLR)
platelet-to-lymphocyte (PLR)
telemedicine
telehealth
telemonitoring
acute exacerbation COPD
diagnosis
prevention
biomarkers
biologics
eosinophils
inflammation
neutrophils
treatment
n/a
thema EDItEUR::M Medicine and Nursing
topic_facet COPD
biomass-burning
HHIP
sputum supernatant
lung function
indoor pollution
chronic obstructive pulmonary disease
cytokines
systemic inflammation
clusters
adenosine triphosphate
heat shock protein 70
lung cancer
saliva
biochemistry
diagnostics
prognosis
6MWT
STST
exercise capacity
oxygen desaturation
acidosis
breathing
cardiopulmonary exercise testing
dynamic hyperinflation
muscle
ventilation
inhaled corticosteroids (ICS)
chronic obstructive pulmonary disease (COPD)
blood eosinophil count (BEC)
eosinophil
the Global Initiative for Chronic Obstructive Lung Disease (GOLD)
acute exacerbation of COPD (AECOPD)
SERS
multivariate analysis
spirometry
lower limit of normal
underdiagnosis
early detection
app-based spirometer
asthma–COPD overlap
asthma
fractional exhaled nitric oxide
immunoglobulin E
COPD guideline
Asia
respiratory pathophysiology
bronchodilator reversibility
biomarker treatment
response
the Brief Fatigue Inventory (BFI)
the revised Short–Form McGill Pain Questionnaire 2 (SF-MPQ-2)
the Kihon Checklist
fatigue
pain
respiratory diseases
inflammatory markers
neutrophil-to-lymphocyte ratio (NLR)
platelet-to-lymphocyte (PLR)
telemedicine
telehealth
telemonitoring
acute exacerbation COPD
diagnosis
prevention
biomarkers
biologics
eosinophils
inflammation
neutrophils
treatment
n/a
thema EDItEUR::M Medicine and Nursing
url ONIX_20231130_9783036589657_165