Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update

Chronic obstructive pulmonary disease (COPD) is a major respiratory illness in Canada that is both preventable and treatable. Our understanding of the pathophysiology of this complex condition continues to grow and our ability to offer effective treatment to those who suffer from it has improved con...

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Main Authors: Denis E O’Donnell, Shawn Aaron, Jean Bourbeau, Paul Hernandez, Darcy D Marciniuk, Meyer Balter, Gordon Ford, Andre Gervais, Roger Goldstein, Rick Hodder, Alan Kaplan, Sean Keenan, Yves Lacasse, Francois Maltais, Jeremy Road, Graeme Rocker, Don Sin, Tasmin Sinuff, Nha Voduc
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2007/830570
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author Denis E O’Donnell
Shawn Aaron
Jean Bourbeau
Paul Hernandez
Darcy D Marciniuk
Meyer Balter
Gordon Ford
Andre Gervais
Roger Goldstein
Rick Hodder
Alan Kaplan
Sean Keenan
Yves Lacasse
Francois Maltais
Jeremy Road
Graeme Rocker
Don Sin
Tasmin Sinuff
Nha Voduc
author_facet Denis E O’Donnell
Shawn Aaron
Jean Bourbeau
Paul Hernandez
Darcy D Marciniuk
Meyer Balter
Gordon Ford
Andre Gervais
Roger Goldstein
Rick Hodder
Alan Kaplan
Sean Keenan
Yves Lacasse
Francois Maltais
Jeremy Road
Graeme Rocker
Don Sin
Tasmin Sinuff
Nha Voduc
author_sort Denis E O’Donnell
collection DOAJ
description Chronic obstructive pulmonary disease (COPD) is a major respiratory illness in Canada that is both preventable and treatable. Our understanding of the pathophysiology of this complex condition continues to grow and our ability to offer effective treatment to those who suffer from it has improved considerably. The purpose of the present educational initiative of the Canadian Thoracic Society (CTS) is to provide up to date information on new developments in the field so that patients with this condition will receive optimal care that is firmly based on scientific evidence. Since the previous CTS management recommendations were published in 2003, a wealth of new scientific information has become available. The implications of this new knowledge with respect to optimal clinical care have been carefully considered by the CTS Panel and the conclusions are presented in the current document. Highlights of this update include new epidemiological information on mortality and prevalence of COPD, which charts its emergence as a major health problem for women; a new section on common comorbidities in COPD; an increased emphasis on the meaningful benefits of combined pharmacological and nonpharmacological therapies; and a new discussion on the prevention of acute exacerbations. A revised stratification system for severity of airway obstruction is proposed, together with other suggestions on how best to clinically evaluate individual patients with this complex disease. The results of the largest randomized clinical trial ever undertaken in COPD have recently been published, enabling the Panel to make evidence-based recommendations on the role of modern pharmacotherapy. The Panel hopes that these new practice guidelines, which reflect a rigorous analysis of the recent literature, will assist caregivers in the diagnosis and management of this common condition.
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spelling doaj-art-47afb59c86984f09bee62d3920366a512025-02-03T01:30:32ZengWileyCanadian Respiratory Journal1198-22412007-01-0114Suppl B5B32B10.1155/2007/830570Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 UpdateDenis E O’Donnell0Shawn Aaron1Jean Bourbeau2Paul Hernandez3Darcy D Marciniuk4Meyer Balter5Gordon Ford6Andre Gervais7Roger Goldstein8Rick Hodder9Alan Kaplan10Sean Keenan11Yves Lacasse12Francois Maltais13Jeremy Road14Graeme Rocker15Don Sin16Tasmin Sinuff17Nha Voduc18Queen’s University, Kingston, CanadaUniversity of Ottawa, Ottawa, Ontario, CanadaMcGill University, Montreal, Quebec, CanadaDalhousie University, Halifax, Nova Scotia, CanadaUniversity of Saskatchewan, Saskatoon, Saskatchewan, CanadaUniversity of Toronto, Toronto, Ontario, CanadaUniversity of Alberta, Calgary, Alberta, CanadaUniversity of Montreal, Montreal, Quebec, CanadaUniversity of Toronto, Toronto, Ontario, CanadaUniversity of Ottawa, Ottawa, Ontario, CanadaFamily Physician Airways Group of Canada, Richmond Hill, Ontario, CanadaUniversity of British Columbia, Vancouver, British Columbia, CanadaUniversité Laval, Sainte-Foy, Québec, CanadaUniversité Laval, Sainte-Foy, Québec, CanadaUniversity of British Columbia, Vancouver, British Columbia, CanadaDalhousie University, Halifax, Nova Scotia, CanadaUniversity of British Columbia, Vancouver, British Columbia, CanadaMcMaster University, Hamilton, Ontario, CanadaUniversity of Ottawa, Ottawa, Ontario, CanadaChronic obstructive pulmonary disease (COPD) is a major respiratory illness in Canada that is both preventable and treatable. Our understanding of the pathophysiology of this complex condition continues to grow and our ability to offer effective treatment to those who suffer from it has improved considerably. The purpose of the present educational initiative of the Canadian Thoracic Society (CTS) is to provide up to date information on new developments in the field so that patients with this condition will receive optimal care that is firmly based on scientific evidence. Since the previous CTS management recommendations were published in 2003, a wealth of new scientific information has become available. The implications of this new knowledge with respect to optimal clinical care have been carefully considered by the CTS Panel and the conclusions are presented in the current document. Highlights of this update include new epidemiological information on mortality and prevalence of COPD, which charts its emergence as a major health problem for women; a new section on common comorbidities in COPD; an increased emphasis on the meaningful benefits of combined pharmacological and nonpharmacological therapies; and a new discussion on the prevention of acute exacerbations. A revised stratification system for severity of airway obstruction is proposed, together with other suggestions on how best to clinically evaluate individual patients with this complex disease. The results of the largest randomized clinical trial ever undertaken in COPD have recently been published, enabling the Panel to make evidence-based recommendations on the role of modern pharmacotherapy. The Panel hopes that these new practice guidelines, which reflect a rigorous analysis of the recent literature, will assist caregivers in the diagnosis and management of this common condition.http://dx.doi.org/10.1155/2007/830570
spellingShingle Denis E O’Donnell
Shawn Aaron
Jean Bourbeau
Paul Hernandez
Darcy D Marciniuk
Meyer Balter
Gordon Ford
Andre Gervais
Roger Goldstein
Rick Hodder
Alan Kaplan
Sean Keenan
Yves Lacasse
Francois Maltais
Jeremy Road
Graeme Rocker
Don Sin
Tasmin Sinuff
Nha Voduc
Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update
Canadian Respiratory Journal
title Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update
title_full Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update
title_fullStr Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update
title_full_unstemmed Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update
title_short Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease – 2007 Update
title_sort canadian thoracic society recommendations for management of chronic obstructive pulmonary disease 2007 update
url http://dx.doi.org/10.1155/2007/830570
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