Publication:
Algorithm for identification of asthma-COPD overlap: consensus between the Spanish COPD and asthma guidelines

dc.contributor.authorMiravitlles, Marc
dc.contributor.authorAlvarez-Gutierrez, Francisco Javier
dc.contributor.authorCalle, Myriam
dc.contributor.authorCasanova, Ciro
dc.contributor.authorCosio, Borja G.
dc.contributor.authorLopez-Vina, Antolin
dc.contributor.authorPerez de Llano, Luis
dc.contributor.authorQuirce, Santiago
dc.contributor.authorRoman-Rodriguez, Miguel
dc.contributor.authorSoler-Cataluna, Juan Jose
dc.contributor.authorPlaza, Vicente
dc.contributor.authoraffiliation[Miravitlles, Marc] Hosp Univ Vall dHebron, Pneumol Dept, Pg Vall dHebron 119-129, Barcelona 08035, Spain
dc.contributor.authoraffiliation[Miravitlles, Marc] CIBER Enfermedades Resp CIBERES, Barcelona, Spain
dc.contributor.authoraffiliation[Cosio, Borja G.] CIBER Enfermedades Resp CIBERES, Barcelona, Spain
dc.contributor.authoraffiliation[Quirce, Santiago] CIBER Enfermedades Resp CIBERES, Barcelona, Spain
dc.contributor.authoraffiliation[Javier Alvarez-Gutierrez, Francisco] Virgen del Rocio Univ Hosp, Med Surg Unit Resp Dis, Biomed Inst Seville IBiS, Seville, Spain
dc.contributor.authoraffiliation[Calle, Myriam] Univ Complutense Madrid, Hosp Clin San Carlos, Dept Resp Med, Madrid, Spain
dc.contributor.authoraffiliation[Calle, Myriam] Inst Invest Biomed San Carlos IdISSC, Dept Med, Madrid, Spain
dc.contributor.authoraffiliation[Casanova, Ciro] Hosp Univ Nuestra Senora de la Candelaria, Santa Cruz De Tenerife, Spain
dc.contributor.authoraffiliation[Cosio, Borja G.] Hosp Univ Son Espases IdISPa, Palma De Mallorca, Spain
dc.contributor.authoraffiliation[Lopez-Vina, Antolin] Hosp Univ Puerta de Hierro Majadahonda, Madrid, Spain
dc.contributor.authoraffiliation[Perez de Llano, Luis] Hosp Univ LucusAugusti, Lugo, Spain
dc.contributor.authoraffiliation[Quirce, Santiago] Hosp La Paz, Inst Hlth Res IdiPAZ, Dept Allergy, Madrid, Spain
dc.contributor.authoraffiliation[Roman-Rodriguez, Miguel] IB Salut, Primary Healthcare Ctr Son Pisa, Palma De Mallorca, Spain
dc.contributor.authoraffiliation[Jose Soler-Cataluna, Juan] Hosp Arnau de Vilanova Lliria, Pneumol Dept, Valencia, Spain
dc.contributor.authoraffiliation[Plaza, Vicente] Hosp Santa CreuiSt Pau, Dept Resp Med, IIB St Pau, Barcelona, SpainUniv Autonoma Barcelona, Dept Med, Barcelona, Spain
dc.date.accessioned2023-02-12T02:22:06Z
dc.date.available2023-02-12T02:22:06Z
dc.date.issued2017-05-01
dc.description.abstractIt was as early as 1959 that the report of the CIBA Symposium described the possible coexistence of different obstructive airway diseases, such as asthma, chronic bronchitis and/or emphysema, in the same individual. However, because there were no specific therapies for all these different expressions of lung disease, these overlaps were largely ignored by guidelines. In 1995, the American Thoracic Society chronic obstructive pulmonary disease (COPD) statement included a Venn diagram with the different possible overlaps of clinical presentation of obstructive lung diseases [1], but no specific recommendations of treatment were provided for them. It was not until 2007 that the Canadian COPD guidelines specified that: “if the asthma component (in COPD) is prominent, earlier introduction of inhaled corticosteroids (ICS) may be justified” [2]. Later, in 2010, the Japanese guidelines for COPD dedicated a chapter to “Treatment of COPD complicated by asthma” [3]. To the best of our knowledge, the Spanish guidelines for COPD (GesEPOC) in 2012 were the first to propose specific criteria for the identification of the so-called asthma–COPD overlap (ACO) [4, 5]. Because there was no internationally accepted definition of ACO, a group of experts proposed diagnostic criteria for ACO in COPD [6] and these were adopted in the document. The major criteria were as follows: a very positive bronchodilator response (>400 mL and >15% increase in forced expiratory volume in 1 s (FEV1)), sputum eosinophilia or a previous diagnosis of asthma. Minor criteria were an increased total serum IgE, previous history of atopy or a positive bronchodilator test (>200 mL and >12% in FEV1) on at least two occasions [6]. To be diagnosed with ACO, a patient must fulfil two major or one major and two minor criteria. Other national guidelines for COPD, such as the Finnish [7] and the Czech guidelines [8], followed this approach and proposed similar criteria for ACO.
dc.description.versionSi
dc.identifier.citationMiravitlles M, Alvarez-Gutierrez FJ, Calle M, Casanova C, Cosio BG, López-Viña A, et al. Algorithm for identification of asthma-COPD overlap: consensus between the Spanish COPD and asthma guidelines. Eur Respir J. 2017 May 1;49(5):1700068.
dc.identifier.doi10.1183/13993003.00068-2017
dc.identifier.essn1399-3003
dc.identifier.issn0903-1936
dc.identifier.unpaywallURLhttps://erj.ersjournals.com/content/erj/49/5/1700068.full.pdf
dc.identifier.urihttp://hdl.handle.net/10668/19110
dc.identifier.wosID401788800033
dc.issue.number5
dc.journal.titleEuropean respiratory journal
dc.journal.titleabbreviationEur. resp. j.
dc.language.isoen
dc.organizationInstituto de Biomedicina de Sevilla-IBIS
dc.organizationHospital Universitario Virgen del Rocío
dc.page.number2
dc.provenanceRealizada la curación de contenido 11/03/2025
dc.publisherEuropean respiratory soc journals ltd
dc.publisherEuropean Respiratory Society
dc.relation.publisherversionhttps://publications.ersnet.org/lookup/pmid/28461301
dc.rights.accessRightsRestricted Access
dc.subjectObstructive pulmonary-disease
dc.subjectDiagnosis
dc.subject.decsEnfermedad Pulmonar Obstructiva Crónica
dc.subject.decsAsma
dc.subject.decsTerapéutica
dc.subject.decsBroncodilatadores
dc.subject.decsEosinofilia
dc.subject.decsEsputo
dc.subject.decsDiagnóstico
dc.subject.decsCorticoesteroides
dc.subject.decsInmunoglobulina E
dc.subject.meshBronchitis, Chronic
dc.subject.meshBronchodilator Agents
dc.subject.meshForced Expiratory Volume
dc.subject.meshAdrenal Cortex Hormones
dc.subject.meshEosinophilia
dc.subject.meshEmphysema
dc.subject.meshAsthma
dc.subject.meshImmunoglobulin E
dc.titleAlgorithm for identification of asthma-COPD overlap: consensus between the Spanish COPD and asthma guidelines
dc.typeletter to the editor
dc.type.hasVersionVoR
dc.volume.number49
dc.wostypeLetter
dspace.entity.typePublication

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