Management of the COPD Patient with Comorbidities: An Experts Recommendation Document.

dc.contributor.authorRecio Iglesias, Jesús
dc.contributor.authorDíez-Manglano, Jesús
dc.contributor.authorLópez García, Francisco
dc.contributor.authorDíaz Peromingo, José Antonio
dc.contributor.authorAlmagro, Pere
dc.contributor.authorVarela Aguilar, José Manuel
dc.date.accessioned2025-01-07T15:43:20Z
dc.date.available2025-01-07T15:43:20Z
dc.date.issued2020-05-07
dc.description.abstractChronic obstructive pulmonary disease (COPD) is associated with multiple comorbidities, which impact negatively on patients and are often underdiagnosed, thus lacking a proper management due to the absence of clear guidelines. To elaborate expert recommendations aimed to help healthcare professionals to provide the right care for treating COPD patients with comorbidities. A modified RAND-UCLA appropriateness method consisting of nominal groups to draw up consensus recommendations (6 Spanish experts) and 2-Delphi rounds to validate them (23 Spanish experts) was performed. A panel of Spanish internal medicine experts reached consensus on 73 recommendations and 81 conclusions on the clinical consequences of the presence of comorbidities. In general, the experts reached consensus on the issues raised with regard to cardiovascular comorbidity and metabolic disorders. Consensus was reached on the use of selective serotonin reuptake inhibitors in cases of depression and the usefulness of referring patients with anxiety to respiratory rehabilitation programmes. The results also showed consensus on the usefulness of investigating the quality of sleep, the treatment of pain with opioids and the evaluation of osteoporosis by lateral chest radiography. This study provides conclusions and recommendations that are intended to improve the management of the complexity of patients with COPD and important comorbidities, usually excluded from clinical trials.
dc.identifier.doi10.2147/COPD.S242009
dc.identifier.essn1178-2005
dc.identifier.pmcPMC7217705
dc.identifier.pmid32440113
dc.identifier.pubmedURLhttps://pmc.ncbi.nlm.nih.gov/articles/PMC7217705/pdf
dc.identifier.unpaywallURLhttps://www.dovepress.com/getfile.php?fileID=57926
dc.identifier.urihttps://hdl.handle.net/10668/27348
dc.journal.titleInternational journal of chronic obstructive pulmonary disease
dc.journal.titleabbreviationInt J Chron Obstruct Pulmon Dis
dc.language.isoen
dc.organizationSAS - Hospital Universitario Virgen del Rocío
dc.page.number1015-1037
dc.pubmedtypeJournal Article
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectCOPD
dc.subjectDelphi technique
dc.subjectchronic obstructive pulmonary disease
dc.subjectcomorbidities
dc.subjectmodified RAND-UCLA
dc.subject.meshAnxiety
dc.subject.meshComorbidity
dc.subject.meshConsensus
dc.subject.meshHealth Services
dc.subject.meshHumans
dc.subject.meshPulmonary Disease, Chronic Obstructive
dc.titleManagement of the COPD Patient with Comorbidities: An Experts Recommendation Document.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number15

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