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Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper

B.R. Celli, W. MacNee, A. Agusti, A. Anzueto, B. Berg, A.S. Buist, P.M.A. Calverley, N. Chavannes, T. Dillard, B. Fahy, A. Fein, J. Heffner, S. Lareau, P. Meek, F. Martinez, W. McNicholas, J. Muris, E. Austegard, R. Pauwels, S. Rennard, A. Rossi, N. Siafakas, B. Tiep, J. Vestbo, E. Wouters, R. ZuWallack
European Respiratory Journal 2004 23: 932-946; DOI: 10.1183/09031936.04.00014304
B.R. Celli
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W. MacNee
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A. Agusti
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A. Anzueto
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B. Berg
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A.S. Buist
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P.M.A. Calverley
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N. Chavannes
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T. Dillard
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B. Fahy
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A. Fein
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J. Heffner
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S. Lareau
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P. Meek
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F. Martinez
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W. McNicholas
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J. Muris
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E. Austegard
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R. Pauwels
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S. Rennard
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A. Rossi
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N. Siafakas
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B. Tiep
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J. Vestbo
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E. Wouters
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R. ZuWallack
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Background

The Standards for the Diagnosis and Treatment of Patients with COPD document 2004 updates the position papers on chronic obstructive pulmonary disease (COPD) published by the American Thoracic Society (ATS) and the European Respiratory Society (ERS) in 1995 1, 2. Both societies felt the need to update the previous documents due to the following. 1) The prevalence and overall importance of COPD as a health problem is increasing. 2) There have been enough advances in the field to require an update, especially adapted to the particular needs of the ATS/ERS constituency. 3) It allows for the creation of a “live” modular document based on the web; it should provide healthcare professionals and patients with a user friendly and reliable authoritative source of information. 4) The care of COPD should be comprehensive, is often multidisciplinary and rapidly changing. 5) Both the ATS and the ERS acknowledge the recent dissemination of the Global Initiative of Obstructive Lung Disease (GOLD) 3 as a major worldwide contribution to the battle against COPD. However, some specific requirements of the members of both societies require adaptation of the broad GOLD initiative. Those requirements include specific recommendations on oxygen therapy, pulmonary rehabilitation, noninvasive ventilation, surgery in and for COPD, sleep, air travel, and end-of-life. In addition, special emphasis has been placed on issues related to the habit of smoking and its control.

Goals and objectives

The main goals of the updated document are to improve the quality of care provided to patients with COPD and to develop the project using a disease-oriented approach. To achieve these goals, both organisations have developed a modular electronic web-based document with two components. 1) A component for health professionals that intends to: raise awareness of COPD; inform on the latest advances in the overall pathogenesis, diagnosis, monitoring and management of COPD; and …

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Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper
B.R. Celli, W. MacNee, A. Agusti, A. Anzueto, B. Berg, A.S. Buist, P.M.A. Calverley, N. Chavannes, T. Dillard, B. Fahy, A. Fein, J. Heffner, S. Lareau, P. Meek, F. Martinez, W. McNicholas, J. Muris, E. Austegard, R. Pauwels, S. Rennard, A. Rossi, N. Siafakas, B. Tiep, J. Vestbo, E. Wouters, R. ZuWallack
European Respiratory Journal Jun 2004, 23 (6) 932-946; DOI: 10.1183/09031936.04.00014304

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Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper
B.R. Celli, W. MacNee, A. Agusti, A. Anzueto, B. Berg, A.S. Buist, P.M.A. Calverley, N. Chavannes, T. Dillard, B. Fahy, A. Fein, J. Heffner, S. Lareau, P. Meek, F. Martinez, W. McNicholas, J. Muris, E. Austegard, R. Pauwels, S. Rennard, A. Rossi, N. Siafakas, B. Tiep, J. Vestbo, E. Wouters, R. ZuWallack
European Respiratory Journal Jun 2004, 23 (6) 932-946; DOI: 10.1183/09031936.04.00014304
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  • Article
    • Background
    • Definition of COPD
    • Diagnosis of COPD
    • Epidemiology, risk factors and natural history of COPD
    • Pathology and pathophysiology in COPD
    • Clinical assessment, testing and differential diagnosis of COPD
    • Smoking cessation
    • Management of stable COPD: pharmacological therapy
    • Management of stable COPD: long-term oxygen therapy
    • Management of stable COPD: pulmonary rehabilitation
    • Management of stable COPD: nutrition
    • Management of stable COPD: surgery in and for COPD
    • Management of stable COPD: sleep
    • Management of stable COPD: air-travel
    • Exacerbation of COPD: definition, evaluation and treatment
    • Exacerbation of COPD: inpatient oxygen therapy
    • Exacerbation of COPD: assisted ventilation
    • Ethical and palliative care issues in COPD
    • Integrated disease management for primary care in COPD
    • Conclusions
    • References
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