Abstract
Introduction: several international studies point out the scarce use of guidelines recommendations for treatment in CODP. The complexity in treatment and classification algorithms is probably the cause. The purpose of this study is to provide a new and simpler treatment algorithm for inhaled therapy in stable COPD.
Methods: a prospective study in 3 primary care facilities in Spain. We collected demographic data (age and gender), FEV1%, exacerbations and symptoms based on the mMRC scale. We ran the algorithm in the primary care cohort and also in a cohort attending specialized pulmonary care.
Results: we collected 100 patients in primary care and 162 in the pulmonary care cohort. The distribution in primary care following the GOLD criteria was 41% in grade A and 16%, 16% and 27% in grade B, C and D respectively. The consistency of the algorithm with the GOLD recommendations was 94%. Same results were found in the respiratory care cohort with a 94.4% correspondence
| GOLD Grade | Primary Care Cohort | Respiratory Care Cohort | ||
| N | % | N | % | |
| A | 41 | 41 | 78 | 48.1 |
| B | 16 | 16 | 17 | 10.5 |
| C1 | 7 | 7 | 12 | 7.4 |
| C2 | 3 | 3 | 5 | 3.1 |
| C3 | 6 | 6 | 9 | 5.6 |
| D1 | 13 | 13 | 17 | 10.5 |
| D2 | 9 | 9 | 10 | 6.2 |
| D3 | 5 | 5 | 14 | 8.6 |
Classification of severity by GOLD grades
Conclusion: we have developed an easier and more useful algorithm for inhaled therapy in stable COPD with at least a 94% of concordance with the GOLD recommendations.
- Copyright ©ERS 2015
