TABLE 1

Measures that should accompany the implementation of pharmacological treatment recommendations

SituationAction
COPD diagnosisThe diagnosis has to be spirometry-confirmed (post-bronchodilator FEV1/FVC ratio <0.70)
In all patientsSmoking cessation assistance
Vaccinations
Physical activity advised
Balanced diet
Rehabilitation if persistent dyspnoea/disability despite appropriate medications
On-demand short-acting bronchodilator(s) in case of dyspnoea
Account for the patient's capabilities when choosing an inhalation device
Reassess 1–3 months after therapy changes, then every 3–12 months
At least annual lung function testing
If associated asthmaSee asthma recommendations
Insufficient effect (persistent
dyspnoea/disability and/or
exacerbations under maintenance
therapy)
Check
Differential diagnosis
Smoking cessation
Pulmonary function
Compliance/intake technique
Therapeutic education/rehabilitation
Comorbid conditions

COPD: chronic obstructive pulmonary disease; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity.