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Current Progress of COPD Early Detection: Key Points and Novel Strategies

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide, with approximately 70% to 80% of adults with COPD being undiagnosed. Patients with undiagnosed COPD are at increased risk of poor outcomes and a worsened quality of life, making early detection a cruc...

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Autores principales: Lin, Ching-Hsiung, Cheng, Shih-Lung, Chen, Chiung-Zuei, Chen, Chia-Hung, Lin, Sheng-Hao, Wang, Hao-Chien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10363346/
https://www.ncbi.nlm.nih.gov/pubmed/37489241
http://dx.doi.org/10.2147/COPD.S413969
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author Lin, Ching-Hsiung
Cheng, Shih-Lung
Chen, Chiung-Zuei
Chen, Chia-Hung
Lin, Sheng-Hao
Wang, Hao-Chien
author_facet Lin, Ching-Hsiung
Cheng, Shih-Lung
Chen, Chiung-Zuei
Chen, Chia-Hung
Lin, Sheng-Hao
Wang, Hao-Chien
author_sort Lin, Ching-Hsiung
collection PubMed
description Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide, with approximately 70% to 80% of adults with COPD being undiagnosed. Patients with undiagnosed COPD are at increased risk of poor outcomes and a worsened quality of life, making early detection a crucial strategy to mitigate the impact of COPD and reduce the burden on healthcare systems. In the past decade, increased interest has been focused on the development of effective strategies and instrument for COPD early detection. However, identifying undiagnosed cases of COPD is still challenging. Both screening and case-finding approaches have been adopted to identify undiagnosed COPD, with case-finding being recommended by the 2023 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guideline and the updated United States Preventive Services Task Force (USPTF) recommendation. Nonetheless, the approaches, criteria, and instruments used for early detection of COPD are varied. However, advances in the taxonomy and risk factors of COPD are continuously being investigated. It is important to continuously assess the current state of knowledge on COPD early detection, given the challenges associated with identifying undiagnosed COPD. This review aims to highlight recent advances in early detection of COPD. To discuss the current challenge and opportunity in COPD early detection, providing an overview of existing literature on COPD case-finding strategies, including the approaches, criteria for subjects, and instruments. The review also summarizes the current progress in COPD case-findings and proposes a COPD case-finding flowchart as an efficient method for identifying at risk COPD patients.
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spelling pubmed-103633462023-07-24 Current Progress of COPD Early Detection: Key Points and Novel Strategies Lin, Ching-Hsiung Cheng, Shih-Lung Chen, Chiung-Zuei Chen, Chia-Hung Lin, Sheng-Hao Wang, Hao-Chien Int J Chron Obstruct Pulmon Dis Review Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide, with approximately 70% to 80% of adults with COPD being undiagnosed. Patients with undiagnosed COPD are at increased risk of poor outcomes and a worsened quality of life, making early detection a crucial strategy to mitigate the impact of COPD and reduce the burden on healthcare systems. In the past decade, increased interest has been focused on the development of effective strategies and instrument for COPD early detection. However, identifying undiagnosed cases of COPD is still challenging. Both screening and case-finding approaches have been adopted to identify undiagnosed COPD, with case-finding being recommended by the 2023 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guideline and the updated United States Preventive Services Task Force (USPTF) recommendation. Nonetheless, the approaches, criteria, and instruments used for early detection of COPD are varied. However, advances in the taxonomy and risk factors of COPD are continuously being investigated. It is important to continuously assess the current state of knowledge on COPD early detection, given the challenges associated with identifying undiagnosed COPD. This review aims to highlight recent advances in early detection of COPD. To discuss the current challenge and opportunity in COPD early detection, providing an overview of existing literature on COPD case-finding strategies, including the approaches, criteria for subjects, and instruments. The review also summarizes the current progress in COPD case-findings and proposes a COPD case-finding flowchart as an efficient method for identifying at risk COPD patients. Dove 2023-07-19 /pmc/articles/PMC10363346/ /pubmed/37489241 http://dx.doi.org/10.2147/COPD.S413969 Text en © 2023 Lin et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Lin, Ching-Hsiung
Cheng, Shih-Lung
Chen, Chiung-Zuei
Chen, Chia-Hung
Lin, Sheng-Hao
Wang, Hao-Chien
Current Progress of COPD Early Detection: Key Points and Novel Strategies
title Current Progress of COPD Early Detection: Key Points and Novel Strategies
title_full Current Progress of COPD Early Detection: Key Points and Novel Strategies
title_fullStr Current Progress of COPD Early Detection: Key Points and Novel Strategies
title_full_unstemmed Current Progress of COPD Early Detection: Key Points and Novel Strategies
title_short Current Progress of COPD Early Detection: Key Points and Novel Strategies
title_sort current progress of copd early detection: key points and novel strategies
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10363346/
https://www.ncbi.nlm.nih.gov/pubmed/37489241
http://dx.doi.org/10.2147/COPD.S413969
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