The Korean Journal of Medicine

  • 제84권3호
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  • Pages.464-479
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

COPD 진료지침 2012 개정(축약본)

COPD Guideline Revised 2012: Contracted Version

  • 발행 : 2013.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

COPD imposes significant morbidity and mortality in Korea. The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) revised the practice guideline of COPD in 2012. The revised guideline was developed not only with the agreement of the KATRD members but also with the input from the representatives of Korean Physician's Association and Health Insurance Review & Assessment Service. In the revised guideline, recommendations were developed by systematic reviews based on PICO (population, intervention, comparison, and outcome) and GRADE (The Grading of Recommendations Assessment Development and Evaluation). Patients aged over 40 with smoking history, dyspnea, cough, and phlegm should be suspected to have COPD. To confirm and diagnose COPD, pulmonary function test of spirometry is required. In addition to pulmonary function, dyspnea symptom and exacerbation frequency should be evaluated to classify COPD patients into three groups, A, B, and C. The guideline recommends for patients in group A an inhaled short-acting bronchodilator to control the symptoms; for patients in B, an inhaled long-acting anticholinergics or an inhaled long-acting beta2 agonist; for patients in C, an inhaled long-acting anticholinergics, an inhaled long-acting beta2 agonist, or a combination of inhaled corticosteroid and long-acting beta2 agonist (low level of evidence and strong recommendation).

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피인용 문헌

  1. Chronic Obstructive Pulmonary Disease: Respiratory Review of 2013 vol.76, pp.2, 2013, https://doi.org/10.4046/trd.2014.76.2.53