title: [Chronic obstructive pulmonary disease (COPD) in the elderly: analysis from questionnaire about attitudes to the COPD guideline of the Japanese Respiratory Society and actual therapy for COPD used by physicians].
abstract: We have conducted a survey of attitudes to chronic obstructive pulmonary disease (COPD) in the elderly, a survey of attitudes to the COPD guideline prepared by the Japanese Respiratory Society, and a survey of the therapies actually used for this disease among physicians belonging to the Yokohama Medical Association. The results showed that most respondents thought that physicians, mainly except for respiratory physicians, miss the COPD patients because of failure to recognize COPD. The spread of the COPD guideline among physicians and the amount of therapy conducted according to this guideline were also insufficient. However, most physicians who know this guideline have used it well, and have also appreciated the contents. Thus, the results of our surveys suggested that this COPD guideline, with its step-by-step pharmacologic therapy, should be more widely disseminated, mainly among clinics and physicians that are not respiratory specialists. This would enable them to follow the guideline and improve their treatment of COPD. In addition, it was also supposed that the comprehensive respiratory rehabilitation should be more executed in the hospitals.
authors.affiliation: Department of Geriatric Medicine, University of Tokyo, Tokyo 113-8655.
authors.forename: Takeo
authors.initials: T
authors.lastname: Ishii
authors.forename: Shinji
authors.initials: S
authors.lastname: Teramoto
authors.forename: Akira
authors.initials: A
authors.lastname: Miyashita
authors.forename: Motoyoshi
authors.initials: M
authors.lastname: Suzuki
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ishigatsubo
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kuwahira
authors.forename: Jun
authors.initials: J
authors.lastname: Ueki
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Ouchi
authors.forename: Yoshinosuke
authors.initials: Y
authors.lastname: Fukuchi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Matsuse
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D005081:Exercise Therapy; D019983:Guideline Adherence; D006801:Humans; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation / Q000628:therapy*; D016540:Smoking Cessation; D011795:Surveys and Questionnaires