title: Canadian Thoracic Society recommendations for management of chronic obstructive pulmonary disease - 2008 update - highlights for primary care.
abstract: Chronic obstructive pulmonary disease (COPD) is a major respiratory illness in Canada that is preventable and treatable but unfortunately remains underdiagnosed. The purpose of the present article from the Canadian Thoracic Society is to provide up-to-date information so that patients with this condition receive optimal care that is firmly based on scientific evidence. Important summary messages for clinicians are derived from the more detailed Update publication and are highlighted throughout the document. Three key messages contained in the update are: use targeted screening spirometry to establish a diagnosis and initiate prompt management (including smoking cessation) of mild COPD; improve dyspnea and activity limitation in stable COPD using new evidence-based treatment algorithms; and understand the importance of preventing and managing acute exacerbations, particularly in moderate to severe disease.
authors.affiliation: Queen's University, Kingston, Canada. odonnell@queensu.ca
authors.forename: Denis E
authors.initials: DE
authors.lastname: O'Donnell
authors.forename: Paul
authors.initials: P
authors.lastname: Hernandez
authors.forename: Alan
authors.initials: A
authors.lastname: Kaplan
authors.forename: Shawn
authors.initials: S
authors.lastname: Aaron
authors.forename: Jean
authors.initials: J
authors.lastname: Bourbeau
authors.forename: Darcy
authors.initials: D
authors.lastname: Marciniuk
authors.forename: Meyer
authors.initials: M
authors.lastname: Balter
authors.forename: Gordon
authors.initials: G
authors.lastname: Ford
authors.forename: Andre
authors.initials: A
authors.lastname: Gervais
authors.forename: Yves
authors.initials: Y
authors.lastname: Lacasse
authors.forename: Francois
authors.initials: F
authors.lastname: Maltais
authors.forename: Jeremy
authors.initials: J
authors.lastname: Road
authors.forename: Graeme
authors.initials: G
authors.lastname: Rocker
authors.forename: Don
authors.initials: D
authors.lastname: Sin
authors.forename: Tasmin
authors.initials: T
authors.lastname: Sinuff
authors.forename: Nha
authors.initials: N
authors.lastname: Voduc
mesh_terms: D001993:Bronchodilator Agents / Q000627:therapeutic use; D002170:Canada / Q000453:epidemiology; D003937:Diagnosis, Differential; D006801:Humans; D010102:Oxygen Inhalation Therapy; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy*; D012129:Respiratory Function Tests; D016540:Smoking Cessation
chemical_list: D001993:Bronchodilator Agents