title: [Update on current care guidelines: Chronic obstructive pulmonary disease, diagnosis and treatment].
abstract: Despite increased awareness, COPD remains underdiagnosed. The cost/benefit of screening is unclear. In Finland COPD is diagnosed by postbronchodilator spirometry and national reference values. The most important issue in preventing COPD progression is smoking cessation. Regular pharmaceutical therapy is generally needed for moderate-very severe symptomatic disease, and includes combination of anticholinergic, beta-agonist, inhaled corticosteroid, and low dose teofylline. Antibiotics have possessed specific role in COPD over years. Non-invasive ventilation is considered during acute severe exacerbations. Rehabilitation/training should be more widely used both at the specialist level and primary care.
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001993:Bronchodilator Agents / Q000627:therapeutic use; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D018450:Disease Progression; D005387:Finland; D006801:Humans; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000628:therapy*; D012121:Respiration, Artificial / Q000379:methods; D016540:Smoking Cessation; D013147:Spirometry; D013806:Theophylline / Q000627:therapeutic use
chemical_list: D000305:Adrenal Cortex Hormones; D000319:Adrenergic beta-Antagonists; D000900:Anti-Bacterial Agents; D001993:Bronchodilator Agents; D018680:Cholinergic Antagonists; D013806:Theophylline