title: Screening for Chronic Obstructive Pulmonary Disease: US Preventive Services Task Force Recommendation Statement.
abstract: OBJECTIVE
  About 14% of US adults aged 40 to 79 years have chronic obstructive pulmonary disease (COPD), and it is the third leading cause of death in the United States. Persons with severe COPD are often unable to participate in normal physical activity due to deterioration of lung function.
  
  
  OBJECTIVE
  To update the 2008 US Preventive Services Task Force (USPSTF) recommendation on screening for COPD in asymptomatic adults.
  
  
  METHODS
  The USPSTF reviewed the evidence on whether screening for COPD in asymptomatic adults (those who do not recognize or report respiratory symptoms) improves health outcomes. The USPSTF reviewed the diagnostic accuracy of screening tools (including prescreening questionnaires and spirometry); whether screening for COPD improves the delivery and uptake of targeted preventive services, such as smoking cessation or relevant immunizations; and the possible harms of screening for and treatment of mild to moderate COPD.
  
  
  RESULTS
  Similar to 2008, the USPSTF did not find evidence that screening for COPD in asymptomatic persons improves health-related quality of life, morbidity, or mortality. The USPSTF determined that early detection of COPD, before the development of symptoms, does not alter the course of the disease or improve patient outcomes. The USPSTF concludes with moderate certainty that screening for COPD in asymptomatic persons has no net benefit.
  
  
  CONCLUSIONS
  The USPSTF recommends against screening for COPD in asymptomatic adults. (D recommendation).
authors.affiliation: Mount Sinai School of Medicine, New York, New York2James J. Peters Veterans Affairs Medical Center, Bronx, New York.
authors.forename: Albert L
authors.initials: AL
authors.lastname: Siu
authors.affiliation: University of California, San Francisco.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Bibbins-Domingo
authors.affiliation: Group Health Research Institute, Seattle, Washington.
authors.forename: David C
authors.initials: DC
authors.lastname: Grossman
authors.affiliation: Columbia University, New York, New York.
authors.forename: Karina W
authors.initials: KW
authors.lastname: Davidson
authors.affiliation: State University of New York Upstate Medical University, Syracuse.
authors.forename: John W
authors.initials: JW
authors.lastname: Epling
authors.affiliation: Pima County Department of Health, Tucson, Arizona.
authors.forename: Francisco A R
authors.initials: FA
authors.lastname: García
authors.affiliation: Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
authors.forename: Matthew
authors.initials: M
authors.lastname: Gillman
authors.affiliation: Duke University, Durham, North Carolina.
authors.forename: Alex R
authors.initials: AR
authors.lastname: Kemper
authors.affiliation: Fairfax Family Practice, Fairfax, Virginia11Virginia Commonwealth University, Richmond.
authors.forename: Alex H
authors.initials: AH
authors.lastname: Krist
authors.affiliation: Yale School of Nursing, West Haven, Connecticut.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Kurth
authors.affiliation: University of Alabama at Birmingham.
authors.forename: C Seth
authors.initials: CS
authors.lastname: Landefeld
authors.affiliation: University of California, Los Angeles.
authors.forename: Carol M
authors.initials: CM
authors.lastname: Mangione
authors.affiliation: University of Louisville, Louisville, Kentucky.
authors.forename: Diane M
authors.initials: DM
authors.lastname: Harper
authors.affiliation: University of Washington, Seattle.
authors.forename: William R
authors.initials: WR
authors.lastname: Phillips
authors.affiliation: Brown University, Providence, Rhode Island.
authors.forename: Maureen G
authors.initials: MG
authors.lastname: Phipps
authors.affiliation: University of North Carolina, Chapel Hill.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Pignone
mesh_terms: D000328:Adult; D026683:Advisory Committees; D000368:Aged; D058070:Asymptomatic Diseases / Q000453:epidemiology; D042241:Early Diagnosis; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D011788:Quality of Life; D018570:Risk Assessment; D016540:Smoking Cessation; D013147:Spirometry; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology