Advanced Management Strategies in Severe Asthma and COPD (MC)-Pre Test Questions Marciniuk

Pre Test Questions Marciniuk

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The document is a master class pre-test question on Chronic Obstructive Pulmonary Disease (COPD) for 2024 led by Dr. Darcy D. Marciniuk from the University of Saskatchewan. The focus is on Integrated Disease Management (IDM) for COPD, a multi-disciplinary and multi-treatment approach lasting at least three months. <br /><br />The pre-test question asks about the benefits of such programs, providing several answer choices concerning their impact on hospital admissions, emergency department visits, health-related quality of life (HRQoL), and exercise capacity. The correct answer selected by Dr. Marciniuk is Option D. This indicates that IDM programs for COPD effectively reduce both respiratory and all-cause hospital admissions, lower emergency department visits, and enhance HRQoL and exercise capacity.<br /><br />The rationale for this answer is supported by evidence demonstrating significant improvements after 12 months. Patients have shown enhanced functional exercise capacity, with a notable increase in the 6-minute walk distance (6MWD) by 44.7 meters. Hospital admissions related to respiratory issues and all causes have significantly decreased, with the odds ratios (OR) for respiratory-related and all-cause admissions being 0.64 and 0.75, respectively. Emergency department visits also saw a reduction with an OR of 0.69. Furthermore, there's improvement in HRQoL, measured by the St. George’s Respiratory Questionnaire (SGRQ), showing a decline by 3.9 units, which denotes improvement.<br /><br />The information cited derives from a 2021 review by Poot CC, et al., suggesting that these IDM programs provide a comprehensive and beneficial impact on managing COPD, highlighting their importance and effectiveness in enhancing patient outcomes.

Keywords

Chronic Obstructive Pulmonary Disease

COPD

Integrated Disease Management

IDM

hospital admissions

emergency department visits

health-related quality of life

exercise capacity

6-minute walk distance

St. George’s Respiratory Questionnaire

COPD

Chronic Obstructive Pulmonary Disease