CHEST 2023 On Demand Pass-Practice Changing Research in Asthma and COPD Presented by CHEST Journal

Video Transcription

Video Summary

Dr. Erika Pins and Dr. Darcy Marcanik from the Brigham Young Hospital in Boston presented the Canadian Thoracic Society Guideline on Pharmacotherapy in Patients with Stable COPD. They highlighted the relevance of the guidelines in light of the increasing burden of COPD and its impact on respiratory illnesses and mortality worldwide. The guidelines were based on a comprehensive review of randomized controlled trials and provided recommendations for pharmacotherapy in COPD patients with different symptom burdens and risk of exacerbations. For patients with low symptom burden and low risk of exacerbations, the guidelines recommend initiating maintenance therapy with an inhaled long-acting bronchodilator, either a long-acting muscarinic antagonist or a long-acting beta-agonist. For patients with moderate to high symptom burden and low risk of exacerbations, the guideline suggests initiating maintenance therapy with dual LAMA-LABA bronchodilator therapy. For patients with moderate to high symptom burden and high risk of exacerbations, the guideline recommends initiating maintenance therapy with LAMA-LABA-ICS triple combination therapy. The guidelines also address the management of exacerbations and the reduction of mortality in COPD patients. The authors emphasized the importance of a comprehensive approach to COPD management, including self-management education, smoking cessation, exercise, vaccinations, and adherence to pharmacotherapy. They also highlighted the benefits of pulmonary rehabilitation and integrated disease management programs that involve multiple healthcare disciplines and components. Overall, the guidelines provide evidence-based recommendations to guide the pharmacotherapy and comprehensive management of stable COPD patients.

Meta Tag

Category Chest Infections

Session ID 2253

Keywords

Stable COPD

Pharmacotherapy

Guidelines

Bronchodilator

Exacerbations

Symptom burden

Maintenance therapy

Comprehensive management