A Clinical Practice Guideline Update on the Diagnosis and Management of Stable COPD

Field: Medicine (Health Sciences)

Letters3 January 2012A Clinical Practice Guideline Update on the Diagnosis and Management of Stable COPDAmir Qaseem, MD, PhD, MHA, Timothy J. Wilt, MD, MPH, and Paul Shekelle, MD, PhDAmir Qaseem, MD, PhD, MHAFrom American College of Physicians, Philadelphia, PA 19106; Minneapolis Veterans Affairs Center for Chronic Disease Outcomes Research, Minneapolis, MN 55417; and Greater Los Angeles Veterans Affairs Health Center/RAND, Santa Monica, CA 90401.Search for more papers by this author, Timothy J. Wilt, MD, MPHFrom American College of Physicians, Philadelphia, PA 19106; Minneapolis Veterans Affairs Center for Chronic Disease Outcomes Research, Minneapolis, MN 55417; and Greater Los Angeles Veterans Affairs Health Center/RAND, Santa Monica, CA 90401.Search for more papers by this author, and Paul Shekelle, MD, PhDFrom American College of Physicians, Philadelphia, PA 19106; Minneapolis Veterans Affairs Center for Chronic Disease Outcomes Research, Minneapolis, MN 55417; and Greater Los Angeles Veterans Affairs Health Center/RAND, Santa Monica, CA 90401.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-1-201201030-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Dr. Young and Ms. Hopkins for their comments regarding the recent joint clinical guideline from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society on the diagnosis and management of stable COPD. However, we respectfully disagree with their argument that the recommendation against spirometry for screening asymptomatic patients is nihilistic.There are agreed-upon criteria that define when to consider screening (1): There should be an accepted treatment available, and if treatment is started at an early stage, it must be beneficial and change clinical outcomes compared with waiting ...References1. Wilson JM, Jungner G. Principles and practice of screening for disease. WHO Chronicle. 1968;22:473. Google Scholar2. Qaseem A, Snow V, Shekelle P, Sherif K, Wilt TJ, Weinberger S, et al; Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2007;147:633-8. [PMID: 17975186] LinkGoogle Scholar3. Wilt TJ, Niewoehner D, MacDonald R, Kane RL. Management of stable chronic obstructive pulmonary disease: a systematic review for a clinical practice guideline. Ann Intern Med. 2007;147:639-53. [PMID: 17975187] LinkGoogle Scholar4. U. S. Preventive Services Task Force. Screening for Chronic Obstructive Pulmonary Disease Using Spirometry. Accessed at www.uspreventiveservicestaskforce.org/uspstf/uspscopd.htm on 20 October 2011 Google Scholar5. Krahn M, Chapman KR. Economic issues in the use of office spirometry for lung health assessment. Can Respir J. 2003;10:320-6. [PMID: 14530824] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From American College of Physicians, Philadelphia, PA 19106; Minneapolis Veterans Affairs Center for Chronic Disease Outcomes Research, Minneapolis, MN 55417; and Greater Los Angeles Veterans Affairs Health Center/RAND, Santa Monica, CA 90401.Disclosures: Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-0925. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline from the American College of Physicians Amir Qaseem , Vincenza Snow , Paul Shekelle , Katherine Sherif , Timothy J. Wilt , Steven Weinberger , Douglas K. Owens , and Management of Stable Chronic Obstructive Pulmonary Disease: A Systematic Review for a Clinical Practice Guideline Timothy J. Wilt , Dennis Niewoehner , Roderick MacDonald , and Robert L. Kane Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society Amir Qaseem , Timothy J. Wilt , Steven E. Weinberger , Nicola A. Hanania , Gerard Criner , Thys van der Molen , Darcy D. Marciniuk , Tom Denberg , Holger Schünemann , Wisia Wedzicha , Roderick MacDonald , Paul Shekelle , and A Clinical Practice Guideline Update on the Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease Robert P. Young and Raewyn J. Hopkins Metrics Cited ByLung cancer and chronic obstructive pulmonary disease: From a clinical perspectiveThe Gut–Liver–Lung Axis. Modulation of the Innate Immune Response and Its Possible Role in Chronic Obstructive Pulmonary DiseaseAn Official American Thoracic Society Workshop Report: Developing Performance Measures from Clinical Practice Guidelines 3 January 2012Volume 156, Issue 1_Part_1Page: 69KeywordsBronchodilatorsConflicts of interestDisclosureLungsPulmonary functionRespiratory system proceduresSigns and symptomsSpirometryThoraxTreatment guidelines ePublished: 3 January 2012 Issue Published: 3 January 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...