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COPD management: role of symptom assessment in routine clinical practice

Authors van der Molen T, Miravitlles M, Kocks J

Received 3 June 2013

Accepted for publication 24 July 2013

Published 14 October 2013 Volume 2013:8 Pages 461—471

DOI https://doi.org/10.2147/COPD.S49392

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Thys van der Molen,1,2 Marc Miravitlles,3 Janwillem WH Kocks1,2

1Department of General Practice, 2GRIAC (Groningen Research Institute for Asthma and COPD), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; 3Pneumology Department, Hospital Universitari Vall d'Hebron, Biomedical Research Networking Centre in Respiratory Diseases (CIBERES), Barcelona, Spain

Abstract: Patients with chronic obstructive pulmonary disease (COPD) present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients' everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed.

Keywords: chronic obstructive pulmonary disease, symptoms, questionnaires

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