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GOLD in Practice: Chronic Obstructive Pulmonary Disease Treatment and Management in the Primary Care Setting

Authors Yawn BP, Mintz ML, Doherty DE

Received 8 September 2020

Accepted for publication 16 November 2020

Published 12 February 2021 Volume 2021:16 Pages 289—299


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Richard Russell

Supplementary video 1 of "GOLD in Practice" [ID 222664].

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Barbara P Yawn,1,2 Matthew L Mintz,3 Dennis E Doherty4

1Department of Family and Community Health, University of Minnesota, Minneapolis, MN, USA; 2COPD Foundation, Miami, FL, USA; 3Department of Medicine, George Washington University School of Medicine & Health Sciences, Washington, DC, USA; 4Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky, Lexington, KY, USA

Correspondence: Barbara P Yawn
Department of Family and Community Health, University of Minnesota, 1963 112th Circle NE, Blaine, MN 55449, USA
Tel +1 (507) 261 3096

Abstract: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality. Early detection and appropriate treatment and management of COPD can lower morbidity and perhaps mortality. Clinicians in the primary care setting provide the majority of COPD care and are pivotal in the diagnosis and management of COPD. In this review, we provide an overview of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2020 report, with a focus on the management of COPD in the primary care setting. We discuss the pathophysiology of COPD; describe COPD risk factors, signs, and symptoms that may facilitate earlier diagnosis of COPD; and reinforce the importance of spirometry use in establishing the diagnosis of COPD. Disease monitoring, as well as a review of the 2020 GOLD treatment recommendations, is also discussed. Patients and families are important partners in COPD management; therefore, we outline simple steps that may assist them in caring for those affected by COPD. Finally, we discuss nonpharmacological treatment options for COPD, COPD monitoring tools that may aid in the evaluation of disease progression and response to therapy, and the importance of developing a COPD action plan on an individualized basis.

Keywords: COPD, LABA, LAMA, primary care

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