COPD management: role of symptom assessment in routine clinical practice

Thys van der Molen*, Marc Miravitlles, Janwillem W. H. Kocks

*Corresponding author for this work

Research output: Contribution to journalBook/Film/Article reviewProfessional

35 Citations (Scopus)
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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.

Original languageEnglish
Pages (from-to)461-471
Number of pages11
JournalInternational Journal of Chronic Obstructive Pulmonary Disease
Volume8
DOIs
Publication statusPublished - 14-Oct-2013

Keywords

  • chronic obstructive pulmonary disease
  • symptoms
  • questionnaires
  • OBSTRUCTIVE PULMONARY-DISEASE
  • QUALITY-OF-LIFE
  • ASSESSMENT TEST CAT
  • PATIENT-REPORTED OUTCOMES
  • HEALTH-STATUS MEASUREMENT
  • AIR-FLOW OBSTRUCTION
  • IMPORTANT DIFFERENCE
  • PHYSICAL-ACTIVITY
  • PRIMARY-CARE
  • LUNG-FUNCTION

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