Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica

Translated title of the contribution: Updated Argentine Consensus on Chronic Obstructive Pulmonary Disease

Ricardo J. Gené, Eduardo R. Giugno, Eduardo H. Abbate, Juan Carlos Figueroa-Casas, Juan A. Mazzei, Eduardo A. Schiavi, Carlos Mosca, Gustavo Zabert, Hugo Neffen, Bartolomé Lungo, Manuel Klein, Ana M. López, Ana R. Diez, Anahí Yáñez, Louisa Rey, Carlos Parpaglione, Juan J. Rodríguez Moncalvo, Eduardo De Vito, Guillermo Semeniuk, Fernando PessolanoHernando Sala Romanó, Enrique Jolly, Ricardo H. Re, Martín Sívori, Edgardo Rhodius, Daniel Carlés, Graciela Scorzo, Raúl Chomnales, Roberto P Benzo, Hugo Esteva, Roberto Favaloro, Moisés Rosemberg, Gustavo Di Bártolo, Fernando Verra, Carlos de la Vega, Silvia Quadrelli, Ramón Rojas, Carlos Elías, Juliàn Ciruzzi, Carlos Fiore, Jorge Cáneva, Raúl Lisanti, Alfredo Garay, Oscar Caberlotto, Patricia Malamud, César Sáenz, Andrés Echazarreta, Guillermo Menga, Carlos Luna, José Luis Morero, Juan Ossés, Julio Chertkoff

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Due to the increase in morbidity and mortality from Chronic Obstructive Pulmonary Disease (COPD), a group of chest physicians updates the basic knowledge on COPD since the last Consensus in 1994 in order to prepare guidelines for its diagnosis, prevention and treatment. The authors review the definition of COPD together with the most recent information on its pathophysiology. The clinical presentation is summarized together with functional evaluation and imaging. Early diagnosis by means of functional testing (i.e., spirometry) is stressed, emphasizing smoking cessation as the only measure that has been shown to alter the outcome of the disease. Smoking cessation strategies are described as well as pharmacological and non-pharmacological treatment. In the pharmacological section, the use of inhaled bronchodilators (anticholinergic, beta 2 adrenergic agonists or both) is considered the first option for treatment. Long acting bronchodilators improve patient compliance and treatment effectiveness. Inhaled corticosteroids are indicated for patients with severe airways obstruction and known response to corticosteroids. These agents can diminish the number of exacerbations. Annual influenza vaccination is recommended in all patients. In the non-pharmacological section, surgery for emphysema is suggested in particular cases. Rehabilitation, including exercise training, kinesitherapy and nutrition, is a useful tool for patients who are physically disabled. Long-term oxygen therapy at home improves survival in patients with severe chronic hypoxemia. Other therapeutic interventions such as non-invasive home ventilation have specific indications. Acute exacerbations must be aggressively treated with oxygen, corticosteroids, antibiotics, combination of bronchodilators, and eventually respiratory support. The role of public education of the patients and their families is essential in the prevention and treatment of the disease.

Original languageSpanish
Pages (from-to)419-446
Number of pages28
JournalMedicina
Volume63
Issue number5
StatePublished - 2003
Externally publishedYes

Fingerprint

Chronic Obstructive Pulmonary Disease
Consensus
Bronchodilator Agents
Adrenal Cortex Hormones
Smoking Cessation
Adrenergic beta-2 Receptor Agonists
Therapeutics
Pharmacology
Oxygen
Noninvasive Ventilation
Exercise Therapy
Spirometry
Emphysema
Cholinergic Antagonists
Airway Obstruction
Patient Education
Disabled Persons
Patient Compliance
Human Influenza
Early Diagnosis

Keywords

  • Argentine Consensus
  • COPD
  • Diagnosis
  • Practices guidelines
  • Prevention
  • Treatment

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gené, R. J., Giugno, E. R., Abbate, E. H., Figueroa-Casas, J. C., Mazzei, J. A., Schiavi, E. A., ... Chertkoff, J. (2003). Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica. Medicina, 63(5), 419-446.

Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica. / Gené, Ricardo J.; Giugno, Eduardo R.; Abbate, Eduardo H.; Figueroa-Casas, Juan Carlos; Mazzei, Juan A.; Schiavi, Eduardo A.; Mosca, Carlos; Zabert, Gustavo; Neffen, Hugo; Lungo, Bartolomé; Klein, Manuel; López, Ana M.; Diez, Ana R.; Yáñez, Anahí; Rey, Louisa; Parpaglione, Carlos; Rodríguez Moncalvo, Juan J.; De Vito, Eduardo; Semeniuk, Guillermo; Pessolano, Fernando; Sala Romanó, Hernando; Jolly, Enrique; Re, Ricardo H.; Sívori, Martín; Rhodius, Edgardo; Carlés, Daniel; Scorzo, Graciela; Chomnales, Raúl; Benzo, Roberto P; Esteva, Hugo; Favaloro, Roberto; Rosemberg, Moisés; Di Bártolo, Gustavo; Verra, Fernando; de la Vega, Carlos; Quadrelli, Silvia; Rojas, Ramón; Elías, Carlos; Ciruzzi, Juliàn; Fiore, Carlos; Cáneva, Jorge; Lisanti, Raúl; Garay, Alfredo; Caberlotto, Oscar; Malamud, Patricia; Sáenz, César; Echazarreta, Andrés; Menga, Guillermo; Luna, Carlos; Morero, José Luis; Ossés, Juan; Chertkoff, Julio.

In: Medicina, Vol. 63, No. 5, 2003, p. 419-446.

Research output: Contribution to journalArticle

Gené, RJ, Giugno, ER, Abbate, EH, Figueroa-Casas, JC, Mazzei, JA, Schiavi, EA, Mosca, C, Zabert, G, Neffen, H, Lungo, B, Klein, M, López, AM, Diez, AR, Yáñez, A, Rey, L, Parpaglione, C, Rodríguez Moncalvo, JJ, De Vito, E, Semeniuk, G, Pessolano, F, Sala Romanó, H, Jolly, E, Re, RH, Sívori, M, Rhodius, E, Carlés, D, Scorzo, G, Chomnales, R, Benzo, RP, Esteva, H, Favaloro, R, Rosemberg, M, Di Bártolo, G, Verra, F, de la Vega, C, Quadrelli, S, Rojas, R, Elías, C, Ciruzzi, J, Fiore, C, Cáneva, J, Lisanti, R, Garay, A, Caberlotto, O, Malamud, P, Sáenz, C, Echazarreta, A, Menga, G, Luna, C, Morero, JL, Ossés, J & Chertkoff, J 2003, 'Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica', Medicina, vol. 63, no. 5, pp. 419-446.
Gené RJ, Giugno ER, Abbate EH, Figueroa-Casas JC, Mazzei JA, Schiavi EA et al. Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica. Medicina. 2003;63(5):419-446.
Gené, Ricardo J. ; Giugno, Eduardo R. ; Abbate, Eduardo H. ; Figueroa-Casas, Juan Carlos ; Mazzei, Juan A. ; Schiavi, Eduardo A. ; Mosca, Carlos ; Zabert, Gustavo ; Neffen, Hugo ; Lungo, Bartolomé ; Klein, Manuel ; López, Ana M. ; Diez, Ana R. ; Yáñez, Anahí ; Rey, Louisa ; Parpaglione, Carlos ; Rodríguez Moncalvo, Juan J. ; De Vito, Eduardo ; Semeniuk, Guillermo ; Pessolano, Fernando ; Sala Romanó, Hernando ; Jolly, Enrique ; Re, Ricardo H. ; Sívori, Martín ; Rhodius, Edgardo ; Carlés, Daniel ; Scorzo, Graciela ; Chomnales, Raúl ; Benzo, Roberto P ; Esteva, Hugo ; Favaloro, Roberto ; Rosemberg, Moisés ; Di Bártolo, Gustavo ; Verra, Fernando ; de la Vega, Carlos ; Quadrelli, Silvia ; Rojas, Ramón ; Elías, Carlos ; Ciruzzi, Juliàn ; Fiore, Carlos ; Cáneva, Jorge ; Lisanti, Raúl ; Garay, Alfredo ; Caberlotto, Oscar ; Malamud, Patricia ; Sáenz, César ; Echazarreta, Andrés ; Menga, Guillermo ; Luna, Carlos ; Morero, José Luis ; Ossés, Juan ; Chertkoff, Julio. / Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica. In: Medicina. 2003 ; Vol. 63, No. 5. pp. 419-446.
@article{843e1a6a1a394a3c8478c59f34c2c86e,
title = "Nuevo consenso Argentino de la enfermedad pulmonar obstructiva cr{\'o}nica",
abstract = "Due to the increase in morbidity and mortality from Chronic Obstructive Pulmonary Disease (COPD), a group of chest physicians updates the basic knowledge on COPD since the last Consensus in 1994 in order to prepare guidelines for its diagnosis, prevention and treatment. The authors review the definition of COPD together with the most recent information on its pathophysiology. The clinical presentation is summarized together with functional evaluation and imaging. Early diagnosis by means of functional testing (i.e., spirometry) is stressed, emphasizing smoking cessation as the only measure that has been shown to alter the outcome of the disease. Smoking cessation strategies are described as well as pharmacological and non-pharmacological treatment. In the pharmacological section, the use of inhaled bronchodilators (anticholinergic, beta 2 adrenergic agonists or both) is considered the first option for treatment. Long acting bronchodilators improve patient compliance and treatment effectiveness. Inhaled corticosteroids are indicated for patients with severe airways obstruction and known response to corticosteroids. These agents can diminish the number of exacerbations. Annual influenza vaccination is recommended in all patients. In the non-pharmacological section, surgery for emphysema is suggested in particular cases. Rehabilitation, including exercise training, kinesitherapy and nutrition, is a useful tool for patients who are physically disabled. Long-term oxygen therapy at home improves survival in patients with severe chronic hypoxemia. Other therapeutic interventions such as non-invasive home ventilation have specific indications. Acute exacerbations must be aggressively treated with oxygen, corticosteroids, antibiotics, combination of bronchodilators, and eventually respiratory support. The role of public education of the patients and their families is essential in the prevention and treatment of the disease.",
keywords = "Argentine Consensus, COPD, Diagnosis, Practices guidelines, Prevention, Treatment",
author = "Gen{\'e}, {Ricardo J.} and Giugno, {Eduardo R.} and Abbate, {Eduardo H.} and Figueroa-Casas, {Juan Carlos} and Mazzei, {Juan A.} and Schiavi, {Eduardo A.} and Carlos Mosca and Gustavo Zabert and Hugo Neffen and Bartolom{\'e} Lungo and Manuel Klein and L{\'o}pez, {Ana M.} and Diez, {Ana R.} and Anah{\'i} Y{\'a}{\~n}ez and Louisa Rey and Carlos Parpaglione and {Rodr{\'i}guez Moncalvo}, {Juan J.} and {De Vito}, Eduardo and Guillermo Semeniuk and Fernando Pessolano and {Sala Roman{\'o}}, Hernando and Enrique Jolly and Re, {Ricardo H.} and Mart{\'i}n S{\'i}vori and Edgardo Rhodius and Daniel Carl{\'e}s and Graciela Scorzo and Ra{\'u}l Chomnales and Benzo, {Roberto P} and Hugo Esteva and Roberto Favaloro and Mois{\'e}s Rosemberg and {Di B{\'a}rtolo}, Gustavo and Fernando Verra and {de la Vega}, Carlos and Silvia Quadrelli and Ram{\'o}n Rojas and Carlos El{\'i}as and Juli{\`a}n Ciruzzi and Carlos Fiore and Jorge C{\'a}neva and Ra{\'u}l Lisanti and Alfredo Garay and Oscar Caberlotto and Patricia Malamud and C{\'e}sar S{\'a}enz and Andr{\'e}s Echazarreta and Guillermo Menga and Carlos Luna and Morero, {Jos{\'e} Luis} and Juan Oss{\'e}s and Julio Chertkoff",
year = "2003",
language = "Spanish",
volume = "63",
pages = "419--446",
journal = "Medicina (Argentina)",
issn = "0025-7680",
publisher = "Instituto de Investigaciones Medicas",
number = "5",

}

TY - JOUR

T1 - Nuevo consenso Argentino de la enfermedad pulmonar obstructiva crónica

AU - Gené, Ricardo J.

AU - Giugno, Eduardo R.

AU - Abbate, Eduardo H.

AU - Figueroa-Casas, Juan Carlos

AU - Mazzei, Juan A.

AU - Schiavi, Eduardo A.

AU - Mosca, Carlos

AU - Zabert, Gustavo

AU - Neffen, Hugo

AU - Lungo, Bartolomé

AU - Klein, Manuel

AU - López, Ana M.

AU - Diez, Ana R.

AU - Yáñez, Anahí

AU - Rey, Louisa

AU - Parpaglione, Carlos

AU - Rodríguez Moncalvo, Juan J.

AU - De Vito, Eduardo

AU - Semeniuk, Guillermo

AU - Pessolano, Fernando

AU - Sala Romanó, Hernando

AU - Jolly, Enrique

AU - Re, Ricardo H.

AU - Sívori, Martín

AU - Rhodius, Edgardo

AU - Carlés, Daniel

AU - Scorzo, Graciela

AU - Chomnales, Raúl

AU - Benzo, Roberto P

AU - Esteva, Hugo

AU - Favaloro, Roberto

AU - Rosemberg, Moisés

AU - Di Bártolo, Gustavo

AU - Verra, Fernando

AU - de la Vega, Carlos

AU - Quadrelli, Silvia

AU - Rojas, Ramón

AU - Elías, Carlos

AU - Ciruzzi, Juliàn

AU - Fiore, Carlos

AU - Cáneva, Jorge

AU - Lisanti, Raúl

AU - Garay, Alfredo

AU - Caberlotto, Oscar

AU - Malamud, Patricia

AU - Sáenz, César

AU - Echazarreta, Andrés

AU - Menga, Guillermo

AU - Luna, Carlos

AU - Morero, José Luis

AU - Ossés, Juan

AU - Chertkoff, Julio

PY - 2003

Y1 - 2003

N2 - Due to the increase in morbidity and mortality from Chronic Obstructive Pulmonary Disease (COPD), a group of chest physicians updates the basic knowledge on COPD since the last Consensus in 1994 in order to prepare guidelines for its diagnosis, prevention and treatment. The authors review the definition of COPD together with the most recent information on its pathophysiology. The clinical presentation is summarized together with functional evaluation and imaging. Early diagnosis by means of functional testing (i.e., spirometry) is stressed, emphasizing smoking cessation as the only measure that has been shown to alter the outcome of the disease. Smoking cessation strategies are described as well as pharmacological and non-pharmacological treatment. In the pharmacological section, the use of inhaled bronchodilators (anticholinergic, beta 2 adrenergic agonists or both) is considered the first option for treatment. Long acting bronchodilators improve patient compliance and treatment effectiveness. Inhaled corticosteroids are indicated for patients with severe airways obstruction and known response to corticosteroids. These agents can diminish the number of exacerbations. Annual influenza vaccination is recommended in all patients. In the non-pharmacological section, surgery for emphysema is suggested in particular cases. Rehabilitation, including exercise training, kinesitherapy and nutrition, is a useful tool for patients who are physically disabled. Long-term oxygen therapy at home improves survival in patients with severe chronic hypoxemia. Other therapeutic interventions such as non-invasive home ventilation have specific indications. Acute exacerbations must be aggressively treated with oxygen, corticosteroids, antibiotics, combination of bronchodilators, and eventually respiratory support. The role of public education of the patients and their families is essential in the prevention and treatment of the disease.

AB - Due to the increase in morbidity and mortality from Chronic Obstructive Pulmonary Disease (COPD), a group of chest physicians updates the basic knowledge on COPD since the last Consensus in 1994 in order to prepare guidelines for its diagnosis, prevention and treatment. The authors review the definition of COPD together with the most recent information on its pathophysiology. The clinical presentation is summarized together with functional evaluation and imaging. Early diagnosis by means of functional testing (i.e., spirometry) is stressed, emphasizing smoking cessation as the only measure that has been shown to alter the outcome of the disease. Smoking cessation strategies are described as well as pharmacological and non-pharmacological treatment. In the pharmacological section, the use of inhaled bronchodilators (anticholinergic, beta 2 adrenergic agonists or both) is considered the first option for treatment. Long acting bronchodilators improve patient compliance and treatment effectiveness. Inhaled corticosteroids are indicated for patients with severe airways obstruction and known response to corticosteroids. These agents can diminish the number of exacerbations. Annual influenza vaccination is recommended in all patients. In the non-pharmacological section, surgery for emphysema is suggested in particular cases. Rehabilitation, including exercise training, kinesitherapy and nutrition, is a useful tool for patients who are physically disabled. Long-term oxygen therapy at home improves survival in patients with severe chronic hypoxemia. Other therapeutic interventions such as non-invasive home ventilation have specific indications. Acute exacerbations must be aggressively treated with oxygen, corticosteroids, antibiotics, combination of bronchodilators, and eventually respiratory support. The role of public education of the patients and their families is essential in the prevention and treatment of the disease.

KW - Argentine Consensus

KW - COPD

KW - Diagnosis

KW - Practices guidelines

KW - Prevention

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=10744230744&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=10744230744&partnerID=8YFLogxK

M3 - Article

C2 - 14628655

AN - SCOPUS:10744230744

VL - 63

SP - 419

EP - 446

JO - Medicina (Argentina)

JF - Medicina (Argentina)

SN - 0025-7680

IS - 5

ER -