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NICE issues revised COPD guidance

Posted Jun 23 2010 5:55am

NICE guidance intends to improve care and outcomes for those with COPD (Photograph: SPL)

NICE has issued updated COPD guidance designed to improve COPD diagnosis and treatment of the disease.

The institute said the diagnosis and management of adults with COPD in primary and secondary care can, and should, be better.

The new guidance advises measuring post-bronchodilator spirometry to confirm the diagnosis of COPD. In addition, pulmonary rehabilitation should be made available to all appropriate patients with COPD, including those who have had a recent hospitalisation for an acute exacerbation, it says.

When appropriate, GPs should offer nicotine replacement therapy, varenicline or bupropion to patients who plan to stop smoking, combined with an appropriate support programme to optimise smoking quit rates for people with COPD.

GPs should also note the potential risk of developing side-effects, including non-fatal pneumonia, in people with COPD treated with inhaled corticosteroids, and they should be prepared to discuss this with patients, NICE says.

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