Chronic obstructive pulmonary disease (COPD)

Current Care Summary
Working group appointed by the Finnish Medical Society Duodecim and the Finnish Respiratory Society
11.6.2014

Current Care Guideline «Keuhkoahtaumatauti»1 and Summary «Chronic obstructive pulmonary disease (COPD)»2 in Finnish

Guideline in English «http://onlinelibrary.wiley.com/doi/10.1111/bcpt.12366/full»1

Clinical serverity of COPD is based not only on the grade of obstruction in spirometry, but also on symptoms and risk of exacerbations. Symptoms can be defined by questionnaires, such as CAT-test (COPD assessment -test) or mMRC (modified Medical Research Council-test). Smoking cessation and physical activity are important treatment options. Pharmacological treatment is selected by symptoms, risk of exacerbations and co-occurrence of asthma and COPD. Non-invasive ventilation (NIV) is recommended in the treatment of severe hypercapnic exacerbations. Palliative treatment of end stage COPD is included in the guidelines.

Terttu Harju (Chair)

Hannu Kankaanranta

Milla Katajisto

Maritta Kilpeläinen

Lauri Lehtimäki

Juho Lehto

Witold Mazur

Tuula Meinander

Timo Peisa