COPD

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In a retrospective analysis of patients with chronic obstructive pulmonary disease (COPD), those whose exacerbations were treated with systemic corticosteroids alone, or together with antibiotics, did more poorly than those treated with antibiotics alone, a recent study reported in the International Journal of Chronic Obstructive Pulmonary Disease.

In a new study, researchers sought to identify the heterogeneity of asthma and chronic obstructive pulmonary disease (COPD) overlap syndrome, known as ACOS, in patients with mild to moderate airflow restriction. Using national survey and insurance claims data in Korea, they sought to identify the diverse epidemiological characteristics and subtypes of ACOS associated with exac­erbations, healthcare use, and cost.

Learning good inhaler technique is critical for effective care and treatment for chronic obstructive pulmonary disease (COPD) and other respiratory disorders. But a survey of healthcare providers and patients show that both groups place more importance on medication over devices when it comes to COPD treatments, and both groups show limited concerns about proper device use.

Childhood factors such as asthma, maternal smoking, bronchitis, allergic rhinitis, and eczema predisposed children to lung function decline and chronic obstructive pulmonary disease (COPD) as adults, according to 2 recent studies. Risks might be minimized by reducing maternal smoking, encouraging immunizations, having good asthma control, and avoiding smoking, researchers said.

A study of 2 chronic obstructive pulmonary disease (COPD) inhalers from the same company was published recently in The Lancet Respiratory Medicine. The DYNAGITO trial showed tiotropium bromide and olodaterol, a dual bronchodilator sold under the name Stiolto Respimat, prevented exacerbations better than tiotropium bromide alone (sold as Spiriva Respimat), although not quite as much as expected.

If a health system could identify which patients with chronic obstructive pulmonary disease (COPD) were at risk for exacerbations of disease, interventions aimed at improving health outcomes could be developed. A study to develop and evaluate predictive models that could be used to identify such high-risk patients was unable to do so, however.

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