{"id":32373,"date":"2014-09-23T10:33:20","date_gmt":"2014-09-23T09:33:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=32373"},"modified":"2014-09-23T10:33:20","modified_gmt":"2014-09-23T09:33:20","slug":"the-bmj-today-management-of-copd","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/23\/the-bmj-today-management-of-copd\/","title":{"rendered":"The BMJ Today: Management of COPD"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/06\/georg_roeggla.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-31747\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/06\/georg_roeggla.jpg\" alt=\"georg_roeggla\" width=\"169\" height=\"116\" \/><\/a>Chronic obstructive pulmonary disease (COPD) is one of the most common diseases a GP has to manage in their daily routine. <em>The BMJ<\/em> has recently set a focus on COPD management.<\/p>\n<p><a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g5237\">Shawn D Aaron draws attention to the fact<\/a> that patients with COPD are prone to acute respiratory exacerbations, with a possible detrimental effect on patients\u2019 health status, in a state of the art review<em>.<\/em> Initial treatment is unsuccessful in about a quarter off all patients. The author addresses the benefits and many limitations of established COPD therapies.<!--more--><\/p>\n<p>His final outlook is that new potential drugs\u2014including mitogen activated protein kinase inhibitors, phosphodiesterase 3 inhibitors, and monoclonal antibodies to the interleukin 1 receptor\u2014offer additional hope for treatments that may prevent exacerbations in the future.<\/p>\n<p><a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g5392\">Annemarije L Kruis and colleagues published a cluster randomised trial<\/a> on the effectiveness of integrated disease management for primary care chronic obstructive pulmonary disease patients. They compared health status at 12 months and quality of life in the intervention group\u2014practices with specially trained general practitioners, practice nurses, and specialised physiotherapists\u2014to treatment as usual. They report that this integrated disease management approach delivered in primary care showed no additional benefit.<\/p>\n<p>In a related editorial, <a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g5675\">Jean Bourbeau acknowledges that these results are disappointing<\/a>. What we still need to learn is how best to deliver healthcare that is better integrated and more coherent. He advocates a strategic alliance between primary and secondary care, supported by interdisciplinary teams, for patients with high risk COPD.<\/p>\n<p><em><strong>Georg Roeggla<\/strong>\u00a0is an associate editor for The BMJ.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chronic obstructive pulmonary disease (COPD) is one of the most common diseases a GP has to manage in their daily routine. The BMJ has recently set a focus on COPD [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/23\/the-bmj-today-management-of-copd\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1580,5750],"tags":[],"class_list":["post-32373","post","type-post","status-publish","format-standard","hentry","category-georg-roggla","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Management of COPD - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/23\/the-bmj-today-management-of-copd\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Management of COPD - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Chronic obstructive pulmonary disease (COPD) is one of the most common diseases a GP has to manage in their daily routine. The BMJ has recently set a focus on COPD [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/23\/the-bmj-today-management-of-copd\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-09-23T09:33:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/06\/georg_roeggla.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"The BMJ Today: Management of COPD\",\"datePublished\":\"2014-09-23T09:33:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/\"},\"wordCount\":259,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/06\\\/georg_roeggla.jpg\",\"articleSection\":[\"Georg R\u00f6ggla\",\"The BMJ today\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/09\\\/23\\\/the-bmj-today-management-of-copd\\\/\",\"name\":\"The BMJ Today: Management of COPD - 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