Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20089
Título
What pulmonologists think about the asthma-COPD overlap syndrome
Autor(es)
Miravitlles, Marc | Alcazar, Bernardino | Javier Alvarez, Francisco | Bazus, Teresa | Calle, Myriam | Casanova, Ciro | Cisneros, Carolina | de-Torres, Juan P. | Entrenas, Luis M. | Esteban, Cristobal | Garcia-Sidro, Patricia | García-Cosío, Borja | Huerta, Arturo | Iriberri, Milagros | Luis Izquierdo, Jose | Lopez-Vina, Antoln | Luis Lopez-Campos, Jose | Martinez-Moragon, Eva | Perez de Llano, Luis Alejandro | Perpina, Miguel | Antonio Ros, Jose | Serrano Pariente, José | Jose Soler-Cataluna, Juan | Torrego, Alfons | Urrutia, Isabel | Plaza, Vicente
Fecha de publicación
2015
Cita
Miravitlles M, Alcazar B, Javier Alvarez F, Bazus T, Calle M, Casanova C, et al. What pulmonologists think about the asthma-COPD overlap syndrome. Int J Chronic Obstr Pulm Dis. 2015;10:1321-30.
Idioma
Inglés
Tipo de documento
research article
Resumen
Background: Some patients with COPD may share characteristics of asthma; this is the so-called asthma-COPD overlap syndrome (ACOS). There are no universally accepted criteria for ACOS, and most treatments for asthma and COPD have not been adequately tested in this population. Materials and methods: We performed a survey among pulmonology specialists in asthma and COPD aimed at collecting their opinions about ACOS and their attitudes in regard to some case scenarios of ACOS patients. The participants answered a structured questionnaire and attended a face-to-face meeting with the Metaplan methodology to discuss different aspects of ACOS. Results: A total of 26 pulmonologists with a mean age of 49.7 years participated in the survey (13 specialists in asthma and 13 in COPD). Among these, 84.6% recognized the existence of ACOS and stated that a mean of 12.6% of their patients might have this syndrome. In addition, 80.8% agreed that the diagnostic criteria for ACOS are not yet well defined. The most frequently mentioned characteristics of ACOS were a history of asthma (88.5%), significant smoking exposure (73.1%), and postbronchodilator forced expiratory volume in 1 second/forced vital capacity,0.7 (69.2%). The most accepted diagnostic criteria were eosinophilia in sputum (80.8%), a very positive bronchodilator test (69.2%), and a history of asthma before 40 years of age (65.4%). Up to 96.2% agreed that first-line treatment for ACOS was the combination of a long-acting beta(2)-agonist and inhaled steroid, with a long-acting antimuscarinic agent (triple therapy) for severe ACOS. Conclusion: Most Spanish specialists in asthma and COPD agree that ACOS exists, but the diagnostic criteria are not yet well defined. A previous history of asthma, smoking, and not fully reversible airflow limitation are considered the main characteristics of ACOS, with the most accepted first-line treatment being long-acting beta(2)-agonist/inhaled corticosteroids.
Palabras clave
MESH
Asthma | Spain | Pulmonary Medicine | Adrenal Cortex Hormones | Pulmonary Disease, Chronic Obstructive | Humans | Smoking | Health Knowledge, Attitudes, Practice | Bronchodilator Agents | Middle Aged | Prognosis | Adrenergic beta-2 Receptor Agonists | Male | Predictive Value of Tests | Anti-Asthmatic Agents | Attitude of Health Personnel | Female | Risk Factors | Consensus | Specialization | Surveys and Questionnaires
DECS
Especialización | Antiasmáticos | Femenino | Actitud del Personal de Salud | Masculino | Consenso | Fumar | Enfermedad Pulmonar Obstructiva Crónica | Factores de Riesgo | Broncodilatadores | Humanos | Persona de Mediana Edad | Valor Predictivo de las Pruebas | Conocimientos, Actitudes y Práctica en Salud | Pronóstico | Asma | Encuestas y Cuestionarios | Corticoesteroides | Agonistas de Receptores Adrenérgicos beta 2 | Neumología | España
Versión en línea
DOI
Aparece en las colecciones
- Investigación > IIS > IdisBa - Instituto de Investigación Sanitaria Illes Balears (Baleares)
- Investigación > IIS > IDIBAPS - Instituto de Investigaciones Biomédicas August Pi i Sunyer (Cataluña)
- Investigación > IIS > IIB Sant Pau - Instituto de Investigación Sant Pau (Cataluña)
- Investigación > IIS > IIS-PRINCESA - Instituto de Investigación Sanitaria Hospital Universitario de La Princesa (Madrid)
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