2030: International Primary Care Respiratory Group: WORKSHOP FROM THE IPCRG, SIG OF WONCA EUROPE. COPD: Early detection and management of stable disease and exacerbations

Conference: 
Author(s): 
Moderator: S. Høegh Henrichsen
Presenters: M. Roman Rodriguez, J. Reid, S. Høegh Henrichsen, J.C. de Sousa, I. Tsiligianni
International Primary Care Respiratory Group. www.theipcrg.org
Text: 
Presentation type: Workshop
COPD is an increasingly common condition resulting in considerable morbidity and mortality. Annual costs of COPD are high. These include direct costs, mostly from hospitalization and other healthcare interventions as well as indirect costs. New GOLD guidelines have been developed and present a new classification of COPD patients. Most patients remain undiagnosed and usually occurs at a stage where significant lung function has already been lost. The IPCRG currently recommends that all patients over 35 years old should be evaluated for their risk of developing COPD. Proper spirometry can be performed in primary care offices, with appropriate training and interest. Practices that have introduced spirometry into their routine have made significant changes in COPD diagnoses and treatment. We will discuss some strategies to encourage earlier diagnosis in primary care. A growing body of evidence suggests that early detection of airflow limitation and early pharmacological and non pharmacological interventions can delay lung function decline, reduce the burden of COPD symptoms, and improve patients’ quality of life. Early identification allows lifestyle change such as exercise and pulmonary rehabilitation. Early provision of self-management education will also be of value. Exacerbations are the main negative prognostic factor on COPD. Every purulent COPD exacerbation decreases quality of life, longevity and lung function. Early and aggressive management of exacerbations protect the patient from COPD progression.
The IPCRG presents an interactive workshop; after a short presentation, open discussion among participants will be led by a team of practising family physicians with experience of different health care systems and with a special interest in respiratory disease. The session will be applicable to General Practice, be pragmatic and concise. The main issues to be covered at the workshop will be:
Strategies to encourage earlier diagnosis in primary care:
Management of COPD in primary care. Pharmacological and not pharmacological treatment. The importance of rehabilitation
Exacerbations in COPD, the main factor for progression and increased risk. How to prevent, detect and treat them.