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Patient And Physician Insights On Copd Care Journal Of The Copd

Leo Migdal
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patient and physician insights on copd care journal of the copd

Antonio Anzueto, MD, PhD1 Haley Hoy, PhD, ACNP, FAANP2 Caroline Gainer3 Antonio Anzueto, MD, PhD South Texas Veterans Healthcare System University of Texas Health San Antonio, Texas Phone: (210) 275-4204 Email: anzueto@uthscsa.edu This review addresses the multifaceted challenges and opportunities in managing chronic obstructive pulmonary disease (COPD), from both the patient and health care professional (HCP) perspectives. Coauthored by a patient organization advocate, a pulmonologist, and a nurse practitioner, this article synthesizes insights gained through collaborative discussions and a comprehensive literature review. It highlights the critical importance of early diagnosis of COPD, emphasizing that delayed diagnosis can lead to significant underdiagnosis and mismanagement of the disease. Lung function declines more rapidly in the early stages of COPD.

Therefore, delayed or underdiagnosed COPD results in a lost opportunity to improve or maintain lung function, prevent exacerbations, and enhance the quality of life. The typical patient journey is also outlined in this article, underscoring the necessity of encouraging patients to actively engage in their care. Patients and HCPs collectively call for improvements in COPD management, emphasizing the importance of maintenance therapy; a deeper understanding of COPD exacerbations, focusing on their prevention; and fostering a partnership between patients and their... The role of HCPs is crucial in promoting the self-management and awareness of COPD among patients. By integrating patient perspectives into clinical practice, health care systems can better address the complex needs of patients with COPD and ultimately enhance their health outcomes. Citation: Anzueto A, Hoy H, Gainer C.

Challenges and opportunities for the management of COPD: a narrative review of patient and health care professional perspectives. Chronic Obstr Pulm Dis. 2025; 12(4): 339-356. doi: http://doi.org/10.15326/jcopdf.2024.0597 chronic obstructive pulmonary disease, diagnosis, disease burden, health care professional perspectives, patient perspectives Address correspondence to Dr.

Bollmeier (Suzanne.Bollmeier@stlcop.edu). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is... For commercial re-use, please contact journals.permissions@oup.com Chronic obstructive pulmonary disease (COPD) is a significant cause of morbidity and mortality in the United States. Exacerbations— acute worsening of COPD symptoms—can be mild to severe in nature. Increased healthcare resource use is common among patients with frequent exacerbations, and exacerbations are a major cause of the high 30-day hospital readmission rates associated with COPD.

This review provides a concise overview of the literature regarding the impact of COPD exacerbations on both the patient and the healthcare system, the recommendations for pharmacologic management of COPD, and the strategies employed... COPD exacerbations significantly impact patients’ health-related quality of life and disease progression; healthcare costs associated with severe exacerbation-related hospitalization range from $7,000 to $39,200. Timely and appropriate maintenance pharmacotherapy, particularly dual bronchodilators for maximizing bronchodilation, can significantly reduce exacerbations in patients with COPD. Additionally, multidisciplinary disease-management programs include pulmonary rehabilitation, follow-up appointments, aftercare, inhaler training, and patient education that can reduce hospitalizations and readmissions for patients with COPD. Maximizing bronchodilation by the appropriate use of maintenance therapy, together with multidisciplinary disease-management and patient education programs, offers opportunities to reduce exacerbations, hospitalizations, and readmissions for patients with COPD. Competing Interests: The authors have declared that no competing interests exist.

Received 2023 Feb 17; Accepted 2023 Jun 7; Collection date 2023. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Studies of the lived experience of chronic obstructive pulmonary disease (COPD) reveal a number of challenges patients face when interacting with healthcare providers that may be exacerbated by unwillingness or inability to quit smoking. However, none have explored, in-depth, primary care experiences among patients with COPD in community healthcare settings. The study investigated healthcare experiences of patients living independently in the community with COPD who smoked or had recently quit (at most within the last 5 years), seeking care in primary care settings. This review addresses the multifaceted challenges and opportunities in managing chronic obstructive pulmonary disease (COPD), from both the patient and health care professional (HCP) perspectives.

Coauthored by a patient organization advocate, a pulmonologist, and a nurse practitioner, this article synthesizes insights gained through collaborative discussions and a comprehensive literature review. It highlights the critical importance of early diagnosis of COPD, emphasizing that delayed diagnosis can lead to significant underdiagnosis and mismanagement of the disease. Lung function declines more rapidly in the early stages of COPD. Therefore, delayed or underdiagnosed COPD results in a lost opportunity to improve or maintain lung function, prevent exacerbations, and enhance the quality of life. The typical patient journey is also outlined in this article, underscoring the necessity of encouraging patients to actively engage in their care. Patients and HCPs collectively call for improvements in COPD management, emphasizing the importance of maintenance therapy; a deeper understanding of COPD exacerbations, focusing on their prevention; and fostering a partnership between patients and their...

The role of HCPs is crucial in promoting the self-management and awareness of COPD among patients. By integrating patient perspectives into clinical practice, health care systems can better address the complex needs of patients with COPD and ultimately enhance their health outcomes. Keywords: chronic obstructive pulmonary disease; diagnosis; disease burden; health care professional perspectives; patient perspective. AA reports speaking and consulting fees from AstraZeneca, GlaxoSmithKline, Sanofi/Regeneron, and Viatrix. CG is a member of the COPD Foundation’s COPD360 Community Engagement Committee and the committee for Oxygen Strategies. HH reports consulting fees from BIPI and Pulmonx Corporation.

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Antonio Anzueto, MD, PhD1 Haley Hoy, PhD, ACNP, FAANP2 Caroline

Antonio Anzueto, MD, PhD1 Haley Hoy, PhD, ACNP, FAANP2 Caroline Gainer3 Antonio Anzueto, MD, PhD South Texas Veterans Healthcare System University of Texas Health San Antonio, Texas Phone: (210) 275-4204 Email: anzueto@uthscsa.edu This review addresses the multifaceted challenges and opportunities in managing chronic obstructive pulmonary disease (COPD), from both the patient and health care profe...

Therefore, Delayed Or Underdiagnosed COPD Results In A Lost Opportunity

Therefore, delayed or underdiagnosed COPD results in a lost opportunity to improve or maintain lung function, prevent exacerbations, and enhance the quality of life. The typical patient journey is also outlined in this article, underscoring the necessity of encouraging patients to actively engage in their care. Patients and HCPs collectively call for improvements in COPD management, emphasizing th...

Challenges And Opportunities For The Management Of COPD: A Narrative

Challenges and opportunities for the management of COPD: a narrative review of patient and health care professional perspectives. Chronic Obstr Pulm Dis. 2025; 12(4): 339-356. doi: http://doi.org/10.15326/jcopdf.2024.0597 chronic obstructive pulmonary disease, diagnosis, disease burden, health care professional perspectives, patient perspectives Address correspondence to Dr.

Bollmeier (Suzanne.Bollmeier@stlcop.edu). This Is An Open Access Article Distributed Under

Bollmeier (Suzanne.Bollmeier@stlcop.edu). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is... For commercial re-use, please contact journals.permissions@...

This Review Provides A Concise Overview Of The Literature Regarding

This review provides a concise overview of the literature regarding the impact of COPD exacerbations on both the patient and the healthcare system, the recommendations for pharmacologic management of COPD, and the strategies employed... COPD exacerbations significantly impact patients’ health-related quality of life and disease progression; healthcare costs associated with severe exacerbation-rela...