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screening for chronic obstructive pulmonary disease (COPD)

Indications: - USPSTF recommends against screening for COPD in asymptomatic persons [1] - do not screen asymptomatic adults.[4] - screen patients with chronic respiratory symptoms &/or noxious exposure (smoking, workplace vapors) [4] History: - exposure to smoke & air pollution - dyspnea on exertion - history of acute respiratory illness [3] Special laboratory: - peak expiratory flow (PEF) in primary care - men with PEF <350 L/min & women with PEF <250 L/min should be referred for spirometry [3,4]

Related

respiratory tract disease

General

screening for respiratory tract disease

References

  1. US Preventive Services Task Force (USPSTF) Draft Recommendation Statement Chronic Obstructive Pulmonary Disease: Screening http://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement159/chronic-obstructive-pulmonary-disease-screening - US Preventive Services Task Force (USPSTF) Screening for Chronic Obstructive Pulmonary Disease. US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(13):1372-1377 http://jama.jamanetwork.com/article.aspx?articleid=2510917 PMID: 2704636 - Guirguis-Blake JM, Senger CA, Webber EM et al Screening for Chronic Obstructive Pulmonary Disease: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2016 Apr 5;315(13):1378-1393. PMID: 27046366 - Martinez FJ, O'Connor GT. Screening, Case-Finding, and Outcomes for Adults With Unrecognized COPD. JAMA. 2016 Apr 5;315(13):1343-1344. PMID: 2704636 - Mangione CM et al. Screening for chronic obstructive pulmonary disease: US Preventive Services Task Force reaffirmation recommendation statement. JAMA 2022 May 10; 327:1806. PMID: 35536260 https://jamanetwork.com/journals/jama/fullarticle/2791924 - Webber EM et al. Screening for chronic obstructive pulmonary disease: Updated evidence report and systematic review for the US Preventive Services Task Force. JAMA 2022 May 10; 327:1812 PMID: 35536261 https://jamanetwork.com/journals/jama/fullarticle/2791925
  2. Screening for chronic obstructive pulmonary disease: U.S. Preventive Services Task Force recommendation statement. ngc-guideline: 50139
  3. Martinez FJ, Mannino D, Leidy NK et al A New Approach for Identifying Patients with Undiagnosed Chronic Obstructive Pulmonary Disease Am J Respir Crit Care Med. Published online 26 Oct 2016 PMID: 27783539 http://www.atsjournals.org/doi/abs/10.1164/rccm.201603-0622OC
  4. Labaki WW, Rosenberg SR. Chronic obstructive pulmonary disease. Ann Intern Med 2020 Aug 4; 173:ITC17 PMID: 32745458 https://www.acpjournals.org/doi/10.7326/AITC202008040