COPD – do the right thing

BMC Primary Care

Table 5 Recommendations for the review of patients with COPD^a

Review	Discuss and encourage	Consider
• The effect of treatment	• Smoking cessation/continued cessation	• Comorbidities
• Symptoms (CAT/mMRC/6-min walking test)	• Medication adherence	• Referral to pulmonary rehabilitation
• Exacerbations	• Physical activity and exercise	• Need for oxygen therapy
• Smoking status		• Palliative support
• BMI
• Device handling and inhalation technique
• Spirometry (to identify patients who are rapid decliners)
• Vaccination status

BMI Body mass index, CAT COPD assessment test, COPD Chronic obstructive pulmonary disease, mMRC modified Medical Research Council dyspnoea scale
^aPatients with mild/moderate/severe COPD should be reviewed annually; patients with very severe COPD should be reviewed at least twice a year [186]

ISSN: 2731-4553