Chronic obstructive pulmonary disease (updated)
Best practice, Care guideline, Review
Abstract:
Management of chronic obstructive pulmonary disease in adults in primary and secondary care (partial update). This guideline partially updates and replaces NICE clinical guideline 12 Description This guidance is for the care and treatment of people with chronic obstructive pulmonary disease (which is usually shortened to COPD) in the NHS in England and Wales. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence). It is written for people with COPD but it may also be useful for their families or carers or for anyone with an interest in the condition. The advice in the NICE guideline covers: the diagnosis, treatment and care of adults with COPD. It does not specifically look at: the treatment of people with: asthma a condition called bronchopulmonary dysplasia bronchiectasis (a condition that affects the lungs). This is an update of advice on COPD that NICE produced in 2004. This booklet includes the advice that was published in 2004 and the updated 2010 advice Full guideline http://guidance.nice.org.uk/CG101/Guidance/pdf/English Quick reference guide http://guidance.nice.org.uk/CG101/QuickRefGuide/pdf/English NICE guidance written for patients and carers http://guidance.nice.org.uk/CG101/PublicInfo/pdf/English
Category:
Clinical description
Control
Management
Prevention
Public information
Treatment
Expert Review
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Summary:
The guidelines offer best practice advice on the care of adults who have a clinical working diagnosis of COPD including chronic bronchitis, emphysema and chronic airflow limitations/obstruction. It is relevant to primary and secondary care settings and is a guide to best practice for professionals who work with patients with COPD and make decisions about their care.It covers diagnostic criteria, identification of early onset of disease and makes recommendations on the management of stable patients, exacerbations and preventing progression of the disease. The guidelines do not include information on the management of people with asthma, bronchopulmonary dysplasia and bronchiectasis. The guidance is based on the evidence available and health professionals are expected to take it fully into account when excising their clinical judgements in this circumstances.
Questions Addressed:
The guidelines offer best practice advice on the care of adults who have a clinical working diagnosis of COPD including chronic bronchitis, emphysema and chronic airflow limitations/obstruction.
Type of Study:
Best practice, Care guidelines, Review
Methods Valid:
Yes
Methods Valid Detail:
The link provides access to the full guideline; an abridged version is available from www.nice.org.uk/CG012quickrefguide Information for the public is also available from the NICE website or from the NHS Response Line (Reference Number N0463)
Results Reliability:
Yes, Produced by National Institute for Clinical Excellence and the National Collaborating Centre for Chronic Conditions
Problems or Biases:
No
Relevant Studies:
1. Abridged version - Guidelines for Chronic obstructive pulmonary disease – Management of chronic obstructive pulmonary diseases in adults in primary and secondary care www.nice.org.uk/CG012quickrefguide
Keywords:
chronic obstructive pulmonary disease COPD airflow obstruction inhaled therapy pulmonary rehabilitation non invasive ventilation chronic bronchitis emphysema chronic airflow limitations
Reviewer Name:
Sue Wiseman
Reviewer Post:
Nurse Consultant –Infection Control, DH
Reviewer Affiliations:
Member Advisory Committee on Dangerous Pathogens Health Protection Adviser Royal College of Nursing P/T Member Infection Control Nurses Association