Diagnosis, Prevention and Treatment of Stable COPD and Acute Exacerbations of COPD: The Swiss Recommendations 2018

Respiration. 2018;96(4):382-398. doi: 10.1159/000490551. Epub 2018 Aug 23.

Abstract

The Swiss National Guidelines 2013 for chronic obstructive pulmonary disease have been revised in order to acknowledge recent progress in diagnosis and management of this disease. The resulting new Swiss recommendations are based on best evidence from the literature, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2018 report and other published national guidelines. Misdiagnosis of chronic obstructive pulmonary disease is common and means that patients do not always receive optimal treatment. To improve the management of patients with chronic obstructive pulmonary disease in Switzerland, these recommendations encourage a more comprehensive assessment of patients, based on the combined assessment of symptoms, degree of airflow limitation, risk of exacerbation and the presence of comorbidities. Recommendations for evidence-based preventive measures, as well as pharmacological and non-pharmacological strategies for the management of both stable and acute exacerbations of chronic obstructive pulmonary disease are provided in this update.

Keywords: Chronic obstructive pulmonary disease; Exacerbations; Recommendations; Swiss; Treatment; Update.

Publication types

  • Guideline

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Algorithms
  • Bronchodilator Agents / therapeutic use*
  • Diagnosis, Differential
  • Disease Progression
  • Humans
  • Pulmonary Disease, Chronic Obstructive / diagnosis
  • Pulmonary Disease, Chronic Obstructive / drug therapy*
  • Pulmonary Disease, Chronic Obstructive / prevention & control
  • Switzerland

Substances

  • Adrenal Cortex Hormones
  • Bronchodilator Agents