What is a COPD-Like Spirometry Test Result in Resource Constrained Settings?

Hurst, John R.; Miranda, J. Jaime; Gianella, Gonzalo E.

dc.contributor.author	Gianella, Gonzalo E.
dc.contributor.author	Miranda, J. Jaime
dc.contributor.author	Hurst, John R.
dc.date.accessioned	2019-12-06T21:02:55Z
dc.date.available	2019-12-06T21:02:55Z
dc.date.issued	2019
dc.identifier.uri	https://hdl.handle.net/20.500.12866/7494
dc.description.abstract	The diagnosis of chronic obstructive pulmonary disease (COPD), a global health problem, is challenging in resource-constrained settings. Spirometry with an obstructive pattern after the administration of bronchodilators is required for the diagnosis of COPD. Existing COPD treatment guidelines, largely derived from studies performed in populations of cigarette-smokers, recommend pharmacologic interventions with a tendency to include new-and expensive-drugs as first line agents. As the different factors that cause nonsmokers to develop COPD lead to different phenotypes of disease, COPD severity and treatment efficacy cannot be extrapolated to be the same as in the population of smokers. In so doing, current global initiatives may carry risks when trying to over simplify diagnostic approaches and push for standardization of treatment algorithms that are not context-specific. Future work to mitigate the global burden of COPD needs to address the need for new epidemiological data, especially in areas where tobacco use is less prevalent and environmental factors such as domestic air pollution is common.	en_US
dc.language.iso	eng
dc.publisher	Taylor and Francis
dc.relation.ispartofseries	COPD
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	air pollution	en_US
dc.subject	Article	en_US
dc.subject	chronic obstructive lung disease	en_US
dc.subject	Chronic obstructive pulmonary disease	en_US
dc.subject	cigarette smoking	en_US
dc.subject	disease severity	en_US
dc.subject	environmental factor	en_US
dc.subject	human	en_US
dc.subject	low and middle-income settings	en_US
dc.subject	non-smoker	en_US
dc.subject	priority journal	en_US
dc.subject	spirometry	en_US
dc.subject	spirometry test	en_US
dc.subject	tobacco use	en_US
dc.title	What is a COPD-Like Spirometry Test Result in Resource Constrained Settings?	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1080/15412555.2019.1641794
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.07
dc.relation.issn	1541-2563