Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2348
Título : What pulmonologists think about the asthma-COPD overlap syndrome.
Autor : Miravitlles, Marc
Alcázar, Bernardino
Alvarez, Francisco Javier
Bazús, Teresa
Calle, Myriam
Casanova, Ciro
Cisneros, Carolina
de-Torres, Juan P
Entrenas, Luis M
Esteban, Cristóbal
García-Sidro, Patricia
Cosio, Borja G
Huerta, Arturo
Iriberri, Milagros
Izquierdo, José Luis
López-Viña, Antolín
López-Campos, José Luis
Martínez-Moragón, Eva
Pérez de Llano, Luis
Perpiñá, Miguel
Ros, José Antonio
Serrano, José
Soler-Cataluña, Juan José
Torrego, Alfons
Urrutia, Isabel
Plaza, Vicente
Filiación: [Miravitlles,M] Pneumology Department, Hospital Universitari Vall d´Hebron, Barcelona, Spain. [Miravitlles,M; López-Campos,L] CIBER de Enfermedades Respiratorias (CIBERES) Madrid, Spain. [Alcázar,B] Respiratory Department, Hospital de Alta Resolución de Loja, Granada, Spain. [Alvarez,FJ; López-Campos,L] Medical-Surgical Unit of Respiratory Diseases, Virgen del Rocio University Hospital, Biomedicine Institute of Seville (IbiS), Seville, Spain. [Bazús,T] Department of Pneumology, Hospital Universitario Central de Asturias, Ovido, Spain. [Calle,M] Department of Pneumology, Hospital Clínico San Carlos, Madrid, Spain. [Casanova,C] Department of Pneumology, Hospital Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Spain. [Cisneros,C] Department of Pneumology, Hospital Universitario de La Princesa/Instituto de Investigación Sanitaria (IIS-IP), Madrid, Spain. [De Torres,JP] Pulmonary Department, Clínica Universidad de Navarra, Pamplona, Spain. [Entrenas,LM] Department of Pneumology, Hospital Universitario Reina Sofía, Córdoba, Spain. [Esteban,C; Urrutia,I] Department of Pneumology, Hospital Galdakao-Usansolo, Galdakao, Spain. [García-Sidro,P] Department of Pneumology, Hospital Universitario de La Plana, Vila-Real, Spain. [Cosio,BC] Department of Pneumology, Hospital Universitario Son Espases IdISPa, Palma de Mallorca, Spain. [Huerta,A] Sección Urgencias Medicina - Neumología, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Hospital Clínic de Barcelona, Spain. [Iriberri,M] Department of Pneumology, Hospital Universitario de Cruces, Bilbao, Spain. [Izquierdo,JL] Department of Pneumology, Hospital Universitario de Guadalajara, Guadalajara, Spain. [López-Viña,A] Department of Pneumology, Hospital Universitario Puerta del Hierro Majadahonda, Madrid, Spain. [Martínez-Moragón,E] Department of Pneumology, Hospital Universitario Dr. Peset, Valencia, Spain. [Pérez de Llano,L] Department of Pneumology, Hospital Universitario Lucus Augusti, Lugo, Spain. [Perpiñá,M] Department of Pneumology, Hospital Universitario y Politécnico La Fe, Valencia, Spain. [Ros,JA] Department of Pneumology, Hospital Clínico Universitario Virgen de la Arrinxaca, Murcia, Spain. [Serrano,J] Department of Pneumology, Hospital Comarcal de Inca, Inca, Spain. [Soler-Cataluña,JJ] Department of Pneumology, Hospital Arnau de Vilanova-Liria, Valencia, Spain. [Torrejo,A; Plaza,V] Department of Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Palabras clave : Asthma
COPD
Survey
ACOS
Guidelines
Asma
Antiasmáticos
Broncodilatadores
Consenso
Corticoesteroides
Enfermedad pulmonar obstructiva crónica
MeSH: Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Molecular Mechanisms of Pharmacological Action::Neurotransmitter Agents::Adrenergic Agents::Adrenergic Agonists::Adrenergic beta-Agonists::Adrenergic beta-2 Receptor Agonists
Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Respiratory System Agents::Anti-Asthmatic Agents
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Asthma
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Attitude::Attitude of Health Personnel
Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Respiratory System Agents::Anti-Asthmatic Agents::Bronchodilator Agents
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Health Knowledge, Attitudes, Practice
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Research Design::Sensitivity and Specificity::Predictive Value of Tests
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Internal Medicine::Pulmonary Medicine
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Causality::Risk Factors
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Habits::Smoking
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Specialization
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Data Collection::Questionnaires
Medical Subject Headings::Chemicals and Drugs::Hormones, Hormone Substitutes, and Hormone Antagonists::Hormones::Adrenal Cortex Hormones
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Fecha de publicación : 15-Jul-2015
Editorial : Dove Medical Press
Cita Bibliográfica: Miravitlles M, Alcázar B, Alvarez FJ, Bazús T, Calle M, Casanova C, et al. What pulmonologists think about the asthma-COPD overlap syndrome. Int J Chron Obstruct Pulmon Dis. 2015; 10:1321-30
Abstract: BACKGROUND Some patients with COPD may share characteristics of asthma; this is the so-called asthma-COPD overlap syndrome (ACOS). There are no universally accepted criteria for ACOS, and most treatments for asthma and COPD have not been adequately tested in this population. MATERIALS AND METHODS We performed a survey among pulmonology specialists in asthma and COPD aimed at collecting their opinions about ACOS and their attitudes in regard to some case scenarios of ACOS patients. The participants answered a structured questionnaire and attended a face-to-face meeting with the Metaplan methodology to discuss different aspects of ACOS. RESULTS A total of 26 pulmonologists with a mean age of 49.7 years participated in the survey (13 specialists in asthma and 13 in COPD). Among these, 84.6% recognized the existence of ACOS and stated that a mean of 12.6% of their patients might have this syndrome. In addition, 80.8% agreed that the diagnostic criteria for ACOS are not yet well defined. The most frequently mentioned characteristics of ACOS were a history of asthma (88.5%), significant smoking exposure (73.1%), and postbronchodilator forced expiratory volume in 1 second/forced vital capacity <0.7 (69.2%). The most accepted diagnostic criteria were eosinophilia in sputum (80.8%), a very positive bronchodilator test (69.2%), and a history of asthma before 40 years of age (65.4%). Up to 96.2% agreed that first-line treatment for ACOS was the combination of a long-acting β2-agonist and inhaled steroid, with a long-acting antimuscarinic agent (triple therapy) for severe ACOS. CONCLUSION Most Spanish specialists in asthma and COPD agree that ACOS exists, but the diagnostic criteria are not yet well defined. A previous history of asthma, smoking, and not fully reversible airflow limitation are considered the main characteristics of ACOS, with the most accepted first-line treatment being long-acting β2-agonist/inhaled corticosteroids.
Descripción : Journal Article; Research Support, Non-U.S. Gov't;
URI: http://hdl.handle.net/10668/2348
Versión del editor : https://www.dovepress.com/what-pulmonologists-think-about-the-asthmandashcopd-overlap-syndrome-peer-reviewed-article-COPD
DOI: 10.2147/COPD.S88667
ISSN : 1178-2005 (Online)
1176-9106 (Print)
Appears in Collections:01- Artículos - IBIS. Instituto de Biomedicina de Sevilla
01- Artículos - Hospital Reina Sofía
01- Artículos - Hospital Virgen del Rocío
01- Artículos - APES Hospital de Poniente

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