| What provokes experienced COPD clinical practitioners in the UK to initiate or change medication? A consensus study. | |
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MedLine Citation:
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PMID: 21387078 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: In the absence of clarity in national guidelines, this study aimed to reach a consensus among experts in chronic obstructive pulmonary disease (COPD) regarding when medication should be initiated or changed in patients demonstrating a gradual decline. METHODS: An electronic three-stage Delphi exercise was undertaken with 37 leading UK experts in COPD. The panel submitted criteria which they scored in subsequent rounds. Consensus was defined as >80% of the panel scoring an item as important. RESULTS: Consensus was reached on seven criteria: decreased exercise tolerance (97%); increased breathlessness at rest or on exertion (97%); quality of life impairment (91%); low or reduced oxygen saturations based on pulse oximetry readings (86%); ability to perform activities of daily living independently (85%); increase in sputum (80%); and increase in wheeze (80%). CONCLUSIONS: These criteria could be used to guide clinical practice. Empirical research is now required to test their reliability and validity. |
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Authors:
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Jane Upton; Ellen McCutcheon; Christine Loveridge; John Wiggins; Samantha Walker; Monica Fletcher |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-8 |
Journal Detail:
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Title: Primary care respiratory journal : journal of the General Practice Airways Group Volume: - ISSN: 1475-1534 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101121543 Medline TA: Prim Care Respir J Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Education for Health, Warwick, Warwickshire, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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