Abstract
In addition to recommendations for pharmacological treatment stratified for risk and phenotype, the new 2021 edition of the Spanish COPD Guidelines (GesEPOC 2021) proposes a personalized approach to treatable traits, defined as a characteristic (clinical, physiological, or biological) that can be identified by diagnostic tests or biomarkers, for which a specific treatment is available. Some treatable traits, such as malnutrition, sedentarism, emphysema or respiratory failure, can be treated with non-pharmacological therapies, and this was not covered in detail in the guidelines. This section of GesEPOC 2021 includes a narrative update with recommendations on dietary treatment, physical activity, respiratory rehabilitation, oxygen therapy, non-invasive ventilation, volume reduction, and lung transplantation. A PICO question with recommendations on the use of supplemental oxygen during exercise in COPD patients without severe hypoxemia is also included.
Translated title of the contribution | Actualización 2021 de la Guía Española de la EPOC (GesEPOC). Tratamiento no farmacológico |
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Original language | English |
Pages (from-to) | 345-351 |
Number of pages | 7 |
Journal | Archivos de Bronconeumologia |
Volume | 58 |
Issue number | 4 |
DOIs | |
Publication status | Published - Apr 2022 |
Externally published | Yes |
Keywords
- Lung rehabilitation
- Lung transplantation
- Lung volume reduction
- Nutrition
- Oxygen therapy
- Physical activity