Table 5.
Recommendations for the review of patients with COPDa
| Review | Discuss and encourage | Consider |
|---|---|---|
| • The effect of treatment | • Smoking cessation/continued cessation | • Comorbidities |
| • Symptoms (CAT/mMRC/6-min walking test) | • Medication adherence | • Referral to pulmonary rehabilitation |
| • Exacerbations | • Physical activity and exercise | • Need for oxygen therapy |
| • Smoking status | • Palliative support | |
| • BMI | ||
| • Device handling and inhalation technique | ||
| • Spirometry (to identify patients who are rapid decliners) | ||
| • Vaccination status |
BMI Body mass index, CAT COPD assessment test, COPD Chronic obstructive pulmonary disease, mMRC modified Medical Research Council dyspnoea scale
aPatients with mild/moderate/severe COPD should be reviewed annually; patients with very severe COPD should be reviewed at least twice a year [186]