Pulmonary function testing in COPD: looking beyond the curtain of FEV1

Abstract Chronic obstructive pulmonary disease (COPD) management remains challenging due to the high heterogeneity of clinical symptoms and the complex pathophysiological basis of the disease. Airflow limitation, diagnosed by spirometry, remains the cornerstone of the diagnosis. However, the calcula...

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Autores principales:	Sotirios Kakavas, Ourania S. Kotsiou, Fotis Perlikos, Maria Mermiri, Georgios Mavrovounis, Konstantinos Gourgoulianis, Ioannis Pantazopoulos
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/cc06a18eb8ea416582606caa139086d6
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spelling	oai:doaj.org-article:cc06a18eb8ea416582606caa139086d62021-12-02T14:41:52ZPulmonary function testing in COPD: looking beyond the curtain of FEV110.1038/s41533-021-00236-w2055-1010https://doaj.org/article/cc06a18eb8ea416582606caa139086d62021-05-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00236-whttps://doaj.org/toc/2055-1010Abstract Chronic obstructive pulmonary disease (COPD) management remains challenging due to the high heterogeneity of clinical symptoms and the complex pathophysiological basis of the disease. Airflow limitation, diagnosed by spirometry, remains the cornerstone of the diagnosis. However, the calculation of the forced expiratory volume in the first second (FEV1) alone, has limitations in uncovering the underlying complexity of the disease. Incorporating additional pulmonary function tests (PFTs) in the everyday clinical evaluation of COPD patients, like resting volume, capacity and airway resistance measurements, diffusion capacity measurements, forced oscillation technique, field and cardiopulmonary exercise testing and muscle strength evaluation, may prove essential in tailoring medical management to meet the needs of such a heterogeneous patient population. We aimed to provide a comprehensive overview of the available PFTs, which can be incorporated into the primary care physician’s practice to enhance the efficiency of COPD management.Sotirios KakavasOurania S. KotsiouFotis PerlikosMaria MermiriGeorgios MavrovounisKonstantinos GourgoulianisIoannis PantazopoulosNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Sotirios Kakavas Ourania S. Kotsiou Fotis Perlikos Maria Mermiri Georgios Mavrovounis Konstantinos Gourgoulianis Ioannis Pantazopoulos Pulmonary function testing in COPD: looking beyond the curtain of FEV1
description	Abstract Chronic obstructive pulmonary disease (COPD) management remains challenging due to the high heterogeneity of clinical symptoms and the complex pathophysiological basis of the disease. Airflow limitation, diagnosed by spirometry, remains the cornerstone of the diagnosis. However, the calculation of the forced expiratory volume in the first second (FEV1) alone, has limitations in uncovering the underlying complexity of the disease. Incorporating additional pulmonary function tests (PFTs) in the everyday clinical evaluation of COPD patients, like resting volume, capacity and airway resistance measurements, diffusion capacity measurements, forced oscillation technique, field and cardiopulmonary exercise testing and muscle strength evaluation, may prove essential in tailoring medical management to meet the needs of such a heterogeneous patient population. We aimed to provide a comprehensive overview of the available PFTs, which can be incorporated into the primary care physician’s practice to enhance the efficiency of COPD management.
format	article
author	Sotirios Kakavas Ourania S. Kotsiou Fotis Perlikos Maria Mermiri Georgios Mavrovounis Konstantinos Gourgoulianis Ioannis Pantazopoulos
author_facet	Sotirios Kakavas Ourania S. Kotsiou Fotis Perlikos Maria Mermiri Georgios Mavrovounis Konstantinos Gourgoulianis Ioannis Pantazopoulos
author_sort	Sotirios Kakavas
title	Pulmonary function testing in COPD: looking beyond the curtain of FEV1
title_short	Pulmonary function testing in COPD: looking beyond the curtain of FEV1
title_full	Pulmonary function testing in COPD: looking beyond the curtain of FEV1
title_fullStr	Pulmonary function testing in COPD: looking beyond the curtain of FEV1
title_full_unstemmed	Pulmonary function testing in COPD: looking beyond the curtain of FEV1
title_sort	pulmonary function testing in copd: looking beyond the curtain of fev1
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/cc06a18eb8ea416582606caa139086d6
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Pulmonary function testing in COPD: looking beyond the curtain of FEV1

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