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Eur Clin Respir J. 2017 Jan 04;4(1):1267470. doi: 10.1080/20018525.2017.1267470. eCollection 2017.

COPD, stage and treatment in a large outpatient clinic.

European clinical respiratory journal

Claire Præst Holm, Jakob Holm, Annette Nørgaard, Nina Godtfredsen

Affiliations

  1. Department of Respiratory Medicine, Copenhagen University Hospital , Hvidovre , Denmark.
  2. Department of Endocrinology, Copenhagen University Hospital , Hvidovre , Denmark.
  3. Lunge- og allergiklinikken , Hellerup , Denmark.

PMID: 28326174 PMCID: PMC5328358 DOI: 10.1080/20018525.2017.1267470

Abstract

Some COPD patients suffer from frequent exacerbations despite triple inhalation treatment. These frequent exacerbators should be identified, as exacerbations often lead to decreasing lung function and increasing mortality. Roflumilast reduces exacerbations in patients with a previous history of exacerbations. Our aim was to describe COPD patient characteristics and compare roflumilast treatment eligible to non-eligible patients. An observational cross-section study was conducted. Patients were included from a large COPD outpatient clinic. Information regarding COPD patient characteristics was registered on a standardized form and lung function was measured. Patients were categorized according to the GOLD classification. Eligibility for roflumilast treatment was assessed and patient characteristics compared between groups. 547 patients were included. Most patients (54%) were in GOLD group D. 62 patients (11.3%) met the criteria for treatment with roflumilast. Among the patients eligible for roflumilast treatment, only 14 patients (22.6%) were receiving treatment. There were no significant differences in FEV

Keywords: COPD; GOLD groups; exacerbations; frequent exacerbator; outpatients; phosphodiesterase-4 inhibitor; roflumilast

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