Clinical Practice Guideline
- Diagnosis, Management, and Prevention of Chronic
Obstructive Pulmonary Disease
| Topic: Diagnosis,
Management, and Prevention of Chronic Obstructive
Pulmonary Disease |
Date of Origin: September
2007 |
| Revised Date: January 2013 |
Effective Date: February 1, 2013 |
| Next Review Date: December
2013 |
|
Recommendation:
Regence supports the recommendation
of the of the Global Initiative for Chronic Obstructive
Lung Disease (GOLD) and the content of the latest version
of the guideline entitled Global Strategy for the
Diagnosis, Management, and Prevention of Chronic Obstructive
Pulmonary Disease.
Other evidence-based guidelines that
are useful resources for managing patients with COPD
include:
- Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline For Management Of Outpatient Chronic Obstructive Pulmonary Disease. Version 2.0 – 2007.
- Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines, the 2007 publication. American College of Chest Physicians (ACCP); American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).
- US Department of Health and Human Services: Treating Tobacco Use and Dependence: 2008 Update
The American Thoracic Society / European
Respiratory Society (ATS/ERS) publishes a consensus
statement that uses GOLD standards for the basis of
their recommendations.
Please refer to the web sites listed
below for detailed information. Differences between
these sources should be discussed with your physician/provider
of care.
Web Site Links:
Global Strategy for the Diagnosis, Management
and Prevention of COPD, Global Initiative for
Chronic Obstructive Lung Disease (GOLD) 2011; located
at: http://www.goldcopd.org
VA/DoD (Department of Veterans Affairs/Department
of Defense) Clinical Practice Guideline For Management
Of Outpatient Chronic Obstructive Pulmonary Disease
Version 2.0 – 2007. Available at: http://www.healthquality.va.gov/Chronic_Obstructive_Pulmonary_Disease_COPD.asp
Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery
CF, Mahler DA, Make B, Rochester CL, Zuwallack R, Herrerias
C. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based
Clinical Practice Guidelines. Chest 2007 May;131(5
Suppl):4S-42S. Complete summary available at: http://www.guideline.gov/content.aspx?id=10856&search=copd+summary
Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008. http://www.ncbi.nlm.nih.gov/books/NBK63952/
American Thoracic Society / European Respiratory Society
Task Force. Standards for the Diagnosis and Management
of Patients with COPD [Internet]. Version 1.2. New
York: American Thoracic Society; 2004 [updated 2005
September 8]. Available from: http://www.thoracic.org/go/copd.
Position Statement:
The GOLD, VA/DoD, ACCP/AACVPR and
AHRQ Tobacco Use guidelines are supported by Regence
because they are based on scientific evidence, and
where evidence is lacking, on expert consensus. The
guidelines reflect the most current standard of care
for COPD and tobacco prevention, cessation and control.
- The panel members are recognized experts practicing
in a variety of professional settings.
- Recommendations are based on a well-defined scientific
literature search.
- The methods used to critically appraise the evidence
supporting guideline recommendations are not readily
transparent.
- The guidelines clearly state the strength of the
evidence for which recommendations are based.
- Financial disclosures/potential conflicts of interest
for individual panel members are not included in
the evidence report, although sources of funding
for the guidelines are disclosed, including pharmaceutical
company sponsorships (GOLD)
- Financial disclosures/potential conflicts of interest for individual panel members
- Reported for the U.S. Health and Human Services Department Clinical Practice Guideline: Treating Tobacco Use and Dependence: 2008 Update
- Not stated or not transparent (VA, ACCP, and ATS/ERS)
Guideline Adoption and Recommended Use:
This guideline has been adopted based
on nationally and locally recognized sources. This
guideline is based on the most recent medical evidence
available at the time of the report or on a consensus
of panel experts. Regence adopts guidelines to help
practitioners and members make decisions about appropriate
health care for specific conditions. Guidelines are
not a substitute for professional medical advice.
Benefit Determination:
Benefit determinations should be based
in all cases on the applicable contract coverage. To
the extent that there are any conflicts between these
guidelines and the contract language, the contract
language takes precedence.
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