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KMID : 0383820110700040293
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Tuberculosis and Respiratory Diseases
2011 Volume.70 No. 4 p.293 ~ p.300
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Early Diagnosis and Management of Chronic Obstructive Pulmonary Disease
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Lee Sei-Won
Yoo Jee-Hong
Park Myung-Jae
Kim Eun-Kyung
Yoon Ho-Il
Kim Deog-Kyeom
Lee Chang-Hoon
Park Yong-Bum
Park Joo-Hun
Hwang Yong-Il
Jung Ki-Suck
Yoo Kwang-Ha
Park Hye-Yoon
Lee Jae-Seung
Huh Jin-Won
Oh Yeon-Mok
Lim Seong-Yong
Jung Ji-Ye
Kim Young-Sam
Kim Hui-Jung
Rhee Chin-Kook
Kim Young-Kyoon
Kim Jin-Woo
Yoon Hyoung-Kyu
Lee Sang-Do
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Abstract
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Chronic obstructive pulmonary disease (COPD) is a substantially under-diagnosed disorder, and the diagnosis is usually delayed until the disease is advanced. However, the benefit of early diagnosis is not yet clear, and there are no guidelines in Korea for doing early diagnosis. This review highlights several issues regarding early diagnosis of COPD. On the basis of several lines of evidence, early diagnosis seems quite necessary and beneficial to patients. Early diagnosis can be approached by several methods, but it should be confirmed by quality-controlled spirometry. Compared with its potential benefit, the adverse effects of spirometry or pharmacotherapy appear relatively small. Although it is difficult to evaluate the benefit of early diagnosis by well-designed trials, several lines of evidence suggest that we should try to diagnose and manage patients with COPD at early stages of the disease.
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KEYWORD
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Pulmonary Disease, Chronic Obstructive, Early Diagnosis, Spirometry
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