ReviewDeutsches Arzteblatt international2014
The diagnosis of chronic obstructive pulmonary disease.
Review in Deutsches Arzteblatt international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Efficacy and safety of physical therapy in patients with stage III COPD during ambulatory rehabilitation.Journal of medicine and life · 2023Trial
- Pulmonary Telerehabilitation in COPD Patients: A Systematic Review to Analyse Patients' Adherence.Healthcare (Basel, Switzerland) · 2025Review
- Effect of Moderately High-Dose Vitamin D3 Supplementation on Mortality in Patients Hospitalized for COVID-19 Infection.Nutrients · 2025Article
- A point of care sensor for detection of alcohols, aldehydes and esters in urinary metabolites of war veterans injured by sulfur mustard.RSC advances · 2024Article
- Vesicular herpes zoster eruption following chronic obstructive pulmonary disease treatment in the emergency department: lessons learnt from immunosuppression.Annals of medicine and surgery (2012) · 2024Article
- Transcriptomic Insights into Different Stimulation Intensity of Electroacupuncture in Treating COPD in Rat Models.Journal of inflammation research · 2024Article
- A New Questionnaire to Assess Respiratory Symptoms (The Respiratory Symptom Experience Scale): Quantitative Psychometric Assessment and Validation Study.JMIR formative research · 2023Article
- Prevalence of Spirometry Testing among Patients with Asthma and COPD in German General Practices.Healthcare (Basel, Switzerland) · 2022Article
- Respiratory Muscle Training Can Improve Cognition, Lung Function, and Diaphragmatic Thickness Fraction in Male and Non-Obese Patients with Chronic Obstructive Pulmonary Disease: A Prospective Study.Journal of personalized medicine · 2022Article
- The Differential Diagnosis of Dyspnea.Deutsches Arzteblatt international · 2016Review
- [Somatic morbidity in the mentally ill].Der Nervenarzt · 2016Review
- Dynamics of airway response in lung microsections: a tool for studying airway-extra cellular matrix interactions.Journal of biomedical science · 2016Review
- Diagnosis is difficult.Deutsches Arzteblatt international · 2015Article
- In reply.Deutsches Arzteblatt international · 2015Article
- Occupational preventive measures.Deutsches Arzteblatt international · 2015Article
- The preserve of primary care physicians.Deutsches Arzteblatt international · 2015Article
- Whole-Body Plethysmography in Suspected Asthma: A Prospective Study of Its Added Diagnostic Value in 302 Patients.Deutsches Arzteblatt international · 2015Article
- Chronic obstructive pulmonary disease- a growing cause of death and disability worldwide.Deutsches Arzteblatt international · 2014Article
- The Impact ofIn vivo (Athens, Greece)Review
- The relationship of dyspnea and disease severity with anthropometric indicators of malnutrition among patients with chronic obstructive pulmonary disease.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEstimates of the prevalence of chronic obstructive pulmonary disease (COPD) in Germany range from 1.9% to 13.2%, depending on the population studied and the investigative methods used. About 30% of all patients already have severe airway obstruction by the time the condition is diagnosed.
methodsReview of pertinent literature retrieved by a selective search, including current guidelines and textbooks.
resultsSmoking is the main risk factor for COPD. The diagnosis is based on characteristic symptoms that patients at risk should be actively asked about-cough, dyspnea, diminished physical reserve, and frequent airway infections-together with abnormal pulmonary function tests. Spirometry usually suffices to document impaired air flow. The clinical evaluation and the treatment strategy are based on the severity of airway obstruction and dyspnea, and the frequency of exacerbations. According to a European study, dyspnea is present in 73% of persons with severe COPD, expectoration in 64%, cough in 59%, and wheezing in 42%. Asthma, congestive heart failure, and interstitial lung disease are the main differential diagnoses.
conclusionCOPD may begin with symptoms that are only mild at first even in a longstanding smoker. The available diagnostic techniques need better prospective validation with respect to relevant endpoints, including mortality, symptom progression, quality of life, and frequency of exacerbations.
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