Ενδιφέρον άρθρο με χρήσιμες οδηγίες, από πνευμονολόγους & γενικούς γιατρούς

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Managing Comorbidity in COPD: A Difficult Task
Ioanna G. Tsiligianni, Epameinondas Kosmas, Thys Van der Molen and Nikolaos Tzanakis

Department of Thoracic Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece; Department of
General Practice, University Medical Centre of Groningen, Groningen, The Netherlands;

Abstract: Chronic obstructive pulmonary disease is a public health problem that results in high morbidity, disability and
mortality. Comorbidities are highly prevalent in COPD patients because of aging, common risk factors and pathways, rising
mortality, and disability. In this review article we present the most prevalent co-morbidities in COPD patients, we face
the issue of multimorbidity and discuss the practical management approach relevant to chest physicians and general practitioners.
Issues on comorbidities management according to general guidelines as well as their implications for COPD are
raised. The aim is to give clinicians an easy update with specific recommendations for each comorbidity. The implications
of several medications used for comorbidities in COPD in terms of benefits, concerns, medication preference, medication
avoidance and contraindications are also discussed.