An 2018 update of personalised Czech COPD guidelines; a country specificconsensus of The Czech Pneumological and Phthiseological Society
Abstract
COPD expert group of The Czech Pneumological and Phthisiological Society (CPPS) prepared a draft of updates of guidelines formanagement of stable COPD. The Scientific Committee of CPPS reviewed the intended updates upon which a preliminary version ofthe document was created.
This document was approved by the National Consensus CPPS Conference in November 2017. An abbreviatedguidebook was created for general practitioners (January 2018).
The elementary principle of the novel approach to COPD isthe systematic description of all treatable traits/phenotypical labels in every COPD case. The CPPS defines six clinically relevant phenotypicaltraits: frequent exacerbator, COPD-asthma overlap, COPD-bronchiectasis overlap, emphysema, bronchitis, and pulmonarycachexia labels.
Treatment recommendations can be divided into two parts. The first step comprises risk exposure elimination andmandatory treatment with inhaled bronchodilators, inhalation training, regular physical activity, pulmonary rehabilitation, comorbidityinterventions, and vaccination.
The second step includes phenotypical treatable trait-specific therapy and care for respiratoryinsufficiency and terminal COPD. An early COPD screening pilot study of a high risk population is described at the end of this article.