Diagnosis and Management of Stable Chronic Obstructive Pulmonary
Disease: A Clinical Practice Guideline from the American College
of Physicians
Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD; Paul Shekelle, MD, PhD; Katherine Sherif, MD; Timothy J.
Wilt, MD,...
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Diagnosis and Management of Stable Chronic Obstructive Pulmonary
Disease: A Clinical Practice Guideline from the American College
of Physicians
Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD; Paul Shekelle, MD, PhD; Katherine Sherif, MD; Timothy J.
Wilt, MD, MPH;
Steven Weinberger, MD; and Douglas K.
Owens, MD, MS, for the Clinical Efficacy Assessment Subcommittee of the
American College of Physicians*
Recommendation 1: In patients with respiratory symptoms, particularly dyspnea, spirometry should be performed to diagnose airflow
obstruction.
Spirometry should not be used to screen for airflow
obstruction in asymptomatic individuals.
(Grade: strong recommendation, moderate-quality evidence.
)
Recommendation 2: Treatment for stable chronic obstructive pulmonary disease (COPD) should be reserved for patients who have
respiratory symptoms and FEV1 less than 60% predicted, as documented by spirometry.
(Grade: strong recommendation, moderatequality evidence.
)
Recommendation 3: Clinician
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