Clinical Topics


Supplemental Oxygen Needs Rarely Addressed in COPD Inpatients

CHICAGO — Patients hospitalized with chronic obstructive pulmonary disease (COPD) who require supplemental oxygen (O2) are at increased risk of hospital readmissions, but little information exists on the quality of evaluation and documentation regarding the need for supplemental O2 in that population.


Hospitalized COPD Patients More Likely to Also Have PH

HOUSTON — Having comorbid chronic obstructive pulmonary disease (COPD) and pulmonary hypertension (PH-COPD) increases the risk of hospitalizations and death compared to COPD alone, according to a new study. Identifying PH in COPD is challenging,... View Article


Longer LOS Doesn’t Reduce COPD Readmissions

Recent financial penalties for high risk-adjusted chronic obstructive pulmonary disease (COPD) readmissions have pushed hospitals to search for ways to reduce readmissions for chronic obstructive pulmonary disease, a new study notes.


Underweight and Smoking Makes for a Lethal Combination in COPD

When counseling a patient with chronic obstructive pulmonary disease (COPD), many clinicians start with two words of advice: “Stop smoking.”


How Ignoring COPD Guidelines Helped Veterans

Failing to follow international guidelines on treatment of chronic obstructive pulmonary disease (COPD) isn’t always bad medicine, a new study reported.


COPD Associated With Frailty in HIV-Infected Veterans

With chronic obstructive pulmonary disease (COPD) prevalence increasing among aging HIV-infected patients, a recent study sought to determine how that relates to frailty in veterans treated at the VA.


Veterans With Moderate COPD More Likely to Quit Smoking Than Severely Ill

Participation in smoking cessation programs depends on striking while the iron is ... warm.


COPD: Risk Factor for HIV Lung Infections

SEATTLE — Pulmonary infections remain more common in patients with human immunodeficiency virus (HIV), compared with those who are uninfected.Surmising that an increase in chronic lung diseases among aging HIV positive patients could contribute to... View Article


Few Smoking Cessation Meds for COPD Patients

SEATTLE – At the VA, many smokers admitted for chronic obstructive pulmonary disease (COPD) are not given smoking cessation medications at discharge.A study published recently in the Journal of General Internal Medicine noted that the... View Article


TZDs Linked to Fewer COPD Exacerbations

Does therapy with a common diabetes drug class decrease the risk of chronic obstructive pulmonary disease exacerbations?


VA/DoD Issue First COPD Guideline Update Since 2007

Chronic obstructive pulmonary disease (COPD) increasingly is viewed by clinicians as a systemic disease that is treatable, instead of a debilitating lung disease that offers few options for patients.


COPD, Asthma or Both? Navigating Landmines in Correct Diagnosis, Treatment

By Annette M. Boyle CHICAGO – Your patient presents with wheezing, coughing and shortness of breath. Is it asthma, chronic obstructive pulmonary disease (COPD) or both? The diagnosis and decision about treatment are not so... View Article


Better Treatments Sought for Bacteria Colonization in COPD Patients

Symptoms Increase, Worsening Quality of Life By Annette M. Boyle BUFFALO, NY – Patients with chronic obstructive pulmonary disease (COPD) commonly have bacteria in their lungs. This has been considered inconsequential except during exacerbations, but... View Article


VA’s COPD Knowledge, Treatment Improving, But Still ‘Tip of the Iceberg’

By Stephen Spotswood WASHINGTON – Chronic obstructive pulmonary disease (COPD) is sometimes referred to as the “quiet” or “silent” killer by clinicians trying to treat it. It presents few symptoms in its earliest stages and... View Article


Abnormal Lung Function in Recent Veterans Raises Respiratory Disease Risks

SAN DIEGO ─ Veterans returning from Iraq/Afghanistan and the Gulf War with pulmonary function abnormalities have a significantly greater risk of developing chronic respiratory disease years later, according to a new study presented at the 2014 American Thoracic Society International Conference in San Diego.


VHA Emphasizes Self-Management in New COPD Care Tool

A new VHA self-management module is designed to help COPD patients help themselves. Slated for introduction later this year, the tool will allow patients to work more closely with their physicians to maximize lung function... View Article


Chronic Obstructive Pulmonary Disease

Articles focusing on COPD (Chronic Obstructive Pulmonary Disease) as a supplement to the March 2014 issue.


Lifestyle Changes, New Drugs Promising Tools for COPD at DoD, VA

SEATTLE — In pursuit of the twin goals of COPD treatment — maintaining maximum lung function and improving quality of life — military and VA clinicians customize a mix of therapies that range from recently... View Article


Spirometry Touted as Best Way to Accurately Diagnose COPD

Test Results Also Valuable in Inspiring Smoking Cessation SEATTLE — Spirometry remains the only recognized method of definitively diagnosing chronic obstructive pulmonary disease, but nearly two-thirds of patients with a COPD diagnosis have never had... View Article


COPD Diagnosis/Staging Changed With New Global Guidelines

Update Expected for VA/DoD Later This Year By Annette M. Boyle BETHESDA, MD — The leading guidelines for diagnosis and management of chronic obstructive pulmonary disease (COPD) include significant new recommendations this year that promise... View Article


Repercussions of High Military Smoking Rates Affect Health Systems

WASHINGTON – The U.S. military’s love affair with tobacco may be officially over, but the federal healthcare system is still dealing with the aftermath, especially chronic conditions such as chronic obstructive pulmonary disease (COPD). The... View Article


Mobile Application to Help Families Manage Healthcare Wins Federal Challenge

By Stephen Spotswood SAN CARLOS, CA — A mobile health application that helps families manage their healthcare is the grand-prizewinner of the HHS Healthfinder.gov Mobile App Challenge. The San Carlos-based mobile technology development company, Lyfechannel,... View Article


Male Veterans with COPD At High Risk of Bone Disease

A pair of new studies shows a very high prevalence of bone disease among male veterans with chronic obstructive pulmonary disease (COPD) and other pulmonary illnesses, raising the question of whether more screening is needed.

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