Medscape InDiscussion: Chronic Obstructive Pulmonary Disease

Join Drs Leah Witt and Anand Iyer as they discuss the benefits of partnering with your palliative care team for patients living with advanced COPD. Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999794. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Chronic Obstructive Pulmonary Disease (COPD) https://emedicine.medscape.com/article/297664-overview Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary https://pubmed.ncbi.nlm.nih.gov/36858443/ Considerations for and Mechanisms of Adjunct Therapy in COPD https://pubmed.ncbi.nlm.nih.gov/33809583/ Pulmonary Rehabilitation https://emedicine.medscape.com/article/319885-overview Use of Short-Acting Opioids in the Management of Breathlessness: An Evidence-Based Review https://pubmed.ncbi.nlm.nih.gov/32701856/ ATS Sudden Breathlessness Crisis https://www.atsjournals.org/doi/abs/10.1164/rccm.1895P9 Palliative Care Early in the Care Continuum Among Patients With Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement https://pubmed.ncbi.nlm.nih.gov/36112774/ The Role of Palliative Care in COPD https://pubmed.ncbi.nlm.nih.gov/34740592/ The Relationship Between Exercise Capacity and Different Functional Markers in Pulmonary Rehabilitation for COPD https://pubmed.ncbi.nlm.nih.gov/29535512/ Evaluation of the Individual Activity Descriptors of the mMRC Breathlessness Scale: A Mixed Method Study https://pubmed.ncbi.nlm.nih.gov/36133735/

Join Drs Leah Witt and Valerie Press as they discuss COPD exacerbations, treatment, triage, discharge planning, and hospital readmissions. Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999793. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary https://pubmed.ncbi.nlm.nih.gov/36858443/jnh Oral or IV Prednisolone in the Treatment of COPD Exacerbations: A Randomized, Controlled, Double-Blind Study https://pubmed.ncbi.nlm.nih.gov/17646228/ Quality of Care for Patients Hospitalized for Acute Exacerbations of Chronic Obstructive Pulmonary Disease https://pubmed.ncbi.nlm.nih.gov/16785478/ Strategies to Prevent Readmissions to Hospital for COPD: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/34378468/ COPD Case Study: Pearls for Diagnosis and Initial Management https://www.medscape.com/viewarticle/999789 COPD: Finding the Right Inhaled Medication at the Right Price https://www.medscape.com/viewarticle/999790 Preventing COPD Readmissions Under the Hospital Readmissions Reduction Program: How Far Have We Come? https://pubmed.ncbi.nlm.nih.gov/33065106/ Predictors of Mortality in Hospitalized Adults With Acute Exacerbation of Chronic Obstructive Pulmonary Disease https://pubmed.ncbi.nlm.nih.gov/23607835/ Pulmonary Rehabilitation and Readmission Rates for Medicare Beneficiaries With Acute Exacerbation of Chronic Obstructive Pulmonary Disease https://pubmed.ncbi.nlm.nih.gov/34329550/ Teaching the Use of Respiratory Inhalers to Hospitalized Patients With Asthma or COPD: A Randomized Trial https://pubmed.ncbi.nlm.nih.gov/22592354/ Is Pulmonary Rehab Right for Your Patient With COPD? https://www.medscape.com/viewarticle/999791 What's Your Approach? Managing COPD in Older Adults https://www.medscape.com/viewarticle/999792 COPD Foundation https://www.copdfoundation.org/

Join Drs Leah Witt and Adrian Austin as they discuss treating older adult patients with COPD from a geriatrics and pulmonology perspective. Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/999792. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Chronic Obstructive Pulmonary Disease (COPD) https://emedicine.medscape.com/article/297664-overview Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary https://pubmed.ncbi.nlm.nih.gov/36858443/ The Mini-Cog, Clock Drawing Test, and Three-Item Recall Test: Rapid Cognitive Screening Tools With Comparable Performance in Detecting Mild NCD in Older Patients https://pubmed.ncbi.nlm.nih.gov/34562992/ Diagnostic Accuracy of the Montreal Cognitive Assessment (MoCA) for Cognitive Screening in Old Age Psychiatry: Determining Cutoff Scores in Clinical Practice. Avoiding Spectrum Bias Caused by Healthy Controls https://pubmed.ncbi.nlm.nih.gov/31650623/ Pulmonary Rehabilitation https://emedicine.medscape.com/article/319885-overview COPD: Finding the Right Inhaled Medication at the Right Price https://www.medscape.com/viewarticle/999790 ATS Toolkit for Age-Friendly Pulmonary/Critical Care Best Practices https://www.thoracic.org/professionals/clinical-resources/critical-care/critical-care-research/ats-toolkit-for-older-adults.php

Join Dr Leah Witt and nurse practitioner Chris Garvey as they discuss pulmonary rehab, an underutilized treatment for people living with COPD. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/999791). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Chronic Obstructive Pulmonary Disease (COPD) https://emedicine.medscape.com/article/297664-overview Pulmonary Rehabilitation https://emedicine.medscape.com/article/319885-overview Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary https://pubmed.ncbi.nlm.nih.gov/36858443/ Association Between Initiation of Pulmonary Rehabilitation After Hospitalization for COPD and 1-Year Survival Among Medicare Beneficiaries https://pubmed.ncbi.nlm.nih.gov/32396181/ Cost-effectiveness of Pulmonary Rehabilitation Among US Adults With Chronic Obstructive Pulmonary Disease https://pubmed.ncbi.nlm.nih.gov/35731514/ Survival After Inpatient or Outpatient Pulmonary Rehabilitation in Patients With Fibrotic Interstitial Lung Disease: A Multicentre Retrospective Cohort Study https://pubmed.ncbi.nlm.nih.gov/34462346/ Trends in VA Telerehabilitation Patients and Encounters Over Time and by Rurality https://pubmed.ncbi.nlm.nih.gov/30983852/ Telerehabilitation for Chronic Respiratory Disease https://pubmed.ncbi.nlm.nih.gov/33511633/ Pulmonary Fibrosis Foundation https://www.pulmonaryfibrosis.org/

Join Drs Leah Witt and Amber Martirosov as they discuss inhaled medications for chronic obstructive pulmonary disease, overlooked nuances of inhaler technique and why understanding Medicare is a critical part of providing care. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/999790). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Global Strategy for Prevention, Diagnosis and Management of COPD: 2023 Report https://goldcopd.org/2023-gold-report-2/ Nebulized Therapies in COPD: Past, Present, and the Future https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7367939/ Advair https://www.advair.com/ QVAR RediHaler https://www.qvar.com/ Asthma & Allergy Network https://allergyasthmanetwork.org/ American Lung Association https://www.lung.org/ Optimization of Patient-Specific Inhaler Regimens With the Use of the Aerosol Inhalation Monitor https://pubmed.ncbi.nlm.nih.gov/30552051/ Guiding Inspiratory Flow: Development of the In-Check DIAL G16, a Tool for Improving Inhaler Technique https://pubmed.ncbi.nlm.nih.gov/29348936/ The COPD Pocket Consultant Guide Mobile App https://www.copdfoundation.org/Learn-More/The-COPD-Pocket-Consultant-Guide/Healthcare-Provider-Track.aspx CoverMyMeds https://www.covermymeds.com/main/ GoodRX https://www.goodrx.com/ Medicare Plan Compare https://www.medicare.gov/plan-compare/#/?year=2024&lang=en

Join Drs Leah Witt and Stephanie Christenson as they work through a COPD case study, sharing pearls and expert advice on the nuances of diagnosis and initial management. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/999789). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Global Strategy for Prevention, Diagnosis and Management of COPD:2023 https://goldcopd.org/2023-gold-report-2/ Global Lung Function Initiative Calculators for Spirometry, TLCO and Lung Volume https://gli-calculator.ersnet.org/ Undiagnosed Obstructive Lung Disease in the United States. Associated Factors and Long-Term Mortality https://pubmed.ncbi.nlm.nih.gov/26524488/ Radiomics for Improved Detection of Chronic Obstructive Pulmonary Disease in Low-Dose and Standard-Dose Chest CT Scans https://pubmed.ncbi.nlm.nih.gov/37338355/ Tidal Flow-Volume Loop Enveloping at Rest in Advanced COPD https://pubmed.ncbi.nlm.nih.gov/31455685/ COPD Phenotyping https://pubmed.ncbi.nlm.nih.gov/37353326/ Treatable Traits in COPD — A Proposed Approach https://pubmed.ncbi.nlm.nih.gov/34824530/ Chronic Obstructive Pulmonary Disease https://pubmed.ncbi.nlm.nih.gov/35533707/ Roflumilast in Moderate-to-Severe Chronic Obstructive Pulmonary Disease Treated With Longacting Bronchodilators: Two Randomised Clinical Trials https://pubmed.ncbi.nlm.nih.gov/19716961/