By vgreene, 7 February, 2017 General population screening is controversial GOLD advocates active case finding not screening spirometry
By vgreene, 7 February, 2017 Identifying pts before significant sx develop hasn’t been shown to improve COPD outcomes or effectively direct mgmt
By vgreene, 7 February, 2017 Asymptomatic pts w o significant exposures probably don t warrant spirometry If pt has risks eg 20 pack yr smoking recurrent chest infxns consider spirometry for early case finding
By vgreene, 7 February, 2017 If family member w A1AT deficiency 3 Screen pt WHO recommends COPD pts be screened once esp in high density geo areas 10 classic pt
By vgreene, 7 February, 2017 If assessing disability 9 paced shuttle walk test or unpaced 6 min walk test
By vgreene, 7 February, 2017 If marked discordance b/t spirometry airflow and sx: Consider full PFTs,1 ✓imaging/CT, 6-min walk test, exercise test, ✓comorbidities
