“COPD poses enormous burden in terms of morbidity and mortality globally and in India. COPD poses a huge economic burden in terms of direct and indirect costs […] For the development of guidelines, an extensive desk review was followed by a joint workshop. Important questions were framed on the basis of discussions on issues with reference to the Indian context.”
Chronic obstructive pulmonary disease (COPD) is a major public health problem in India. Although several international guidelines for diagnosis and management of COPD are available, there are a lot gaps in recognition and management of COPD in India due to vast differences in availability and affordability of healthcare facilities across the country. The Indian Chest Society and the National College of Chest Physicians (India) have joined hands to come out with these evidence-based guidelines to help the physicians at all levels of healthcare to diagnose and manage COPD in a scientific manner. Besides the international literature, the Indian studies were specifically anlayzed to arrive at simple and practical recommendations.
The evidence is presented under five headings:
- Definition, epidemiology, and disease burden
- Disease assessment and diagnosis
- Pharmacologic management of stable COPD
- Management of acute exacerbations
- Non-pharmalogic and preventive measures