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Currie - 2012;2011;

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Currie 2012;2011;
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Definition, epidemiology, and risk factors / Graham S. Devereux -- Pathology and pathogenesis / William MacNee -- Diagnosis / Graeme P. Currie and Mahendran Chetty -- Spirometry / David Bellamy -- Smoking cessation / John R. Britton -- Non-pharmacological management / Graeme P. Currie and Graham Douglas -- Pharmacological management (I) / Graeme P. Currie and Brian J. Lipworth -- Pharmacological management (II) / Graeme P. Currie and Brian J. Lipworth -- Inhalers / Graeme P. Currie and Graham Douglas -- Oxygen / Graham Douglas and Graeme P. Currie -- Exacerbations / Graeme P. Currie and Wisia Wedzicha -- Ventilatory support / Paul Plant and Graeme P. Currie -- COPD in primary care / Cathy Jackson -- Death, dying, and end of life issues / Gordon Linklater -- Future treatments / Peter Barnes.;Provides the entire multidisciplinary team with a reliable, up-to-date and accessible account of Chronic Obstructive Pulmonary Disease (COPD).

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This edition first published 2011 2011 by Blackwell Publishing Ltd Blackwell - photo 1
This edition first published 2011 2011 by Blackwell Publishing Ltd Blackwell - photo 2

This edition first published 2011, 2011 by Blackwell Publishing Ltd.

Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell's publishing program has been merged with Wiley's global Scientific, Technical and Medical business to form Wiley-Blackwell.

Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

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Library of Congress Cataloging-in-Publication Data

ABC of COPD / edited by Graeme P. Currie.2nd ed.

p. cm.(ABC series)

Includes bibliographical references and index.

ISBN 978-1-4443-3388-6

1. LungsDiseases, Obstructive. I. Currie, Graeme P. II. Series: ABC series (Malden, Mass.)

[DNLM: 1. Pulmonary Disease, Chronic Obstructive. WF 600]

RC776.O3A23 2011

616.24dc22

2010029198

A catalogue record for this book is available from the British Library.

This book is published in the following electronic formats: ePDF 9781444329476; ePub 9781444329483

1 2011

Contributors

Peter J. Barnes

Professor of Respiratory Medicine

Airway Disease Section

National Heart and Lung Institute

Imperial College London

London, UK

David Bellamy

Bournemouth General Practitioner (retired)

Bournemouth, UK

John Britton

Professor of Epidemiology

UK Centre for Tobacco Control Studies

University of Nottingham;

Consultant in Respiratory Medicine

City Hospital

Nottingham, UK

Mahendran Chetty

Consultant in Respiratory Medicine

Aberdeen Royal Infirmary

Aberdeen, UK

Graeme P. Currie

Consultant in Respiratory and General Medicine

Aberdeen Royal Infirmary

Aberdeen, UK

Graham S. Devereux

Professor of Respiratory Medicine

Division of Applied Health Sciences

University of Aberdeen;

Consultant in Respiratory Medicine

Aberdeen Royal Infirmary

Aberdeen, UK

Graham Douglas

Consultant in Respiratory Medicine

Aberdeen Royal Infirmary

Aberdeen, UK

Cathy Jackson

Professor of Primary Care Medicine;

Director of Clinical Studies

Bute Medical School

University of St Andrews

St Andrews, UK

Gordon Linklater

Consultant in Palliative Care Medicine

Roxburghe House

Aberdeen, UK

Brian J. Lipworth

Professor of Allergy and Respiratory Medicine

Asthma and Allergy Research Group

Ninewells Hospital and Medical School

Dundee, UK

William MacNee

Professor of Respiratory and Environmental Medicine

MRC Centre for Inflammation Research

Queen's Medical Research Institute

University of Edinburgh

Edinburgh, UK

Paul K. Plant

Consultant in Respiratory Medicine

St James's University Hospital

Leeds, UK

Jadwiga A. Wedzicha

Professor of Respiratory Medicine

Royal Free and University College Medical

School

University College

London, UK

Foreword

Chronic obstructive pulmonary disease (COPD) is a major global epidemic. It already is the fourth commonest cause of death in high income countries and is predicted to soon become the third commonest cause of death worldwide. In the United Kingdom, the mortality from COPD in women now exceeds that from breast cancer. COPD is also predicted to become the fifth commonest cause of chronic disability, largely because of the increasing levels of cigarette smoking in developing countries in conjunction with an ageing population. It now affects approximately 10% of men and women over 40 years in the United Kingdom and is one of the commonest causes of hospital admission. Because of this, COPD has an increasing economic impact, and direct healthcare costs now exceed those of asthma by more than threefold. Despite these startling statistics, COPD has been relatively neglected and is still underdiagnosed in primary care settings. This is in marked contrast to asthma, which is now recognised and well managed in the community. The new NHS National Strategy seeks to improve diagnosis and management of COPD in the community and reduce hospital admissions.

Highly effective treatment is now available for asthma, which has in turn transformed patients' lives. Sadly, this is not the case with COPD, where management is less effective and no drug has so far been shown to convincingly slow progression of the disease. However, we do now have effective bronchodilators and non-pharmacological treatments, which can improve the quality of life of patients. Many patients, however, are not diagnosed or undertreated, so increased awareness of COPD is needed. There are advances in understanding the underlying inflammatory disease, so this may lead to more effective use of existing treatment and the development of new drugs in the future. In this second edition of the ABC COPD monograph, Graeme Currie and colleagues provide a timely update on the pathophysiology, diagnosis, and modern management of COPD. It is vital that COPD is recognised and treated appropriately in general practice where the majority of patients are managed, and this book provides a straightforward overview of the key issues relating to this important condition.

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