An 2018 update of personalised Czech COPD guidelines; A country specificconsensus of The Czech Pneumological and Phthiseological Society

Abstract

COPD expert group of The Czech Pneumological and Phthisiological Society (CPPS) prepared a draft of updates of guidelines for management of stable COPD. The Scientific Committee of CPPS reviewed the intended updates upon which a preliminary version of the document was created. This document was approved by the National Consensus CPPS Conference in November 2017. An abbreviated guidebook was created for general practitioners (January 2018). The elementary principle of the novel approach to COPD is the systematic description of all treatable traits/phenotypical labels in every COPD case. The CPPS defines six clinically relevant phenotypical traits: frequent exacerbator, COPD-asthma overlap, COPD-bronchiectasis overlap, emphysema, bronchitis, and pulmonary cachexia labels. Treatment recommendations can be divided into two parts. The first step comprises risk exposure elimination and mandatory treatment with inhaled bronchodilators, inhalation training, regular physical activity, pulmonary rehabilitation, comor-bidity interventions, and vaccination. The second step includes phenotypical treatable trait-specific therapy and care for respiratory insufficiency and terminal COPD. An early COPD screening pilot study of a high risk population is described at the end of this article.