Diagnosis, Pathogenesis and Treatment of Chronic Obstructive Pulmonary Disease (COPD)

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 1190

Special Issue Editor


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Guest Editor
1. Department of Medicine, Little Belt Hospital, Vejle, Denmark
2. Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
Interests: COPD; epidemiology; lung diseases; new treatment strategies; diagnostic and prognostic advances

Special Issue Information

Dear Colleagues,

This Special Issue will focus on emerging trends in the diagnosis, monitoring and treatment of chronic obstructive pulmonary disease (COPD). COPD is a persistent disease of the airways that causes respiratory symptoms and systemic involvement. Often, a gradual worsening of symptoms occurs as time advances. Furthermore, certain phenotypes of patients experience exacerbations that might include the need for hospitalization or emergency room visits. Although progress has been demonstrated in its treatment, there is still room for substantial improvement regarding a wide range of topics within COPD. When it comes to diagnosing COPD, there is an urgent need for new ideas that can lead to early diagnosis as many patients are only diagnosed late in the course of the disease—at age 60+, when lung function is halved. Disease monitoring is fundamental in the management of chronic diseases. In a broad variety of diseases e.g., diabetes, hypertension and hypercholesterolemia, biomarkers are used for monitoring. However, relevant biomarkers or other ways of measuring disease status are lacking for COPD. Biological treatment, as well as other options, have in recent years been implemented as the standard treatment for various chronic inflammatory diseases (ex. asthma, inflammatory bowel and rheumatic diseases). Unfortunately, new treatment options for COPD have not been introduced for more than a decade. Therefore, the discovery and introduction of new mechanisms with the potential to develop therapeutic strategies is needed, as are diagnostic, prognostic and predictive biomarkers. This Special Issue invites the submission of research in any area relating to these themes. Possible topics within this scope include (but are not limited to) the following:

  • Identification of novel biomarkers
  • Phenotyping
  • Treatment
  • Prognosis
  • Disease monitoring
  • Early diagnosing
  • Molecular mechanisms
  • Strategies to improve management
  • Evaluation of new biomarkers with predictive value

Dr. Anders Løkke
Guest Editor

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Keywords

  • COPD
  • diagnosing
  • disease monitoring
  • treatment options

Published Papers (1 paper)

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Research

13 pages, 1382 KiB  
Article
National Development in the Use of Inhaled Corticosteroid Treatment in Chronic Obstructive Pulmonary Disease: Repeated Cross-Sectional Studies from 1998 to 2018
by Allan Klitgaard, Rikke Ibsen, Jesper Lykkegaard, Ole Hilberg and Anders Løkke
Biomedicines 2024, 12(2), 372; https://doi.org/10.3390/biomedicines12020372 - 5 Feb 2024
Cited by 2 | Viewed by 820
Abstract
Recommendations for the treatment of chronic obstructive pulmonary disease (COPD) have shifted towards a more restrictive use of inhaled corticosteroids (ICS). We aimed to identify the nationwide development over time in the use of ICS treatment in COPD. We conducted a register-based repeated [...] Read more.
Recommendations for the treatment of chronic obstructive pulmonary disease (COPD) have shifted towards a more restrictive use of inhaled corticosteroids (ICS). We aimed to identify the nationwide development over time in the use of ICS treatment in COPD. We conducted a register-based repeated cross-sectional study using Danish nationwide registers. On a yearly basis from 1998 to 2018, we included all patients in Denmark ≥ 40 years of age with an ICD-10 diagnosis of COPD (J44). Accumulated ICS use was calculated for each year based on redeemed prescriptions. Patients were divided into the following groups: No ICS, low-dose ICS, medium-dose ICS, or high-dose ICS. From 1998 to 2018, the yearly proportion of patients without ICS treatment increased (from 50.6% to 57.6%), the proportion of patients on low-dose ICS treatment increased (from 11.3% to 14.9%), and the proportion of patients on high-dose ICS treatment decreased (from 17.0% to 9.4%). We demonstrated a national reduction in the use of ICS treatment in COPD from 1998 to 2018, with an increase in the proportion of patients without ICS and on low-dose ICS treatment and a decrease in the proportion of patients on high-dose ICS treatment. Full article
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