The concept of chronic obstructive pulmonary disease clinical control as a decision - making tool in real clinical practice for optimizing of basic pharmacotherapy

• Published in: Terapevtic̆eskii arhiv Vol. 92; no. 1; pp. 89 - 95
• Main Authors: Avdeev, S N, Aisanov, Z R, Belevsky, A S, Beeh, K M, Vizel, A A, Zyryanov, S K, Ignatova, G L, Kostikas, K, Leshchenko, I V, Ovcharenko, S I, Sinopal’nikov, A I, Titova, O N, Shmelev, E I
• Format: Journal Article
• Language: English; Russian
• Published: "Consilium Medicum" Publishing house 15-01-2020
• Subjects: chronic obstructive pulmonary disease; copd control; indacaterol/glycopyrronium; long acting bronchodilators; triple therapy
• ISSN: 0040-3660; 2309-5342
• DOI: 10.26442/00403660.2020.01.000489

The main goals of COPD therapy are to achieve clinical stability with minimal clinical manifestations and low risk of relapse. The proposed COPD control concept by analogy with asthma has not been quite well characterized yet. COPD control is defined as "the long - term maintenance of a clinical situation with a low impact of symptoms on the patient’s life and absence of exacerbations." The situation of clinical control in COPD is considered desirable and potentially achievable for most patients with COPD. Pharmacotherapeutic options for COPD are constantly expanding. The control concept may be useful when the decision on treatment of COPD is made for dynamic adjustment of the therapy volume.