martedì 4 marzo 2008

BPCO e spirometria: è utile nello screening dell'adulto ?

Qui sono reperibili le linee guida dell' ACP sull'uso della spirometria nello screening per la BPCO nell'adulto.
La conclusione, valutando la possibilità degli effetti benefici al fine di cogliere le possibili esacerbazioni della malattia, e la efficacia della terapia non consigliano l'uso sistematico della spirometria nello screening della BPCO nell'adulto.

Guidelines Recommend Against Screening for COPD with Spirometry

The U.S. Preventive Services Task Force has recommended against using spirometry to screen asymptomatic healthy adults for chronic obstructive pulmonary disease, according to guidelines published early online by the Annals of Internal Medicine.

The authors estimated that the number needed to screen with spirometry to defer a single exacerbation ranged from 400 in older patients (aged 70 to 74 years) to 2500 in younger patients (aged 40 to 49 years). Given the time and effort required, the authors say there is "at least moderate certainty that screening for COPD using spirometry has no net benefit."

Instead, patients should be offered counseling and medication to help them quit smoking. Patients 50 years and older should receive the influenza vaccine every year, and those 65 years and older should receive the one-time pneumococcal vaccine.

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