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Federal guidelines on diagnosis and treatment of chronic obstructive pulmonary disease

А. Г. ЧучалинPirogov Russian National Research Medical University (Pirogov Medical University), Ministry of Health of the Russian FederationС. Н. АвдеевFederal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); Federal Pulmonology Research Institute, Federal Medical and Biological Agency of RussiaЗ. Р. АйсановPirogov Russian National Research Medical University (Pirogov Medical University), Ministry of Health of the Russian FederationА. S. BelevskiyPirogov Russian National Research Medical University (Pirogov Medical University), Ministry of Health of the Russian FederationИ. В. ЛещенкоFederal State Budget Educational Institution of Higher Education “Ural State Medical University” of the Ministry of Health of the Russian Federation; Ural Federal Research Institute of Phthisiology and Pulmonology – A Branch of National Medical Research Center for Phthisiology, Pulmonology and Infectious Diseases, Healthcare Ministry of RussiaOvcharenko SiFederal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Е. И. ШмелевFederal State Scientific Institution “Central Research Institute of Tuberculosis”
2022en
ABI

Аннотация

Currently, chronic obstructive pulmonary disease (COPD) is a global health issue and one of the leading causes of death in the world. COPD therapy includes pharmacological and non-pharmacological approaches that can significantly improve clinical symptoms and reduce frequency of exacerbations of the disease. Methodology . The target audience of these clinical recommendations are therapists, general practitioners, and pulmonologists. Each thesis-recommendation about diagnostic and therapeutic procedures was graded according to the scales of classes of recommendations from 1 to 5 and the A, B, C scale of the levels of evidence. The clinical recommendations also contain comments and explanations to the theses together with algorithms for the diagnosis and treatment of COPD. Conclusion . The presented clinical guidelines cover the latest information about the etiology and pathogenesis, clinical manifestations, diagnosis, treatment, and prevention of chronic obstructive pulmonary disease. These guidelines were approved by the Scientific and Practical Council of the Ministry of Health of the Russian Federation in 2021.

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