Chronic Obstructive Pulmonary Disease (COPD)
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease that can cause coughing wheezing, shortness of breath, chest tightness, and other symptoms. Cigarette smoking is the leading cause of COPD, however, up to 25 percent of people with the condition have never smoked. Long-term exposure to lung irritants—such as air pollution, chemical fumes, or dusts—also may contribute to COPD. A rare genetic condition called alpha-1 antitrypsin (AAT) deficiency can also cause the disease. For many Veterans, combat deployments exposed them to potentially toxic lung irritants, and VA conducts research to improve care for those Veterans coping with COPD.
Search results were generated based on the search term "COPD". Results are updated weekly, as new data are available.
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(5 of more than 267 COPD focused publications)
- Griffith MF, Feemster LC, Zeliadt SB, Donovan LM, Spece LJ, Udris EM, Au DH. Overuse and Misuse of Inhaled Corticosteroids Among Veterans with COPD: a Cross-sectional Study Evaluating Targets for De-implementation. Journal of general internal medicine. 2019 Nov 11.
- Miake-Lye IM. Capsule Commentary on Stryczek et. al., De-implementing Inhaled Corticosteroids to Improve Care and Safety in COPD Treatment: Primary Care Providers' Perspectives. Journal of general internal medicine. 2019 Oct 25.
- Dransfield MT, Voelker H, Bhatt SP, Brenner K, Casaburi R, Come CE, Cooper JAD, Criner GJ, Curtis JL, Han MK, Hatipoglu U, Helgeson ES, Jain VV, Kalhan R, Kaminsky D, Kaner R, Kunisaki KM, Lambert AA, Lammi MR, Lindberg S, Make BJ, Martinez FJ, McEvoy C, Panos RJ, Reed RM, Scanlon PD, Sciurba FC, Smith A, Sriram PS, Stringer WW, Weingarten JA, Wells JM, Westfall E, Lazarus SC, Connett JE, BLOCK COPD Trial Group. Metoprolol for the Prevention of Acute Exacerbations of COPD. The New England journal of medicine. 2019 Dec 12; 381(24):2304-2314.
- Wan ES, Goldstein RL, Fan VS, Nguyen HQ, Hart JE, Garshick E, Orr EH, DeVivo I, Moy ML. Telomere length in COPD: Relationships with physical activity, exercise capacity, and acute exacerbations. PLoS ONE. 2019 Oct 17; 14(10):e0223891.
- Rinne ST, Lindenauer PK, Au DH. Unexpected Harm From an Intensive COPD Intervention. JAMA. 2019 Oct 8; 322(14):1357-1359.
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(5 of more than 15 COPD focused publication briefs)
- Lack of Awareness among VA Providers about Risk Associated with Prescribing Inhaled Corticosteroids to Veterans with COPD
More than 50% of patients with mild-to-moderate COPD in the U.S. are prescribed inhaled corticosteroids despite recommendations to restrict use to patients with frequent breathing exacerbations. This study explored VA primary care providers’ experiences prescribing inhaled corticosteroids among Veterans with mild-to-moderate COPD. Of the Veterans with COPD in this study cohort, 15% were prescribed...
Date: August 8, 2019
- Brief Cognitive Behavioral Therapy Reduces Suicidal Ideation among Veterans with Chronic Illness
Brief cognitive behavioral therapy (bCBT) intervention delivered by VA mental health providers in primary care settings is effective for depression, anxiety, and improves physical health quality of life. Investigators in the current study determined the effect of bCBT on suicidal ideation among Veterans with cardiopulmonary chronic illness receiving mental health treatment in a VA primary care set...
Date: February 8, 2019
- Chronic Opioid Therapy Common among Hospitalized Veterans, Associated with Increased Risk of Death and Re-Admission
This study sought to determine the prevalence of prior chronic opioid therapy (COT) among hospitalized medical patients, in addition to examining characteristics associated with inpatients that had previous opioid therapy compared to those with no opioid therapy prior to hospital admission. Findings showed that COT is common among hospitalized Veterans; moreover, occasional and chronic opioid use ...
Date: December 6, 2013
- Adoption of PACT Features is Significantly Associated with Lower Risk of Avoidable Hospitalization
The primary outcome measured in this study was potentially avoidable hospitalizations for ambulatory care sensitive conditions (ACSC) that included: asthma, angina without procedure, pneumonia, dehydration, COPD, congestive heart failure, complications related to diabetes, hypertension, perforated appendix, and urinary tract infection. In addition, the total number and costs of ACSC hospitalizati...
Date: March 26, 2013
- Decreases in VA Hospital Length-of-Stay and Readmission Rates over 14 Years
This study sought to determine trends in hospital length of stay (LOS) and 30-day readmission rates in the VA healthcare system. Findings showed that VA hospitals demonstrated simultaneous improvements in hospital LOS and readmission rates from 1997 to 2010. This demonstrates that LOS reductions have not, thus far, adversely affected the likelihood of hospital readmission. For all medical diagnos...
Date: December 18, 2012
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( 5 of more than 49 COPD focused projects
|| Improving Multi-Disciplinary Teamwork for Veterans with COPD: Mixed Methods Study
|| post-REcovery LIbEration From Oxygen in Exacerbated COPD (RELIEF)
|| Palliative Care to Improve Quality of Life in CHF and COPD
|| Understanding Patient Management of COPD Exacerbations
|| Integrating Care After Exacerbation of COPD (InCasE)
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HSR&D Briefs, Reports, Newsletters
5 sample "COPD" publications displayed.
...HSR&D Impacts HSR&D Impacts Health Services Reserach and Development Service Impacts 1998 » Back to main Impacts page Aging and Age-Related Changes...
Management Briefs eBrief-no90 - Evidence Map of Tai Chi
...across outcomes, comparators, and settings. Statistically significant health effects also were reported for osteoarthritis, COPD (chronic obstructive...
Management Briefs eBrief-no38 - Rural vs. Urban Ambulatory Healthcare
...for which there was a paucity of evidence regarding their prevention, diagnosis, or treatment in rural healthcare settings (e.g., COPD, chronic...
Management Briefs eBrief-no64 - Group Visits Focusing on Education for the Management of Chronic Conditions in Adults
...questions below. The interventions focused on education for the management of arthritis/falls prevention (n=22), asthma/COPD (n=10), hypertension/...
Management Briefs eBrief-no106 - Pharmacist-Led Chronic Disease Management: Effectiveness and Harms Compared to Usual Care
...disease, chronic kidney disease, COPD, depression, diabetes mellitus, and hypertension) are common among Veterans. Seventeen studies were conducted...
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- The VA and DoD agree on a common set of practice guidelines for a specific group of health conditions, including COPD. Learn more about those guidelines here.
- Learn more about research on the relationship between exposure to dioxin and COPD.
- Access the Veterans Health Library to find out more information about COPD or other health conditions.