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Clinical Guideline

Diagnosis and Management of Stable Chronic Obstructive PulmonaryDisease: A Clinical Practice Guideline Update from the AmericanCollege of Physicians, American College of Chest Physicians,American Thoracic Society, and European Respiratory SocietyAmir Qaseem, MD, PhD, MHA; Timothy J. Wilt, MD, MPH; Steven E. Weinberger, MD; Nicola A. Hanania, MD, MS; Gerard Criner, MD;Thys van der Molen, PhD; Darcy D. Marciniuk, MD; Tom Denberg, MD, PhD; Holger Schu nemann, MD, PhD, MSc; Wisia Wedzicha, PhD;Roderick MacDonald, MS; and Paul Shekelle, MD, PhD, for the American College of Physicians, the American College of Chest Physicians,the American Thoracic Society, and the European Respiratory Society*Description:This Guideline is an official statement of the AmericanCollege of Physicians (ACP), American College of Chest Physicians(ACCP), American Thoracic Society (ATS), and European RespiratorySociety (ERS).

COPD and airflow obstruction, where COPD is defined by both physiologic and clinical criteria and airflow obstruc-tion is defined by spirometric findings alone. This guide-line does not address all components of management of a patient with COPD and is limited to pharmacologic man-agement, pulmonary rehabilitation, and oxygen therapy. It

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