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Clinical commentary - COPD is not a systemic disease Results from the AIMAR Expert Opinion Consensus/Dissensus Seminar "COPD is/is not a systemic disease?", Venice, Italy, 13-14 November 2008

Donner, Claudio F. and Bjermer, Leif LU (2009) In Respiratory Medicine 103(9). p.1270-1275
Abstract
Although COPD is a major disease worldwide there is a perplexing current uncertainty about the nature of this disease. COPI) is characterized at onset and prevalently by the involvement of the lungs and bronchi, but as the disease evolves abnormalities develop in other organs and systems and the question arises: what is the pathogenesis of these respiratory and systemic impairments? Are the alterations that occur outside the respiratory system in the course of COPI) a direct consequence of the lung pathology or is the tung simply the local expression of a pathological event whose origin ties in the organism as a whole? To tease out this issue, the Expert Opinion Consensus/Dissensus Seminar "COPD is/is not a systemic disease?" took place in... (More)
Although COPD is a major disease worldwide there is a perplexing current uncertainty about the nature of this disease. COPI) is characterized at onset and prevalently by the involvement of the lungs and bronchi, but as the disease evolves abnormalities develop in other organs and systems and the question arises: what is the pathogenesis of these respiratory and systemic impairments? Are the alterations that occur outside the respiratory system in the course of COPI) a direct consequence of the lung pathology or is the tung simply the local expression of a pathological event whose origin ties in the organism as a whole? To tease out this issue, the Expert Opinion Consensus/Dissensus Seminar "COPD is/is not a systemic disease?" took place in Venice, on 13-14 November 2008. The Seminar was conceived and organized by the Italian Interdisciplinary Association for Research in Lung Disease, AIMAR. Top international opinion leaders in the respiratory field were invited to participate, the aim being to bring together sustainers of the two sides in a format allowing the best opportunity for an in-depth debate. Over the two days, different aspects of the issue 'upstream' (pathophysiology and biology) and 'downstream' (treatment and outcome assessment) were discussed. The general consensus that emerged, based on the still limited evidence available, was that COPD begins as a local inflammation in the lungs and this leads - through differentiated pathways yet to be fully clarified - to systemic consequences. (C) 2009 Elsevier Ltd. All rights reserved. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Non-systemic disease, COPD, Comorbidities, Systemic disease
in
Respiratory Medicine
volume
103
issue
9
pages
1270 - 1275
publisher
Elsevier
external identifiers
  • wos:000269632100003
  • scopus:68049118648
  • pmid:19394209
ISSN
1532-3064
DOI
10.1016/j.rmed.2009.03.021
language
English
LU publication?
yes
id
e0945863-302d-4f35-be74-ca06fe6c1627 (old id 1474956)
date added to LUP
2016-04-01 15:03:19
date last changed
2022-01-28 03:54:06
@article{e0945863-302d-4f35-be74-ca06fe6c1627,
  abstract     = {{Although COPD is a major disease worldwide there is a perplexing current uncertainty about the nature of this disease. COPI) is characterized at onset and prevalently by the involvement of the lungs and bronchi, but as the disease evolves abnormalities develop in other organs and systems and the question arises: what is the pathogenesis of these respiratory and systemic impairments? Are the alterations that occur outside the respiratory system in the course of COPI) a direct consequence of the lung pathology or is the tung simply the local expression of a pathological event whose origin ties in the organism as a whole? To tease out this issue, the Expert Opinion Consensus/Dissensus Seminar "COPD is/is not a systemic disease?" took place in Venice, on 13-14 November 2008. The Seminar was conceived and organized by the Italian Interdisciplinary Association for Research in Lung Disease, AIMAR. Top international opinion leaders in the respiratory field were invited to participate, the aim being to bring together sustainers of the two sides in a format allowing the best opportunity for an in-depth debate. Over the two days, different aspects of the issue 'upstream' (pathophysiology and biology) and 'downstream' (treatment and outcome assessment) were discussed. The general consensus that emerged, based on the still limited evidence available, was that COPD begins as a local inflammation in the lungs and this leads - through differentiated pathways yet to be fully clarified - to systemic consequences. (C) 2009 Elsevier Ltd. All rights reserved.}},
  author       = {{Donner, Claudio F. and Bjermer, Leif}},
  issn         = {{1532-3064}},
  keywords     = {{Non-systemic disease; COPD; Comorbidities; Systemic disease}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1270--1275}},
  publisher    = {{Elsevier}},
  series       = {{Respiratory Medicine}},
  title        = {{Clinical commentary - COPD is not a systemic disease Results from the AIMAR Expert Opinion Consensus/Dissensus Seminar "COPD is/is not a systemic disease?", Venice, Italy, 13-14 November 2008}},
  url          = {{http://dx.doi.org/10.1016/j.rmed.2009.03.021}},
  doi          = {{10.1016/j.rmed.2009.03.021}},
  volume       = {{103}},
  year         = {{2009}},
}