Update on Asthma–COPD Overlap (ACO): A Narrative Review
MPOC; Asma; Pronòstic
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repositorio: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/7234 |
| Acceso en línea: | https://hdl.handle.net/11351/7234 |
| Access Level: | acceso abierto |
| Palabra clave: | Asma - Prognosi Pulmons - Malalties obstructives - Prognosi Corticosteroides - Ús terapèutic DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive DISEASES::Respiratory Tract Diseases::Bronchial Diseases::Asthma CHEMICALS AND DRUGS::Hormones, Hormone Substitutes, and Hormone Antagonists::Hormones::Adrenal Cortex Hormones Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica ENFERMEDADES::enfermedades respiratorias::enfermedades bronquiales::asma COMPUESTOS QUÍMICOS Y DROGAS::hormonas, sustitutos de hormonas y antagonistas de hormonas::hormonas::hormonas de la corteza suprarrenal Otros calificadores::Otros calificadores::/uso terapéutico |
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Update on Asthma–COPD Overlap (ACO): A Narrative ReviewMekov, EvgeniNuñez Dubon, Alexa GabrielaSin, Don DIchinose, MasakazuMaselli, Diego JoseMiravitlles Fernández, MarcRhee, Chin KookAsma - PrognosiPulmons - Malalties obstructives - PrognosiCorticosteroides - Ús terapèuticDISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic ObstructiveDISEASES::Respiratory Tract Diseases::Bronchial Diseases::AsthmaCHEMICALS AND DRUGS::Hormones, Hormone Substitutes, and Hormone Antagonists::Hormones::Adrenal Cortex HormonesOther subheadings::Other subheadings::/therapeutic useENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónicaENFERMEDADES::enfermedades respiratorias::enfermedades bronquiales::asmaCOMPUESTOS QUÍMICOS Y DROGAS::hormonas, sustitutos de hormonas y antagonistas de hormonas::hormonas::hormonas de la corteza suprarrenalOtros calificadores::Otros calificadores::/uso terapéuticoMPOC; Asma; PronòsticEPOC; Asma; PronósticoCOPD; Asthma; PrognosisAlthough chronic obstructive pulmonary disease (COPD) and asthma are well-characterized diseases, they can coexist in a given patient. The term asthma–COPD overlap (ACO) was introduced to describe patients that have clinical features of both diseases and may represent around 25% of COPD patients and around 20% of asthma patients. Despite the increasing interest in ACO, there are still substantial controversies regarding its definition and its position within clinical guidelines for patients with obstructive lung disease. In general, most definitions indicate that ACO patients must present with non-reversible airflow limitation, significant exposure to smoking or other noxious particles or gases, together with features of asthma. In patients with a primary diagnosis of COPD, the identification of ACO has therapeutic implication because the asthmatic component should be treated with inhaled corticosteroids and some studies suggest that the most severe patients may respond to biological agents indicated for severe asthma. This manuscript aims to summarize the current state-of-the-art of ACO. The definitions, prevalence, and clinical manifestations will be reviewed and some innovative aspects, such as genetics, epigenetics, and biomarkers will be addressed. Lastly, the management and prognosis will be outlined as well as the position of ACO in the COPD and asthma guidelines.Dove Medical PressInstitut Català de la Salut[Mekov E] Department of Occupational Diseases, Medical Faculty, Medical University of Sofia, Sofia, Bulgaria. [Nuñez A, Miravitlles M] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain. [Sin DD] Centre for Heart Lung Innovation, St. Paul’s Hospital, Department of Medicine (Respiratory Division), University of British Columbia, Vancouver, BC, Canada. [Ichinose M] Academic Center of Osaki Citizen Hospital, Miyagi, Japan. [Rhee CK] Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. [Maselli DJ] Division of Pulmonary Diseases & Critical Care, University of Texas Health, South Texas Veterans Health Care System, San Antonio, TX, USAVall d'Hebron Barcelona Hospital Campus202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/7234Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésInternational Journal of Chronic Obstructive Pulmonary Disease;16https://doi.org/10.2147/COPD.S312560Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/72342026-06-12T09:38:37Z |
| dc.title.none.fl_str_mv |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| title |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| spellingShingle |
Update on Asthma–COPD Overlap (ACO): A Narrative Review Mekov, Evgeni Asma - Prognosi Pulmons - Malalties obstructives - Prognosi Corticosteroides - Ús terapèutic DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive DISEASES::Respiratory Tract Diseases::Bronchial Diseases::Asthma CHEMICALS AND DRUGS::Hormones, Hormone Substitutes, and Hormone Antagonists::Hormones::Adrenal Cortex Hormones Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica ENFERMEDADES::enfermedades respiratorias::enfermedades bronquiales::asma COMPUESTOS QUÍMICOS Y DROGAS::hormonas, sustitutos de hormonas y antagonistas de hormonas::hormonas::hormonas de la corteza suprarrenal Otros calificadores::Otros calificadores::/uso terapéutico |
| title_short |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| title_full |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| title_fullStr |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| title_full_unstemmed |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| title_sort |
Update on Asthma–COPD Overlap (ACO): A Narrative Review |
| dc.creator.none.fl_str_mv |
Mekov, Evgeni Nuñez Dubon, Alexa Gabriela Sin, Don D Ichinose, Masakazu Maselli, Diego Jose Miravitlles Fernández, Marc Rhee, Chin Kook |
| author |
Mekov, Evgeni |
| author_facet |
Mekov, Evgeni Nuñez Dubon, Alexa Gabriela Sin, Don D Ichinose, Masakazu Maselli, Diego Jose Miravitlles Fernández, Marc Rhee, Chin Kook |
| author_role |
author |
| author2 |
Nuñez Dubon, Alexa Gabriela Sin, Don D Ichinose, Masakazu Maselli, Diego Jose Miravitlles Fernández, Marc Rhee, Chin Kook |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Mekov E] Department of Occupational Diseases, Medical Faculty, Medical University of Sofia, Sofia, Bulgaria. [Nuñez A, Miravitlles M] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain. [Sin DD] Centre for Heart Lung Innovation, St. Paul’s Hospital, Department of Medicine (Respiratory Division), University of British Columbia, Vancouver, BC, Canada. [Ichinose M] Academic Center of Osaki Citizen Hospital, Miyagi, Japan. [Rhee CK] Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. [Maselli DJ] Division of Pulmonary Diseases & Critical Care, University of Texas Health, South Texas Veterans Health Care System, San Antonio, TX, USA Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Asma - Prognosi Pulmons - Malalties obstructives - Prognosi Corticosteroides - Ús terapèutic DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive DISEASES::Respiratory Tract Diseases::Bronchial Diseases::Asthma CHEMICALS AND DRUGS::Hormones, Hormone Substitutes, and Hormone Antagonists::Hormones::Adrenal Cortex Hormones Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica ENFERMEDADES::enfermedades respiratorias::enfermedades bronquiales::asma COMPUESTOS QUÍMICOS Y DROGAS::hormonas, sustitutos de hormonas y antagonistas de hormonas::hormonas::hormonas de la corteza suprarrenal Otros calificadores::Otros calificadores::/uso terapéutico |
| topic |
Asma - Prognosi Pulmons - Malalties obstructives - Prognosi Corticosteroides - Ús terapèutic DISEASES::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive DISEASES::Respiratory Tract Diseases::Bronchial Diseases::Asthma CHEMICALS AND DRUGS::Hormones, Hormone Substitutes, and Hormone Antagonists::Hormones::Adrenal Cortex Hormones Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::enfermedades pulmonares obstructivas::enfermedad pulmonar obstructiva crónica ENFERMEDADES::enfermedades respiratorias::enfermedades bronquiales::asma COMPUESTOS QUÍMICOS Y DROGAS::hormonas, sustitutos de hormonas y antagonistas de hormonas::hormonas::hormonas de la corteza suprarrenal Otros calificadores::Otros calificadores::/uso terapéutico |
| description |
MPOC; Asma; Pronòstic |
| publishDate |
2021 |
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2021 2022 2022 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://hdl.handle.net/11351/7234 |
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https://hdl.handle.net/11351/7234 |
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Inglés |
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Inglés |
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International Journal of Chronic Obstructive Pulmonary Disease;16 https://doi.org/10.2147/COPD.S312560 |
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Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ |
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openAccess |
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application/pdf |
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Dove Medical Press |
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Dove Medical Press |
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Scientia reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut instname:Departament de Salut de la Generalitat de Catalunya (DS) |
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Departament de Salut de la Generalitat de Catalunya (DS) |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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