{"id":14292,"date":"2019-12-03T14:13:15","date_gmt":"2019-12-03T14:13:15","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=14292"},"modified":"2019-12-03T14:13:15","modified_gmt":"2019-12-03T14:13:15","slug":"dpoc-gold-2020","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/dpoc-gold-2020\/","title":{"rendered":"Veja as mudan\u00e7as mais relevantes do GOLD 2020"},"content":{"rendered":"<p style=\"text-align: justify\">O documento <a href=\"https:\/\/goldcopd.org\/gold-reports\/\" target=\"_blank\" rel=\"noopener\">GOLD \u2013 Global Initiative For Chronic Obstructive Lung Disease<\/a> &#8211; para preven\u00e7\u00e3o, diagn\u00f3stico e manejo da DPOC \u00e9 revisado anualmente e utilizado pelos profissionais da sa\u00fade em todo o mundo.<\/p>\n<p style=\"text-align: justify\">Na edi\u00e7\u00e3o de 2020, as principais modifica\u00e7\u00f5es abordam os seguintes pontos:<\/p>\n<ul>\n<li style=\"text-align: justify\">Refinamento do uso de tratamentos n\u00e3o farmacol\u00f3gicos.<\/li>\n<li style=\"text-align: justify\">Informa\u00e7\u00f5es sobre o papel dos eosin\u00f3filos como biomarcadores da efic\u00e1cia dos corticoster\u00f3ides inalados.<\/li>\n<li style=\"text-align: justify\">Descri\u00e7\u00e3o de diagn\u00f3sticos alternativos relevantes, com esclarecimentos sobre as exacerba\u00e7\u00f5es.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\u201cAl\u00e9m disso, os autores n\u00e3o mais se referem \u00e0 sobreposi\u00e7\u00e3o de asma e DPOC (ACO), mas enfatizam que asma e DPOC s\u00e3o diferentes enfermidades\u201d, observa o pneumologista Dr. Paulo Zimermann Teixeira, coordenador da Comiss\u00e3o Cient\u00edfica de DPOC da SBPT.<\/p>\n<p style=\"text-align: justify\">\u00c9 recomendado ler o documento na \u00edntegra para atualizar o conhecimento no manejo da doen\u00e7a. <a href=\"https:\/\/goldcopd.org\/gold-reports\/\" target=\"_blank\" rel=\"noopener\">Veja aqui.<\/a><\/p>\n<p style=\"text-align: justify\">Na introdu\u00e7\u00e3o ao texto, os autores destacaram que a ferramenta de avalia\u00e7\u00e3o \u201cABCD\u201d da atualiza\u00e7\u00e3o do GOLD 2011 incorporou a avalia\u00e7\u00e3o multimodalidade, a carga de sintomas e chamou a aten\u00e7\u00e3o para a import\u00e2ncia da preven\u00e7\u00e3o da exacerba\u00e7\u00e3o no tratamento da DPOC.<\/p>\n<p style=\"text-align: justify\">No entanto, a estratifica\u00e7\u00e3o espirom\u00e9trica ainda foi mais eficaz para previs\u00e3o de mortalidade ou outros desfechos importantes.<\/p>\n<p style=\"text-align: justify\">Para abordar essas e outras preocupa\u00e7\u00f5es (mantendo, ao mesmo tempo, a consist\u00eancia e simplicidade para o m\u00e9dico cl\u00ednico), um refinamento da ferramenta de avalia\u00e7\u00e3o ABCD foi proposto no GOLD 2017, que separa a avalia\u00e7\u00e3o espirom\u00e9trica dos grupos &#8220;ABCD&#8221;.<\/p>\n<p style=\"text-align: justify\">Assim, os grupos ABCD e suas implica\u00e7\u00f5es associadas \u00e0s recomenda\u00e7\u00f5es de tratamento farmacol\u00f3gico ficaram derivados exclusivamente dos sintomas dos pacientes e do hist\u00f3rico de exacerba\u00e7\u00f5es.<\/p>\n<p style=\"text-align: justify\">Esta ferramenta de avalia\u00e7\u00e3o revisada reconheceu as limita\u00e7\u00f5es do VEF1 em influenciar algumas decis\u00f5es terap\u00eauticas para o atendimento individualizado do paciente e destacou a import\u00e2ncia dos sintomas e dos riscos de exacerba\u00e7\u00e3o em pacientes com DPOC.<\/p>\n<p style=\"text-align: justify\">A espirometria permanece como exame fundamental para o diagn\u00f3stico, progn\u00f3stico e tratamento n\u00e3o farmacol\u00f3gico.<\/p>\n<p>Na revis\u00e3o GOLD 2019, o tratamento inicial (com base no ABCD) foi separado do tratamento de acompanhamento, com base nas principais caracter\u00edsticas trat\u00e1veis \u200b\u200bdo paciente e no(s) medicamento(s) atualmente usado(s).<\/p>\n<p style=\"text-align: justify\">Outra mudan\u00e7a importante em 2019 foi a introdu\u00e7\u00e3o da contagem de eosin\u00f3filos no sangue como um biomarcador para estimar a efic\u00e1cia dos corticoster\u00f3ides inalados na preven\u00e7\u00e3o de exacerba\u00e7\u00f5es.<\/p>\n<p>Fonte: Comiss\u00e3o Cient\u00edfica de DPOC da SBPT.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>O documento GOLD \u2013 Global Initiative For Chronic Obstructive Lung Disease &#8211; para preven\u00e7\u00e3o, diagn\u00f3stico e manejo da DPOC \u00e9 revisado anualmente e utilizado pelos profissionais da sa\u00fade em todo o mundo. Na edi\u00e7\u00e3o de 2020, as principais modifica\u00e7\u00f5es abordam os seguintes pontos: Refinamento do uso de tratamentos n\u00e3o farmacol\u00f3gicos. Informa\u00e7\u00f5es sobre o papel dos [&hellip;]<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":3,"featured_media":14293,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[47,68],"tags":[93,30,293,739],"class_list":["post-14292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dpoc","category-noticias","tag-dpoc","tag-espirometria","tag-gold","tag-gold-2020"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Veja as mudan\u00e7as mais relevantes do GOLD 2020<\/title>\n<meta name=\"description\" content=\"O documento GOLD para preven\u00e7\u00e3o, diagn\u00f3stico e manejo da DPOC \u00e9 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