In this episode, we speak with Dr. Breda Cushen about Chronic Obstructive

Pulmonary Disease (COPD). We discuss tertiary care referrals for severe COPD,

managing comorbidities, initiating treatment, and ensuring adherence. Packed with

practical insights, this episode offers valuable tips to enhance COPD care across the

community, outpatient clinics, and hospital settings.

Chapters

01.02 Rapid Fire Round

01.50 Definition of COPD

03.10 Tertiary care referrals for severe COPD

05.01 Information to include in the referral

06.40 Work up in severe COPD clinic

08.55 Comorbidities in COPD

10.18 Treatable Traits

14.16 Asthma & COPD

17.32 Initiating treatment in COPD

21.04 Treatment of emphysema with preserved lung function

23.21 Adherence and barriers to treatment

26.17 Identifying those at risk of exacerbation

27.34 Breakthrough in COPD

29.24 Take home message

Show Notes

2025 Global Initiative for Chronic Obstructive Lung Disease (GOLD) Report

https://goldcopd.org/2025-gold-report/

Westerik JA, Metting EI, van Boven JF, Tiersma W, Kocks JW, Schermer TR.

Associations between chronic comorbidity and exacerbation risk in primary care

patients with COPD. Respir Res. 2017 Feb 6;18(1):31. doi: 10.1186/s12931-017-

0512-2. PMID: 28166777; PMCID: PMC5294875.

COPD/Integrated HST Respiratory Medicine Study Day 28 th February www.rcpi.ie