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Society guideline links: Dyspnea

Society guideline links: Dyspnea

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Chronic obstructive pulmonary disease" and "Society guideline links: Asthma in adolescents and adults" and "Society guideline links: Asthma in children" and "Society guideline links: Severe asthma in adolescents and adults" and "Society guideline links: Occupational asthma".)

Canada

Choosing Wisely Canada: Don't use oxygen therapy to treat non-hypoxic dyspnea (2020)

Cancer Care Ontario (CCO): Guidelines on management of dyspnea (breathlessness) in patients with cancer (2019)

Choosing Wisely Canada: Don't initiate long-term maintenance inhalers in stable patients with suspected COPD if they have not had confirmation of post-bronchodilator airflow obstruction with spirometry (2019)

Choosing Wisely Canada: Don't initiate medications for asthma (eg, inhalers, leukotriene receptor antagonists, or other) in patients ≥6 years old who have not had confirmation of reversible airflow limitation with spirometry, and in its absence, a positive methacholine or exercise challenge test, or sufficient peak expiratory flow variability (2019)

BC Cancer: Symptom management guidelines ─ Dyspnea (2010, revised 2018)

Canadian Thoracic Society (CTS): Clinical practice guideline on managing dyspnea in patients with advanced COPD (2011)

United States

American College of Physicians (ACP): A clinical guideline on appropriate use of point-of-care ultrasonography in patients with acute dyspnea in emergency department or inpatient settings (2021)

American Society of Clinical Oncology (ASCO): Guideline for management of dyspnea in advanced cancer (2021)

American College of Radiology (ACR): ACR Appropriateness Criteria on acute respiratory illness in immunocompromised patients (2019)

ACR: ACR Appropriateness Criteria on acute respiratory illness in immunocompetent patients (2018)

ACR: ACR Appropriateness Criteria on chronic dyspnea-noncardiovascular origin (2018)

National Consensus Project (NCP): Clinical practice guidelines for quality palliative care, 4th edition (2018)

ACR: ACR Appropriateness Criteria dyspnea-suspected cardiac origin (2016)

Choosing Wisely: Don't administer supplemental oxygen to relieve dyspnea in patients with cancer who do not have hypoxia (2015)

Improving Palliative Care in the ICU (IPAL-ICU): A report on palliative care in the ICU – Relief of pain, dyspnea, and thirst (2014)

Choosing Wisely: Prior to cardiac surgery, there is no need for pulmonary function testing in the absence of respiratory symptoms (2013)

ACR: ACR Appropriateness Criteria chronic dyspnea ─ Suspected pulmonary origin (2012)

American Thoracic Society (ATS): Official statement – Mechanisms, assessment, and management of dyspnea, update (2012)

Choosing Wisely: Don't diagnose or manage asthma without spirometry (2012)

Europe

European Society for Medical Oncology (ESMO): Clinical practice guidelines for the management of breathlessness in patients with cancer (2020)

United Kingdom

Scottish palliative care guidelines on breathlessness (2013, updated 2020)

Australia-New Zealand

Choosing Wisely Australia: Do not use oxygen therapy to treat non-hypoxic dyspnoea (reviewed 2016)

Chronic refractory dyspnea – Evidence based management (2013)

Japan

Japanese Society for Palliative Medicine (JSPM): Intensive palliative care for delirium, dyspnea, and pain ─ Before the diagnosis of the symptoms as being refractory (2019)

Topic 118217 Version 17.0