Screening for comorbidities in COPD

Table 1

Proposed list of conditions that warrant screening in COPD

Lung cancer

Sleep breathing disorders

Table 2

Proposed comorbidity checklist during routine consultations for COPD

Past medical history	Symptoms	Physical examination	Screening tests
High blood pressure Diabetes mellitus Dyslipidaemia Inactivity/exercise Smoking GORD Falls Osteoporosis/fractures Psychological disorders Other respiratory disease Usual treatment History of exacerbations	Angina pectoris Dyspnoea on exertion Orthopnoea Palpitations Claudication Weight changes Musculoskeletal pain Snoring, apnoea and daytime sleepiness Sinus issues Dental issues Swallowing disorders Depression or anxiety	BMI Pulse palpation Arterial blood pressure S_pO₂ Focus on respiratory, cardiovascular and musculoskeletal systems	Low-dose thorax CT scan Resting ECG Echocardiography CTCA and calcium score 5-step approach for osteoporosis Anxiety and depression scores (HADS, HSCL-25, CCQ, BDI) EAT-10 or other screening tests for dysphagia Blood tests: Haemoglobin, iron studies BNP or NT-proBNP Fasting lipid profile Fasting blood glucose level, HbA1c Vitamin D, serum calcium, phosphate Creatinine