Last
decade we are witnessing change from traditional reactive approach to new
complex P4 assessment of diseases. The P4 medicine is a proposed new form of
medical practice that combines Personalized, Predictive, Preventive, and
Participatory elements. This new paradigm with success can be applied for
management of respiratory diseases. For example: what does P4 medicine mean for
COPD? It will be “personalized” because it will be based on the genome of each
person; it will be “predictive” because this personalized information will be
able to determine the risk for COPD in each individual; it will be “preventive”
because, given the prediction of risk of COPD, prophylactic measures will be
able to be taken to decrease risk also with accent on awareness in each
individual case; and it will be “participative” because many of these
prophylactic interventions will require the participation of the COPD patient.
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