ACE Clinical Guidances (ACGs)

[also known as Appropriate Care Guides]

ACGs provide concise, evidence-based recommendations to inform specific areas of clinical practice and serve as a common starting point nationally for clinical decision-making. ACGs are underpinned by a wide array of considerations contextualised to Singapore, based on best available evidence at the time of development. Each ACG is developed in collaboration with a multidisciplinary group of local experts representing relevant specialties and practice settings. ACGs are not exhaustive of the subject matter and do not replace clinical judgement.

Published on 07 Nov 2018
Last Updated on 07 Nov 2018
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This Appropriate Care Guide (ACG) highlights the importance of a thorough assessment of symptoms and risk factors, and to confirm all suspected cases of COPD with spirometry. It incorporates a link to an online list of spirometry services that are open to external referrals. It also includes a supplementary guide on how to interpret a spirometry report.

Download the PDF below to access the full ACG.

Key Messages
1. Establish smoking history in all patients. In current and ex-smokers, check for respiratory symptoms.
2. Consider COPD in all patients 40 and older with risk factors and symptoms.
3. Confirm all suspected COPD cases with spirometry.

Diagnosing COPD - A systematic approach (Nov 2018) Supplementary guide on interpreting spirometry reports (Nov 2018) Supplementary guide on open-access spirometry in Singapore (Nov 2019)