Change search
ReferencesLink to record
Permanent link

Direct link
A review of national guidelines for management of COPD in Europe
Show others and affiliations
2016 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 47, no 2, 625-637 p.Article, review/survey (Refereed) Published
Abstract [en]

The quality of care can be improved by the development and implementation of evidence-based treatment guidelines. Different national guidelines for chronic obstructive pulmonary disease (COPD) exist in Europe and relevant differences may exist among them. This was an evaluation of COPD treatment guidelines published in Europe and Russia in the past 7 years. Each guideline was reviewed in detail and information about the most important aspects of patient diagnosis, risk stratification and pharmacotherapy was extracted following a standardised process. Guidelines were available from the Czech Republic, England and Wales, Finland, France, Germany, Italy, Poland, Portugal, Russia, Spain and Sweden. The treatment goals, criteria for COPD diagnosis, consideration of comorbidities in treatment selection and support for use of long-acting bronchodilators, were similar across treatment guidelines. There were differences in measures used for stratification of disease severity, consideration of patient phenotypes, criteria for the use of inhaled corticosteroids and recommendations for other medications (e.g. theophylline and mucolytics) in addition to bronchodilators. There is generally good agreement on treatment goals, criteria for diagnosis of COPD and use of long-acting bronchodilators as the cornerstone of treatment among guidelines for COPD management in Europe and Russia. However, there are differences in the definitions of patient subgroups and other recommended treatments.

Place, publisher, year, edition, pages
2016. Vol. 47, no 2, 625-637 p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:umu:diva-127643DOI: 10.1183/13993003.01170-2015ISI: 000385286600033PubMedID: 26797035OAI: oai:DiVA.org:umu-127643DiVA: diva2:1047034
Available from: 2016-11-16 Created: 2016-11-16 Last updated: 2016-11-16Bibliographically approved

Open Access in DiVA

fulltext(412 kB)17 downloads
File information
File name FULLTEXT01.pdfFile size 412 kBChecksum SHA-512
2e6f24925f63d36a963b26207b8683ddcaf994cbf2db4d5a31462017af8f1acb60c1f2910a4ed8db306f4905aaef55ce5cf69f03c9bc0dd9bbea03ce10c4508e
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Sandström, Thomas
By organisation
Medicine
In the same journal
European Respiratory Journal
Public Health, Global Health, Social Medicine and EpidemiologyRespiratory Medicine and Allergy

Search outside of DiVA

GoogleGoogle Scholar
Total: 17 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 45 hits
ReferencesLink to record
Permanent link

Direct link