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Review
. 2018 Jan 18;19(1):11.
doi: 10.1186/s12931-018-0715-1.

Chronic obstructive pulmonary disease guidelines in Europe: a look into the future

Affiliations
Review

Chronic obstructive pulmonary disease guidelines in Europe: a look into the future

Marc Miravitlles et al. Respir Res. .

Abstract

Clinical practice guidelines are ubiquitous and are developed to provide recommendations for the management of many diseases, including chronic obstructive pulmonary disease. The development of these guidelines is burdensome, demanding a significant investment of time and money. In Europe, the majority of countries develop their own national guidelines, despite the potential for overlap or duplication of effort. A concerted effort and consolidation of resources between countries may alleviate the resource-intensity of maintaining individual national guidelines. Despite significant resource investment into the development and maintenance of clinical practice guidelines, their implementation is suboptimal. Effective strategies of guideline dissemination must be given more consideration, to ensure adequate implementation and improved patient care management in the future.

Keywords: Chronic obstructive pulmonary disease; Clinical practice guidelines; Treatment recommendations.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable

Consent for publication

Not applicable

Competing interests

Marc Miravitlles has received speaker fees from Boehringer Ingelheim, Chiesi, Cipla, Menarini, Grifols and Novartis, and consulting fees from Boehringer Ingelheim, GlaxoSmithKline, Gebro Pharma, CLS Behring, Novartis and Grifols.

Nicolas Roche reports grants from Boehringer Ingelheim, Pfizer and Novartis, and personal fees from Boehringer Ingelheim, Novartis, Teva, GSK, AstraZeneca, Chiesi, Mundipharma, Cipla, Pfizer, Sanofi, Sandoz, 3 M, Zambon.

João Cardoso reports personal fees from Novartis, and has received honoraria for scientific advice and/or lecture fees from AstraZeneca, Boehringer Ingelheim, GSK, Mundipharma and Novartis.

David Halpin reports personal fees from Novartis.

Zaurbek Aisanov and Michael Tamm have no conflicts of interest to declare.

Hannu Kankaanranta reports personal fees from Almirall, AstraZeneca, Chiesi, GSK, Boehringer Ingelheim, Leiras-Takeda, MSD, Novartis, Mundipharma, Medith, ResMed Finland, Roche and Orion Pharma. He also reports non-financial support from Almirall, AstraZeneca and Intermune, and grants from AstraZeneca.

Vladimir Kobližek reports personal fees from AstraZeneca, Angelini, Boehringer Ingelheim, GSK, Novartis, Pulmonx, Sandoz and Mundipharma. He also reports grants from AstraZeneca, GSK and Novartis.

Paweł Śliwiński reports personal fees from Boehringer Ingelheim, Chiesi, Grifols, Novartis, Roche and Teva, and non-financial support from Boehringer Ingelheim and Chiesi.

Leif Bjermer reports that he has received honoraria for attending advisory boards or giving lectures from AstraZeneca, Boehringer Ingelheim, Chiesi, GSK, Novartis and Teva.

Francesco Blasi reports personal fees and grants from AstraZeneca, Bayer, Chiesi, Menarini, Grifols, Pfizer and Zambon, and personal fees from GSK, Guidotti and Novartis.

Claus F. Vogelmeier reports personal fees and grants from AstraZeneca, Boehringer Ingelheim, Chiesi, GlaxoSmithKline, Grifols, Mundipharma, Novartis and Takeda. He also reports personal fees from Almirall, Cipla, Berlin Chemie/Menarini, CSL Behring and Teva, and grants from the German Federal Ministry of Education and Research (BMBF) Competence Network Asthma and COPD (ASCONET), Bayer Schering Pharma AG, MSD and Pfizer.

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