Adherence to GOLD guidelines in real-life COPD management in the Puglia region of Italy

International Journal of Chronic Obstructive Pulmonary Disease
Giuseppe Antonio PalmiottiMaria Pia Foschino Barbaro

Abstract

COPD is a disease associated with significant economic burden. It was reported that Global initiative for chronic Obstructive Lung Disease (GOLD) guideline-oriented pharmacotherapy improves airflow limitation and reduces health care costs. However, several studies showed a significant dissociation between international recommendations and clinicians' practices. The consequent reduced diagnostic and therapeutic inappropriateness has proved to be associated with an increase in costs and a waste of economic resources in the health sector. The aim of the study was to evaluate COPD management in the Puglia region. The study was performed in collaboration with the pulmonology centers and the Regional Health Agency (AReS Puglia). An IT platform allowed the pulmonologists to enter data via the Internet. All COPD patients who visited a pneumological outpatient clinic for the first time or for regular follow-ups or were admitted to a pneumological department for an exacerbation were considered eligible for the study. COPD's diagnosis was confirmed by a pulmonologist at the moment of the visit. The project lasted 18 months and involved 17 centers located in the Puglia region. Six hundred ninety-three patients were enrolled, evenly distrib...Continue Reading

Citations

Jul 1, 2020·Expert Review of Clinical Pharmacology·Luigino CalzettaMario Cazzola
Apr 11, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Fabian A GreweMalcolm Kohler
Feb 3, 2021·Respiratory Medicine·P A TuranM Büyükşirin
Mar 25, 2021·International Journal of Chronic Obstructive Pulmonary Disease·Zorica LazicVojislav Cupurdija

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BETA
pharmacotherapy

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