Management of chronic obstructive pulmonary disease

Detalhes bibliográficos
Autor(a) principal: Cunha, Ana S.
Data de Publicação: 2024
Outros Autores: Raposo, Beatriz, Dias, Filipe, Henriques, Susana, Martinho, Hugo, Pedro, Ana R.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/167126
Resumo: Funding Information: This work has been supported by AstraZeneca Produtos Farmacêuticos Lda., a pharmaceutical company with a direct interest in COPD. However, AstraZeneca had no direct role in study design, data collection, and analysis or preparation of the manuscript. AstraZeneca Produtos Farmacêuticos Lda. has approved the decision to publish this work. A.S.C., B.R., F.D., and A.R.P. acknowledge the support of the NOVA National School of Public Health research and report no specific competing interests relevant to the submitted research. H.M. and S.H. are employees of AstraZeneca Produtos Farmacêuticos Lda. and report no other specific competing interests relevant to the research presented in this article. They have in place an approved plan for managing potential conflicts of interest arising from their involvement in scientific research. Funding Information: This study was funded by AstraZeneca Produtos Farmacêuticos Lda. Publisher Copyright: © 2024 S. Karger AG. All rights reserved.
id RCAP_1227cacfd243ca9cfbc95a7c2703a7eb
oai_identifier_str oai:run.unl.pt:10362/167126
network_acronym_str RCAP
network_name_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository_id_str https://opendoar.ac.uk/repository/7160
spelling Management of chronic obstructive pulmonary diseaseconstraints in patient pathway and mitigation strategiesChronic obstructive pulmonary diseaseDelphi techniqueDisease managementHealth services accessibilityHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: This work has been supported by AstraZeneca Produtos Farmacêuticos Lda., a pharmaceutical company with a direct interest in COPD. However, AstraZeneca had no direct role in study design, data collection, and analysis or preparation of the manuscript. AstraZeneca Produtos Farmacêuticos Lda. has approved the decision to publish this work. A.S.C., B.R., F.D., and A.R.P. acknowledge the support of the NOVA National School of Public Health research and report no specific competing interests relevant to the submitted research. H.M. and S.H. are employees of AstraZeneca Produtos Farmacêuticos Lda. and report no other specific competing interests relevant to the research presented in this article. They have in place an approved plan for managing potential conflicts of interest arising from their involvement in scientific research. Funding Information: This study was funded by AstraZeneca Produtos Farmacêuticos Lda. Publisher Copyright: © 2024 S. Karger AG. All rights reserved.Introduction: Respiratory diseases, ranking the third in Portugal, contribute significantly to illness and mortality. Chronic obstructive pulmonary disease (COPD) is the third-leading cause of death globally. Identifying high-risk individuals and implementing early treatment is crucial due to the variability of COPD symptoms and exacerbations. This study aimed to identify effective strategies for preventing exacerbations and complications. Methods: A Delphi involving 15 experts was performed. Experts included physicians, nurses, health managers, policymakers, public health experts, and patient organizations. Consensus was achieved at 73.3% for each strategy using a scale ranging from "agree"to "disagree."Three rounds were conducted to address six questions related to early diagnosis and patient follow-up. Challenges faced by the Portuguese Health System in managing COPD, obstacles in COPD exacerbation diagnosis and management, and effective strategies to overcome barriers were identified in the first round. The second and third rounds involved analyzing the gathered information and voting on each indicator to achieve consensus, respectively. Indicators were categorized into constraints and barriers, and strategies for reducing COPD exacerbations and disease burden. Results: Out of a total of 134 valid indicators generated, 108 achieved consensus. Among the indicators agreed upon by experts, 18 pertained to barriers, challenges, and constraints, while 90 focused on action strategies for COPD. Among the strategies formulated, 25 consensus indicators target prevention strategies, 24 consensus indicators aim to enhance COPD referrals, and 41 consensus indicators focus on mitigating COPD exacerbations and reducing the overall disease burden. Discussion/Conclusion: This study emphasizes the need for integrated investment in respiratory healthcare and recognition of the impact of COPD on patients, healthcare systems, and economies. Prevention and appropriate treatment of exacerbations are crucial for effective COPD management and reducing associated morbidity and mortality. Experts highlight the importance of improving coordination between different levels of care, integrating information systems, and decentralizing hospital responsibilities. The COVID-19 pandemic has further emphasized the importance of individual and collective respiratory health, necessitating investment in health promotion and COPD awareness.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNCunha, Ana S.Raposo, BeatrizDias, FilipeHenriques, SusanaMartinho, HugoPedro, Ana R.2024-05-08T00:13:48Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/167126eng2504-3137PURE: 84780357https://doi.org/10.1159/000535474info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-12-02T01:35:16Zoai:run.unl.pt:10362/167126Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:51:53.557257Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Management of chronic obstructive pulmonary disease
constraints in patient pathway and mitigation strategies
title Management of chronic obstructive pulmonary disease
spellingShingle Management of chronic obstructive pulmonary disease
Cunha, Ana S.
Chronic obstructive pulmonary disease
Delphi technique
Disease management
Health services accessibility
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Management of chronic obstructive pulmonary disease
title_full Management of chronic obstructive pulmonary disease
title_fullStr Management of chronic obstructive pulmonary disease
title_full_unstemmed Management of chronic obstructive pulmonary disease
title_sort Management of chronic obstructive pulmonary disease
author Cunha, Ana S.
author_facet Cunha, Ana S.
Raposo, Beatriz
Dias, Filipe
Henriques, Susana
Martinho, Hugo
Pedro, Ana R.
author_role author
author2 Raposo, Beatriz
Dias, Filipe
Henriques, Susana
Martinho, Hugo
Pedro, Ana R.
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Cunha, Ana S.
Raposo, Beatriz
Dias, Filipe
Henriques, Susana
Martinho, Hugo
Pedro, Ana R.
dc.subject.por.fl_str_mv Chronic obstructive pulmonary disease
Delphi technique
Disease management
Health services accessibility
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Chronic obstructive pulmonary disease
Delphi technique
Disease management
Health services accessibility
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Funding Information: This work has been supported by AstraZeneca Produtos Farmacêuticos Lda., a pharmaceutical company with a direct interest in COPD. However, AstraZeneca had no direct role in study design, data collection, and analysis or preparation of the manuscript. AstraZeneca Produtos Farmacêuticos Lda. has approved the decision to publish this work. A.S.C., B.R., F.D., and A.R.P. acknowledge the support of the NOVA National School of Public Health research and report no specific competing interests relevant to the submitted research. H.M. and S.H. are employees of AstraZeneca Produtos Farmacêuticos Lda. and report no other specific competing interests relevant to the research presented in this article. They have in place an approved plan for managing potential conflicts of interest arising from their involvement in scientific research. Funding Information: This study was funded by AstraZeneca Produtos Farmacêuticos Lda. Publisher Copyright: © 2024 S. Karger AG. All rights reserved.
publishDate 2024
dc.date.none.fl_str_mv 2024-05-08T00:13:48Z
2024
2024-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/167126
url http://hdl.handle.net/10362/167126
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2504-3137
PURE: 84780357
https://doi.org/10.1159/000535474
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833597018464845824