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spelling	Introduction: Chronic obstructive pulmonary disease (COPD) represents a significant challenge both in the economic and public health realms, both globally and within the Colombian context. This condition not only affects the patients who suffer from it, but also impacts their caregivers and the healthcare system. An increase in absenteeism has been observed both among patients and their family members, resulting in economic losses and missed employment opportunities, further exacerbating the adverse impact on the individual and their family environment. The purpose of this clinical guideline is to establish evidence-based guidelines to improve medical care and resource management in the treatment of COPD within the Colombian population. Objective: This evidence-informed clinical practice guideline (CPG) from the Asociación Colombiana de Neumología y Cirugía de Tórax (Asoneumocito), Asociación Colombiana de Medicina Interna (ACMI) y Asociación colombiana de medicina familiar (SOCMEF) y Asociación Colombiana de Fisioterapia (ASCOFI), aims to support patients, health professionals, and other actors in making decisions about diagnosis. approach, prognosis, and management of adults with COPD in the Colombian context. Materials and methods: The COPD Committee of Asoneumocito, by delegation of the presidency of the latter, formed a multidisciplinary panel of experts to balance and minimize the potential bias arising from conflicts of interest and invited the other associations that were part of this guide. The Universidad de los Andes coordinated and developed the updating or de novo of systematic reviews of the literature according to the GRADE methodology (Grading of Recommendations Assessment, Development and Evaluation). The COPD committee asked a series of questions that the expert panel prioritized, as well as outcomes according to their importance to healthcare professionals and patients. We used the Evidence-to-Decision (EtD) frameworks developed by the GRADE working group, which were subject to public comment. Results: The panel developed 10 evidence-based recommendations for the management of patients with COPD who received any of the following interventions: long-term oxygen therapy, vaccination against influenza viruses, pulmonary rehabilitation, long-acting anticholinergic inhalation therapy, triple therapy inhalation therapy, nutritional supplements, adjunctive therapy with azithromycin, smoking cessation with varenicline, and alpha-1 antitrypsin replacement. Conclusions: The recommendations included in this guide were developed for the Colombian context. The panel considered that there is a need to develop studies of economic evaluations, as well as the impact of the interventions evaluated in areas such as equity, acceptability, and feasibility of implementation in Colombia. García Morales, Olga Milena Ali Munive, Abraham Celis-Preciado, Carlos Andrés Londoño Trujillo, Darío Casas, Alejandro Bastidas Goyes, Alirio Aguirre Franco, Carlos Torres, Carlos Arturo Baños Álvarez, Iván De Jesús Pedrozo Pupo, John Carlos Manrique Acevedo, Luisa Pacheco Gallego, Manuel Conrado Acero, Rafael Contreras Páez, Rubén Bohórquez, José Vicente Chaves, Walter Rivera, Fernando Betancourt Peña, Jhonatan Yepes-Núñez, Juan José Loaiza-Betancur, Andrés Felipe García Sierra, Andrés Mauricio Ocampo Salgado, Carolina Meneses-Echavez , José F. Barón, Oscar Ricardo González Coba, Hernando José Londoño, Jenny Leandra Moreno, María Angelica Pérez Marmolejo, Diego Prada, Leidy Paola Torres, María Carolina Ramírez, Luis Eduardo Remolina Murillo, Natalia Rubiano, Wendy chronic obstructive pulmonary disease clinical practice guidelines GRADE enfermedad pulmonar obstructiva crónica guía de práctica clínica GRADE 35 2Supl-1 Núm. 2Supl-1 , Año 2023 : Guía de práctica clínica sobre el diagnóstico, manejo y seguimiento EPOC Artículo de revista Journal article 2024-06-07T00:00:00Z 2024-06-07T00:00:00Z 2024-06-07 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/984 10.30789/rcneumologia.v35.n2Supl-1.2023.984 https://doi.org/10.30789/rcneumologia.v35.n2Supl-1.2023.984 spa https://creativecommons.org/licenses/by-nc-sa/4.0 Revista Colombiana de Neumología - 2024 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/984/789 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/984/808 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	Introduction: Chronic obstructive pulmonary disease (COPD) represents a significant challenge both in the economic and public health realms, both globally and within the Colombian context. This condition not only affects the patients who suffer from it, but also impacts their caregivers and the healthcare system. An increase in absenteeism has been observed both among patients and their family members, resulting in economic losses and missed employment opportunities, further exacerbating the adverse impact on the individual and their family environment. The purpose of this clinical guideline is to establish evidence-based guidelines to improve medical care and resource management in the treatment of COPD within the Colombian population. Objective: This evidence-informed clinical practice guideline (CPG) from the Asociación Colombiana de Neumología y Cirugía de Tórax (Asoneumocito), Asociación Colombiana de Medicina Interna (ACMI) y Asociación colombiana de medicina familiar (SOCMEF) y Asociación Colombiana de Fisioterapia (ASCOFI), aims to support patients, health professionals, and other actors in making decisions about diagnosis. approach, prognosis, and management of adults with COPD in the Colombian context. Materials and methods: The COPD Committee of Asoneumocito, by delegation of the presidency of the latter, formed a multidisciplinary panel of experts to balance and minimize the potential bias arising from conflicts of interest and invited the other associations that were part of this guide. The Universidad de los Andes coordinated and developed the updating or de novo of systematic reviews of the literature according to the GRADE methodology (Grading of Recommendations Assessment, Development and Evaluation). The COPD committee asked a series of questions that the expert panel prioritized, as well as outcomes according to their importance to healthcare professionals and patients. We used the Evidence-to-Decision (EtD) frameworks developed by the GRADE working group, which were subject to public comment. Results: The panel developed 10 evidence-based recommendations for the management of patients with COPD who received any of the following interventions: long-term oxygen therapy, vaccination against influenza viruses, pulmonary rehabilitation, long-acting anticholinergic inhalation therapy, triple therapy inhalation therapy, nutritional supplements, adjunctive therapy with azithromycin, smoking cessation with varenicline, and alpha-1 antitrypsin replacement. Conclusions: The recommendations included in this guide were developed for the Colombian context. The panel considered that there is a need to develop studies of economic evaluations, as well as the impact of the interventions evaluated in areas such as equity, acceptability, and feasibility of implementation in Colombia.
author	García Morales, Olga Milena Ali Munive, Abraham Celis-Preciado, Carlos Andrés Londoño Trujillo, Darío Casas, Alejandro Bastidas Goyes, Alirio Aguirre Franco, Carlos Torres, Carlos Arturo Baños Álvarez, Iván De Jesús Pedrozo Pupo, John Carlos Manrique Acevedo, Luisa Pacheco Gallego, Manuel Conrado Acero, Rafael Contreras Páez, Rubén Bohórquez, José Vicente Chaves, Walter Rivera, Fernando Betancourt Peña, Jhonatan Yepes-Núñez, Juan José Loaiza-Betancur, Andrés Felipe García Sierra, Andrés Mauricio Ocampo Salgado, Carolina Meneses-Echavez , José F. Barón, Oscar Ricardo González Coba, Hernando José Londoño, Jenny Leandra Moreno, María Angelica Pérez Marmolejo, Diego Prada, Leidy Paola Torres, María Carolina Ramírez, Luis Eduardo Remolina Murillo, Natalia Rubiano, Wendy
spellingShingle	García Morales, Olga Milena Ali Munive, Abraham Celis-Preciado, Carlos Andrés Londoño Trujillo, Darío Casas, Alejandro Bastidas Goyes, Alirio Aguirre Franco, Carlos Torres, Carlos Arturo Baños Álvarez, Iván De Jesús Pedrozo Pupo, John Carlos Manrique Acevedo, Luisa Pacheco Gallego, Manuel Conrado Acero, Rafael Contreras Páez, Rubén Bohórquez, José Vicente Chaves, Walter Rivera, Fernando Betancourt Peña, Jhonatan Yepes-Núñez, Juan José Loaiza-Betancur, Andrés Felipe García Sierra, Andrés Mauricio Ocampo Salgado, Carolina Meneses-Echavez , José F. Barón, Oscar Ricardo González Coba, Hernando José Londoño, Jenny Leandra Moreno, María Angelica Pérez Marmolejo, Diego Prada, Leidy Paola Torres, María Carolina Ramírez, Luis Eduardo Remolina Murillo, Natalia Rubiano, Wendy chronic obstructive pulmonary disease clinical practice guidelines GRADE enfermedad pulmonar obstructiva crónica guía de práctica clínica GRADE
author_facet	García Morales, Olga Milena Ali Munive, Abraham Celis-Preciado, Carlos Andrés Londoño Trujillo, Darío Casas, Alejandro Bastidas Goyes, Alirio Aguirre Franco, Carlos Torres, Carlos Arturo Baños Álvarez, Iván De Jesús Pedrozo Pupo, John Carlos Manrique Acevedo, Luisa Pacheco Gallego, Manuel Conrado Acero, Rafael Contreras Páez, Rubén Bohórquez, José Vicente Chaves, Walter Rivera, Fernando Betancourt Peña, Jhonatan Yepes-Núñez, Juan José Loaiza-Betancur, Andrés Felipe García Sierra, Andrés Mauricio Ocampo Salgado, Carolina Meneses-Echavez , José F. Barón, Oscar Ricardo González Coba, Hernando José Londoño, Jenny Leandra Moreno, María Angelica Pérez Marmolejo, Diego Prada, Leidy Paola Torres, María Carolina Ramírez, Luis Eduardo Remolina Murillo, Natalia Rubiano, Wendy
topic	chronic obstructive pulmonary disease clinical practice guidelines GRADE enfermedad pulmonar obstructiva crónica guía de práctica clínica GRADE
topic_facet	chronic obstructive pulmonary disease clinical practice guidelines GRADE enfermedad pulmonar obstructiva crónica guía de práctica clínica GRADE
topicspa_str_mv	enfermedad pulmonar obstructiva crónica guía de práctica clínica GRADE
citationvolume	35
citationissue	2Supl-1
citationedition	Núm. 2Supl-1 , Año 2023 : Guía de práctica clínica sobre el diagnóstico, manejo y seguimiento EPOC
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/984
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0 Revista Colombiana de Neumología - 2024 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2024-06-07
date_accessioned	2024-06-07T00:00:00Z
date_available	2024-06-07T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/984
url_doi	https://doi.org/10.30789/rcneumologia.v35.n2Supl-1.2023.984
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v35.n2Supl-1.2023.984
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/984/789
url3_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/984/808
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