Solutions to Improve COPD Patients’ Clinical Outcomes and Quality of Care: Recommendations From the CARABELA Initiative

Díez-Manglano, Jesús (Universidad de Zaragoza) ; Mediavilla, Inmaculada ; de Miguel-Diez, Javier ; Escudero, Luciano

Resumen: tIntroduction: Chronic obstructive pulmonary disease (COPD) remains a priority in clinical practice, but itstill presents gaps in care coordination, diagnosis, and treatment that have tangible impact on patients’outcomes. The CARABELA-COPD previously identified key improvement areas within the Spanish health-care system, setting the foundation for enhanced COPD care. As a continuation of the initiative, thisdocument presents expert-driven recommendations to improve COPD care in the Spanish healthcaresystem.Material and methods: The CARABELA-COPD methodology involved seven pilot hospitals across Spainand included national and regional expert meetings. Through thematic discussions and prioritizationexercises, key areas for COPD care improvement were identified and refined. This manuscript summarizesthe resulting recommendations for the areas prioritized by the experts.Results: The proposed strategies emphasize the importance of early detection, optimizing healthcareresource use, and implementing standardized care pathways to ensure a more uniform and effectivemanagement of the disease. Specific focus is placed on the role of specialized nursing, ensuring smoothtransitions between levels of care, and integrating digital tools to facilitate clinical decisions.Conclusions: These recommendations are intended to close the gap between evidence-based guidelinesand real clinical practice, so that every patient receives high-quality individualized care. Through collab-oration between healthcare professionals, scientific societies, and policymakers, CARABELA-COPD seeksto reduce disparities in care, enhance system effectiveness, and ultimately improve quality of life forpatients with COPD.

Idioma: Inglés

DOI: 10.1016/j.opresp.2025.100484

Año: 2025

Publicado en: Open Respiratory Archives 7, 4 (2025), 100484 [7 pp.]
ISSN: 2659-6636

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)