Chronic obstructive pulmonary disease Management and Follow up.

·      A comprehensive search for guidelines was undertaken to identify the most relevant guidelines to consider for adaptation.

·      Inclusion/ exclusion criteria followed in the search and retrieval of guidelines to be adapted:

·      Selecting only evidence-based guidelines (guideline must include a report on systematic literature searches and explicit links between individual recommendations and their supporting evidence)

·       Selecting only national and/or international guidelines

·      Specific range of dates for publication (using Guidelines published or updated in 2020 and later.

·      Selecting peer reviewed publications only

·      Selecting guidelines written in English language

·       Excluding guidelines written by a single author, not on behalf of an organization to be valid and comprehensive, a guideline ideally requires multidisciplinary input

·      Excluding guidelines published without references  

All retrieved Guidelines were screened and appraised using AGREE II instrument (www.agreetrust.org) by at least three members. The panel decided on a cut-off point or ranked the guidelines (any guideline scoring above 50% on the rigor dimension was retained).

The GDG decided to adapt

1-   Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for Prevention, Diagnosis and Management of COPD: 2026 Report.

2-   American Thoracic Society clinical practice guideline ATS. Am J Respir Crit Care Med 2020;201: e56-e69