title: [COPD and perception of the new GOLD document in Europe. Workshop from the Société de pneumologie de langue française (SPLF)].
abstract: BACKGROUND
  The organization of care for chronic non-infectious diseases, notably COPD, is a common preoccupation in developed countries in which this disease is among the main causes of mortality and disability. We report a summary of a workshop organized on this theme in April 2013 by the Société de pneumologie de langue française.
  
  
  BACKGROUND
  Experts from several European countries presented the organizational practices for the management of COPD in their countries, in particular the detection of the disease and the systems of care. The common objectives were to obtain better motivation to stop smoking, earlier detection of the disease and education in the recognition of the signs of exacerbation and their severity. The experts agreed that mass detection is of little benefit and difficult to organize. Early individual screening is preferable on the basis of precise, easily identified criteria. The classification recommended by the GOLD committee since 2011 does not seem to be adopted universally throughout Europe. If there is a real improvement over the previous classification due to taking into account clinical criteria, quality of life and exacerbations, criticisms have arisen concerning the choice of certain pathways and therapeutic recommendations not based on prospective studies with a high level of evidence.
  
  
  CONCLUSIONS
  European experiences concerning the management of COPD are varied and complementary. One remaining question is who to screen: all subjects at risk (all smokers, all occupations at risk), only symptomatic subjects, subjects with severe and disabling symptoms?
authors.affiliation: Service de pneumologie, hôpitaux de Brabois, CHU de Nancy, 54500 Vandœuvre-lès-Nancy, France.
authors.forename: M
authors.initials: M
authors.lastname: Zysman
authors.affiliation: UPRES EA 3830, unité de soins intensifs respiratoires, service de pneumologie, CHU de Rouen, université de Rouen, 76031 Rouen cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Patout
authors.affiliation: Servicio de neumología, hospital universitari Vall d'Hebron, ciber de enfermedades respiratorias (CIBERES), Barcelone, Espagne.
authors.forename: M
authors.initials: M
authors.lastname: Miravitlles
authors.affiliation: Department of general practice, university of Groningen, university medical center Groningen, Groningen, Pays-Bas.
authors.forename: T
authors.initials: T
authors.lastname: van der Molen
authors.affiliation: Lungemedicinsk Afdeling B, Aarhus Universitetshospital, Aarhus, Danemark.
authors.forename: A
authors.initials: A
authors.lastname: Lokke
authors.affiliation: General Practice Surgery, Grafenstr, 52, 45239 Essen, Allemagne.
authors.forename: T
authors.initials: T
authors.lastname: Hausen
authors.affiliation: Service de pneumologie-allergologie, hôpital Larrey, 31059 Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Didier
authors.affiliation: UPRES EA 3830, unité de soins intensifs respiratoires, service de pneumologie, CHU de Rouen, université de Rouen, 76031 Rouen cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Cuvelier
authors.affiliation: Service de pneumologie et soins intensifs respiratoires, groupe hospitalier Cochin, site du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France. Electronic address: nicolas.roche@cch.aphp.fr.
authors.forename: N
authors.initials: N
authors.lastname: Roche
mesh_terms: D032921:Consensus; D003245:Consensus Statements as Topic; D005060:Europe; D005104:Expert Testimony; D006801:Humans; D010465:Perception; D011057:Politics; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D015272:Pulmonary Medicine / Q000458:organization & administration / Q000592:standards; D012955:Societies, Medical / Q000592:standards; D017216:Telemedicine / Q000458:organization & administration / Q000592:standards
keywords: Bronchopneumopathie chronique obstructive; Chronic obstructive pulmonary disease; Dépistage; Epidemiology; Screening; Tabagisme; Tobacco smoking; Traitement; Treatment; Épidémiologie