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Journal of Global Health
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Research priorities to address the global burden of chronic obstructive pulmonary disease (COPD) in the next decade

Authors: Adeloye, Davies; Agarwal, Dhiraj; Barnes, Peter J; Bonay, Marcel; van Boven, Job F; Bryant, Jamie; Caramori, Gaetano; +31 Authors

Research priorities to address the global burden of chronic obstructive pulmonary disease (COPD) in the next decade

Abstract

The global prevalence of chronic obstructive pulmonary disease (COPD) has increased markedly in recent decades. Given the scarcity of resources available to address global health challenges and respiratory medicine being relatively under-invested in, it is important to define research priorities for COPD globally. In this paper, we aim to identify a ranked set of COPD research priorities that need to be addressed in the next 10 years to substantially reduce the global impact of COPD.We adapted the Child Health and Nutrition Research Initiative (CHNRI) methodology to identify global COPD research priorities.62 experts contributed 230 research ideas, which were scored by 34 researchers according to six pre-defined criteria: answerability, effectiveness, feasibility, deliverability, burden reduction, and equity. The top-ranked research priority was the need for new effective strategies to support smoking cessation. Of the top 20 overall research priorities, six were focused on feasible and cost-effective pulmonary rehabilitation delivery and access, particularly in primary/community care and low-resource settings. Three of the top 10 overall priorities called for research on improved screening and accurate diagnostic methods for COPD in low-resource primary care settings. Further ideas that drew support involved a better understanding of risk factors for COPD, development of effective training programmes for health workers and physicians in low resource settings, and evaluation of novel interventions to encourage physical activity.The experts agreed that the most pressing feasible research questions to address in the next decade for COPD reduction were on prevention, diagnosis and rehabilitation of COPD, especially in low resource settings. The largest gains should be expected in low- and middle-income countries (LMIC) settings, as the large majority of COPD deaths occur in those settings. Research priorities identified by this systematic international process should inform and motivate policymakers, funders, and researchers to support and conduct research to reduce the global burden of COPD.

Countries
United Kingdom, Australia, United Kingdom, France, United Kingdom, Italy, United Kingdom, Italy, Netherlands
Keywords

[SDV]Life Sciences [q-bio], Tamizaje, Sustainable Development Goals, CHRONIC OBSTRUCTIVE LUNG DISEASE, global health, Care, Smoking cessation, Global Health, Pulmonary disease, chronic obstructive, Health research, Setting priorities, Pulmonary Disease, Chronic Obstructive, RC705, Enfermedad pulmonar obstructiva crónica, GRAND CHALLENGES, Child, HEALTH RESEARCH, pulmonary disease, Cesación del tabaquismo, Child Health, R735, /dk/atira/pure/subjectarea/asjc/2700/2739, Public, Research Theme 11: Setting Global Health Priorities, Research Design, Rehabilitación pulmonar, child health, Life Sciences & Biomedicine, Human, Factores de riesgo, Chronic Obstructive, 610, 613, Environmental & Occupational Health, RESPIRATORY RESEARCH, 618, Pulmonary Disease, SETTING PRIORITIES, name=Public Health, 616, COPD, Humans, low middle income countries, name=Health Policy, Pulmonary Disease, Chronic Obstructive/epidemiology, Poverty, Health equity, Equidad en salud, SDG 17, Science & Technology, Child; Global Health; Humans; Poverty; Research Design; Child Health; Pulmonary Disease, Chronic Obstructive, Environmental and Occupational Health, Mass screening, Grand challenges, CARE, Chronic Obstructive/epidemiology, /dk/atira/pure/subjectarea/asjc/2700/2719, R1, Asthma, Pulmonary rehabilitation, Risk factors, 306, Respiratory research, ASTHMA, RA

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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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