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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

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Optimizing COPD Care in Belgium: A Multidisciplinary Expert Consensus on Cardiopulmonary Risk Management.

Naomi Michotte^1,2, Fabian Demeure³, Julien Guiot^4,5

¹Department of Respiratory Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium.

International Journal of Chronic Obstructive Pulmonary Disease

|April 6, 2026

Summary

This summary is machine-generated.

Belgian experts developed a care pathway to manage cardiopulmonary risk in chronic obstructive pulmonary disease (COPD) patients after exacerbations. This integrated approach aims to reduce exacerbations and improve cardiovascular outcomes for better COPD management.

Keywords:

cardiovascular diseases chronic obstructive pulmonary disease comorbidity exacerbations patient discharge practice guidelines

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Area of Science:

Pulmonology and Cardiology
Public Health

Background:

Chronic obstructive pulmonary disease (COPD) affects 800,000 Belgians, with half undiagnosed, posing significant health and economic burdens.
COPD patients face high cardiopulmonary (CP) risk, including exacerbations and cardiovascular (CV) events, often overlooked due to fragmented care and lack of national guidance.

Purpose of the Study:

To develop a pragmatic, evidence-informed care pathway for managing CP risk in Belgian COPD patients post-exacerbation.
To integrate respiratory and cardiac care, addressing gaps in current clinical practice.

Main Methods:

A multidisciplinary Belgian taskforce (GPs, pulmonologists, cardiologists, pharmacists, epidemiologists) developed consensus recommendations.
The pathway focuses on COPD patients with moderate/severe exacerbations and heightened CP risk, using structured workshops and iterative consensus-building.

Main Results:

An integrated, stepwise framework for CP risk management in COPD, covering primary care, hospitalization, and follow-up.
Key elements include systematic CP risk identification, standardized diagnostics, multidisciplinary discharge planning, and combined pharmacological/non-pharmacological strategies.
Defined referral thresholds and supported by patient education and digital monitoring.

Conclusions:

This Belgian consensus translates emerging evidence into actionable algorithms, bridging gaps in routine COPD care.
Adoption of the framework is expected to reduce exacerbations, improve CV outcomes, and enhance multidisciplinary COPD management in Belgium.