Answering the Call in COPD: Practical Strategies for Improving Early Diagnosis and Patient-Centered Management in Primary Care: Addressing Inequities in COPD Care – Tweetorial #4

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Provided by Integrity Continuing Education, Inc.

This program has been developed in collaboration with International Primary Care Respiratory Group (IPCRG) and COPD Foundation.


This activity is supported by an educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.


Addressing Inequities in COPD Care


Chronic obstructive pulmonary disease (COPD) is a complex and heterogeneous disease that is associated with significant morbidity and mortality. Despite efforts to standardize the diagnosis, treatment, and management of this progressive disease, many patients receive a delayed diagnosis or remain undiagnosed and face dismal outcomes. Additionally, despite the availability of several pharmacologic therapies and continually updated guideline recommendations, COPD is suboptimally treated in current clinical practice. As a result, patients with COPD are associated with a poor quality of life, with many patients living in discomfort and experiencing debilitating exacerbations. Recently, evidence has demonstrated the utility of combination therapy in reducing exacerbations among patients with COPD and updated guidelines have identified specific patient subsets that can benefit from these approaches. Even if appropriate therapy is initiated, patients may have persistent barriers related to optimized medication delivery and adherence. Therefore, individualized evaluation of patient characteristics and associated device selection is recommended. This program will clarify the latest guidelines for the diagnosis, treatment, and management of COPD; provide practical strategies for patients to gain better access to therapy; and focus on informing participants on the utility of recently published evidence and precision medicine-based approaches.


MeiLan Han, MD, MS
Professor of Medicine
Division of Pulmonary and Critical Care
University of Michigan
Ann Arbor, Michigan


Miguel Román Rodriguez
Family Doctor
Centro de salud Son Pisá
Palma de Mallorca, Spain


Ioanna G. Tsiligianni
General Practitioner
Associate Professor, General Practice and Public Health
Faculty of Medicine
University of Crete
Past President and Board Member, IPCRG
Rethymno, Greece


Release date: June 30, 2022
Expiration date: December 30, 2022
Estimated time to complete activity: 15 minutes



This activity is designed for clinicians working in primary care and family medicine in Europe and worldwide.


Upon completion of this educational activity, participants should be able to:

  • Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD


There are no fees for participating and receiving CME credit for this activity. During the period of June 30, 2022 through September 30, 2023, participants must:

  • Read the learning objectives and faculty disclosures
  • Complete the pretest
  • Study the educational activity
  • Complete the posttest and the evaluation form

A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed posttest with a score of 100%.




Physician Continuing Education


Accreditation Statement
Integrity Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


Integrity Continuing Education, Inc. designates this Enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Through an agreement between the Union Européenne des Médecins Spécialistes and the American Medical Association, physicians may convert AMA PRA Category 1 CreditsTM to an equivalent number of EACCME® credits.


For information about ACCME accreditation of this activity, please contact Integrity Continuing Education, Inc. at (855) 835-4004 or


Integrity Continuing Education, Inc. requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Integrity Continuing Education, Inc. for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations. All relevant financial relationships have been mitigated.

The following faculty/planners reported the financial relationships or relationships to products or devices they have with ineligible companies related to the content of these CME activities:

MeiLan Han, MD, MS
Personal fees: Aerogen, Altesa Biopharma, AstraZeneca, Boehringer Ingelheim, Chiesi, Cipla, DevPro, GlaxoSmithKline, Integrity, Medscape, Merck, Mylan, NACE, Novartis, Polarian, Pulmonx, Regeneron, Sanofi, Teva, United Therapeutics, UpToDate, Verona
In kind research support/funds paid to the institution: American Lung Association, Astrazeneca, Biodesix, Boehringer Ingelheim, COPD Foundation, Gala Therapeutics, NIH, Novartis, Nuvaira, Sanofi, Sunovion
Data Safety Monitoring Board/funds paid to institution: Medtronic, Novartis
Stock options: Altesa Biopharma, Meissa Vaccines 

Miguel Roman Rodriguez, MD
Advisory Board: AstraZeneca, Boehringer Ingelheim, GlaxoSmithKline
Consultant: AstraZeneca, Boehringer Ingelheim, GlaxoSmithKline
Speakers’ Bureau: AstraZeneca, Boehringer Ingelheim, GlaxoSmithKline, Menarini, Pfizer, Teva
Research: AstraZeneca

Ioanna Tsiligianni, MD
Consultant: AstraZeneca, Boehringer Ingelheim, Chiesi, Hellas Pharma, Novartis
Grants for Educational Activities: AstraZeneca, GlaxoSmithKline, Hellas Pharma

The IPCRG planners and managers have no relevant financial relationships with ineligible companies.

The COPD Foundation planners and managers having the following relevant financial relationships with ineligible companies:

Michael W. Hess, MPH, RRT, RPFT
Advisory Board: Boehringer Ingelheim
Consultant: NDD Medical
Speakers’ Bureau: Boehringer Ingelheim, Theravance Biopharma, Viatris
Writer: NDD Medical

Courtney Crim, MD
Consultant: Theravance Biopharma
Employee: GlaxoSmithKline

The Integrity Continuing Education, Inc. planners and managers have nothing to disclose.


This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Integrity Continuing Education, Inc. does not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


When you participate in an online educational activity sponsored by Integrity Continuing Education, Inc., you will be asked for your name, degree(s), affiliation(s), street address, telephone number and…(continued)


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The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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