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We will ask participants to try to implement the case finding recommendation included in the Colombian clinical practice guideline for chronic obstructive pulmonary disease. This recommendation instructs the physician to check a series of risk factors, signs, and symptoms in adults, 40 years or older. When the suspicion is established, the guide recommends ordering a spirometry test to confirm or rule-out the diagnosis [21].

The selection of this recommendation was arbitrary. The only criteria considered was that it included a clinical algorithm (in this case, the decision about ordering a spirometry test based on a series of risk factors, signs, and symptoms) and that it would be part of a Colombian CPG.

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