{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:13:43Z","timestamp":1783422823583,"version":"3.54.6"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ther Adv Respir Dis"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>National quality standards for bronchiectasis in Italy were last defined in 2016. The publication of the 2025 European Respiratory Society (ERS) guidelines offers the opportunity to evaluate current clinical practice against updated evidence-based recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess the extent to which Italian bronchiectasis centers align with key statements from the 2025 ERS guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>National, multicenter, cross-sectional observational study based on a structured survey of Italian bronchiectasis centers, aligned with the 2025 ERS recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A national survey was conducted across Italian bronchiectasis centers affiliated with the Italian Bronchiectasis Patient Association (AIB). The structured questionnaire assessed center organization, diagnostic resources, multidisciplinary care, and alignment with ten predefined core management domains derived from the 2025 ERS recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most centers reported universal access to minimum bundle etiological tests, with improved capacity compared with 2016. However, specialized diagnostics for rare causes, structured physiotherapy programs, and written self-management plans remain inconsistently available. Long-term inhaled antibiotics and macrolides were widely prescribed, though access barriers persist. Monitoring practices were heterogeneous.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite clear progress, substantial variability persists in physiotherapy access, rare disease diagnostics, self-management tools, and routine monitoring. Updated Italian quality standards aligned with ERS 2025 principles are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17534666261459923","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T07:20:02Z","timestamp":1783149602000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating current bronchiectasis care in Italy according to the 2025 European respiratory society recommendations"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3544-0361","authenticated-orcid":false,"given":"Alessandro","family":"De Angelis","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy"},{"name":"IRCCS Humanitas Research Hospital, Respiratory Unit, Rozzano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittoria","family":"Comellini","sequence":"additional","affiliation":[{"name":"Respiratory and Critical Care Unit, IRCCS Sant\u2019Orsola Malpighi Hospital, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Gramegna","sequence":"additional","affiliation":[{"name":"Department of Pathophysiology and Transplantation, Universit\u00e0 degli Studi di Milano, Milan, Italy"},{"name":"Internal Medicine Department, Respiratory and Cystic Fibrosis Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2867-917X","authenticated-orcid":false,"given":"Salvatore","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences Maternal and Infantile Care, Internal Medicine and Medical Specialties (ProMISE), University of Palermo, Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuliano","family":"Montemurro","sequence":"additional","affiliation":[{"name":"UOC Pneumologia, Dipartimento Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Bellofiore","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Respiratory and Cystic Fibrosis Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy"},{"name":"Department of Healthcare Professions, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Pagnini","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universit\u00e0 Cattolica del Sacro Cuore, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Privitera","sequence":"additional","affiliation":[{"name":"Department of Healthcare Professions, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margherita","family":"Ori","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Respiratory and Cystic Fibrosis Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Simonetta","sequence":"additional","affiliation":[{"name":"IRCCS Humanitas Research Hospital, Respiratory Unit, Rozzano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4735-823X","authenticated-orcid":false,"given":"Mattia","family":"Nigro","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy"},{"name":"IRCCS Humanitas Research Hospital, Respiratory Unit, Rozzano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Chalmers","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine and Gastroenterology, University of Dundee, Dundee, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donatella","family":"Nobile","sequence":"additional","affiliation":[{"name":"Associazione Italiana Bronchiettasie, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Blasi","sequence":"additional","affiliation":[{"name":"Department of Pathophysiology and Transplantation, Universit\u00e0 degli Studi di Milano, Milan, Italy"},{"name":"Internal Medicine Department, Respiratory and Cystic Fibrosis Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Aliberti","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milan 20072, Italy"},{"name":"IRCCS Humanitas Research Hospital, Respiratory Unit, Via Manzoni 56, Rozzano, Milan 20089, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(21)00277-0"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0091-2024"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-019-0818-6"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2018-000348"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbr.2017.07.013"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00232-2016"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.142778"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(23)00093-0"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01126-2025"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06737-1"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00629-2017"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v11.i4.116"},{"issue":"2","key":"e_1_3_4_14_2","article-title":"Self-management for bronchiectasis","volume":"2018","author":"Kelly C","year":"2018","unstructured":"Kelly C, Grundy S, Lynes D, et al. Self-management for bronchiectasis. Cochrane Database Syst Rev 2018; 2018(2): CD012528.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0087-2024"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2510095"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0178-2023"}],"container-title":["Therapeutic Advances in Respiratory Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17534666261459923","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17534666261459923","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17534666261459923","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:16:58Z","timestamp":1783419418000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17534666261459923"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":16,"alternative-id":["10.1177\/17534666261459923"],"URL":"https:\/\/doi.org\/10.1177\/17534666261459923","relation":{"has-review":[{"id-type":"doi","id":"10.1177\/17534666261459923\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v4\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v4\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/17534666261459923\/v4\/review1","asserted-by":"object"}]},"ISSN":["1753-4666","1753-4666"],"issn-type":[{"value":"1753-4666","type":"print"},{"value":"1753-4666","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"17534666261459923"}}