Table 7. Recommendations regarding non-pharmacological treatment.

Recommendation	Average value*	Inter-hospital range	P value†
Q18. GesEPOC. It is recommended to offer all smokers with COPD advice to quit supported by medical/psychological counseling
• Current smokers receiving anti-tobacco recommendations (n = 142)	107 (75.4)	20–95.8	< 0.001
Q19. SEPAR 2009. Influenza vaccination should be recommended for all COPD patients	269 (43.3)	2.5–93.8	< 0.001
Q20. SEPAR 2009. Pneumococcal vaccination should be offered to patients with severe COPD and to all COPD patients aged 65 years and older
• Use of pneumococcal vaccine among those with indication (n = 463)	96 (20.7)	0–43.8	< 0.001
Q21. SEPAR 2009. Regular exercise should be recommended for all COPD patients	276 (44.4)	2.5–88.9	< 0.001

* Average value expressed as the mean (standard deviation) or absolute (relative) frequency depending on the nature of the variable.

^† Calculated for the variability between centers using ANOVA or Chi-square, depending on the nature of the variable. Percentages refer to the whole population (n = 621) unless otherwise indicated. GOLD 2013: Global Initiative for Obstructive Lung Disease 2013 [19]; SEPAR 2009: SEPAR Health-Care Quality Standards 2009 [21]; GesEPOC 2012: Spanish National Guideline for COPD [22].