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. 2018 Dec 24;115(51-52):871–877. doi: 10.3238/arztebl.2018.0871

Table. Overview of differences between the BTS (British Thoracic Society) and the DGP (German Respiratory Society) guidelines for LTOT (taken from Magnet et al. [20]).

British guideline of the
British Thoracic Society (BTS)
German guideline of the
German Respiratory Society (DGP)
1. Blood gas analysis
technique
Arterial blood gas analysis (ABG) Capillary blood gas analysis (CBG)
2. Criteria for initiation of LTOT
in stable patients
Two ABG analyses at least 3 weeks apart Three CBG analyses within a 4-week period
3. Initiation of LTOT in patients with COPD after exacerbation Discharge with oxygen supplementation only if patients cannot manage without oxygen, are breathless, and with SpO2 ≤92% at rest (room air); follow-up assessment of LTOT after 8 weeks Direct, with later follow-up to
re-evaluate indication
4. Ambulatory oxygen therapy (AOT) for patients without classic indication criteria Only during rehabilitation Indicated by resting PaO2 ≤60 mm Hg and by drop in PaO2 during 6MWT or if AOT improves exercise capacity; not indicated by exclusively exercise-induced hypoxemia without increasing dyspnoea and resting PaO2 >55 mm Hg
5. Nocturnal oxygen therapy Only for severe congestive heart failure and in combination with NIV for other diseases No clear statement—further evaluation by sleep laboratory recommended
6. Titration of O2 flow rates Based on SpO2 (followed by ABG) Based on CBG
7. Follow-up/re-assessment
of LTOT
Home visit within 4 weeks, with first re-assessment after 3 months, and thereafter every 6–12 months Every 3 months (outpatient setting)
8. Patients who smoke No contraindications Conflicting information: LTOT is indicated after avoidance of all inhalative noxae; an overview table however states that there are no contraindications

COPD, chronic obstructive pulmonary disease; LTOT, long-term oxygen therapy; NIV, non-invasive ventilation; PaO2, arterial partial pressure of oxygen;

SpO2, blood oxygen saturation; 6MWT, 6-minute walk test