We recommend:
• Studies that demonstrate the impact of palliative care and end-of-life discussions on outcomes in patients with stable COPD.
• Studies of educational approaches and tools to help clinicians better discuss palliative care and end-of-life care with patients with COPD.
• Studies to confirm the importance of optimised therapy in minimising symptoms at the end of life.
• Studies that identify symptoms that occur despite optimised COPD care and require palliation. Such studies should be followed by trials that compare the effects of various treatment options on those symptoms.