American Journal of Respiratory and Critical Care Medicine· 2017Q1
Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report. GOLD Executive Summary
- 3,258citations
- Q1SCImago
- 2017year
Short summary
The GOLD 2017 report introduces a revised COPD assessment strategy, prioritizing symptom evaluation and exacerbation history (ABCD groups) over spirometry for treatment decisions, and proposes new escalation and de-escalation pharmacologic treatment strategies.
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Key points
- COPD assessment now prioritizes symptoms and exacerbation history (ABCD groups) over spirometry for treatment decisions.
- New escalation strategies for pharmacologic treatments are proposed for each ABCD group.
- The concept of de-escalating therapy is introduced.
- Non-pharmacologic therapies and management of comorbid conditions are given comprehensive attention.
AI-generated from the title and abstract; the full text is not read.
Abstract
This Executive Summary of the Global Strategy for the Diagnosis, Management, and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017 report focuses primarily on the revised and novel parts of the document. The most significant changes include: (1) the assessment of chronic obstructive pulmonary disease has been refined to separate the spirometric assessment from symptom evaluation. ABCD groups are now proposed to be derived exclusively from patient symptoms and their history of exacerbations; (2) for each of the groups A to D, escalation strategies for pharmacologic treatments are proposed; (3) the concept of deescalation of therapy is introduced in the treatment assessment scheme; (4) nonpharmacologic therapies are comprehensively presented; and (5) the importance of comorbid conditions in managing chronic obstructive pulmonary disease is reviewed.
The authors' abstract, as published at the source. American Journal of Respiratory and Critical Care Medicine, 2017 · DOI ↗
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Field: Pulmonary and Respiratory Medicine
Pulmonary and Respiratory MedicineMedicine