Journal
ARCHIVOS DE BRONCONEUMOLOGIA
Volume 53, Issue 3, Pages 128-149Publisher
ELSEVIER ESPANA SLU
DOI: 10.1016/j.arbres.2017.02.001
Keywords
Chronic obstructive pulmonary disease; COPD; diagnosis; COPD management; COPD prevention
Categories
Funding
- Medical Research Council [G1001365, G1001372, G0800570] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0611-10148, NF-SI-0513-10077, NF-SI-0510-10270] Funding Source: researchfish
- MRC [G1001365, G0800570] Funding Source: UKRI
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This Executive Summary of the Global Strategy for the Diagnosis, Management, and Prevention of COPD (GOLD) 2017 Report focuses primarily on the revised and novel parts of the document. The most significant changes include; I) the assessment of COPD 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 pharmacological treatments are proposed; 3) the concept of de-escalation of therapy is introduced in the treatment assessment scheme; 4) nonpharmacologic therapies are comprehensively presented and; 5) the importance of comorbid conditions in managing COPD is reviewed. (C) 2017 SEPAR. Published by Elsevier Espana, S.L.U. All rights reserved.
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