The Global Initiative for Chronic Obstructive Lung Disease (GOLD), an
international committee of experts, has recently published its updated
report on diagnosis and management of Chronic Obstructive Pulmonary
Disease (COPD). Compared to the previous version, this documents has
been an extensively revised: the definition has been simplified,
highlighting the importance of respiratory symptoms, and disease
development is further discussed, including new insights on lung
development. Spirometry is still required for the diagnosis, and it is
described as fundamental tool for evaluating prognosis, disease
progression, and non-pharmacologic treatment.
However, differently from
the previous version, spirometry is no longer included in the ABCD tool
(ie, a practical tool proposed to assess COPD symptom burden and guide
pharmacologic treatment), which is now centered exclusively on
respiratory symptoms and history of exacerbation. Subsequently,
pharmacologic treatment has been shifted towards a more personalized
approach, reflecting the ongoing process toward a comprehensive,
patient-tailored management.
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