Work

Global Initiative for Chronic Obstructive Lung Disease (GOLD) Revisions 2001-2017: Historical and Critical Perspective

Year: 2017

Type: article

Abstract: In 2001, the first Global Initiative for Chronic Obstructive Lung Disease (GOLD) document was published with the goal to improve the diagnosis, prevention and treatment of chronic obstructive pulmonary disease (COPD).Since then, three major revisions (GOLD 2007, 2011 and 2017) have been released.In this review, we describe the basic principles of the first document and how it has evolved over time.Initially, assessment was based exclusively on the level of airflow limitation.Nowadays, airflow limitation, respiratory symptom load and exacerbation history are taken into account.Bronchodilators have always been first-line.However, the indication for inhaled corticosteroids (ICS) has evolved over time.Non-pharmacological therapies are now considered to be of equal importance.In the latest version, interventional methods, palliative care, and end-of-life strategies have been added.The prevention and adequate treatment of exacerbations are highlighted and an expanded discussion of comorbidities has been added.(BRN Rev. 2017;3:151-65)

Source: Barcelona Respiratory Network

DOI: 10.23866/brnrev:2017-m0046

Authors: Claus Vogelmeier, Fernando J. Martinez, Gerard J. Criner

Institutions: Philipps University of Marburg, Universitätsklinikum Gießen und Marburg, German Center for Lung Research, Temple University, Weill Cornell Medicine

Language: English

Topic: Chronic Obstructive Pulmonary Disease (COPD) Research

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2755692495

FWCI: 0.66

Cites: 45

Cited by: 5

Related to: 10