University of Marburg, Member of the German Center for Lung Research (DZL), Marburg, Germany
These authors contributed equally to the manuscript.
Eur Respir J. 2017 Mar 6;49(3). doi: 10.1183/13993003.00214-2017. Print 2017 Mar.
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: 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 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.
本《慢性阻塞性肺疾病全球策略(GOLD)2017 年报告执行摘要》主要关注文件的修订和新增内容。主要变化包括:1)对慢性阻塞性肺疾病的评估进行了细化,将肺量计评估与症状评估分开。现在建议仅根据患者的症状及其加重病史来确定 ABCD 组;2)为 A 至 D 组中的每一组提出了药物治疗的升级策略;3)在治疗评估方案中引入了治疗降级的概念;4)全面介绍了非药物治疗方法;5)回顾了合并症在 COPD 管理中的重要性。