Muhammad Adrish, MD, MBA, FCCP, FCCM Associate Professor Section of Pulmonary and Critical Care Medicine Department of Medicine Baylor College of Medicine Ben Taub Hospital Houston, TX
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The Global Initiative for Chronic Obstructive Lung Disease (GOLD) Strategy Report is an evidence-based strategy document for chronic obstructive pulmonary disease (COPD) diagnosis, treatment, and prevention; the GOLD report is used worldwide as a tool for implementing effective COPD management.1 The annual report reviews the major research publications published from the previous years and provides important updated recommendations for care providers.
The 2023 GOLD report includes several new updates, such as a new proposed definition2; strategies for terminology and taxonomy2; etiotypes for COPD2; screening and risk factor updates1; and vaccination recommendations.1 The ABCD Assessment Tool has been revised to recognize the clinical relevance of exacerbations,3 and the section on Interventional and Surgical Therapies for COPD has been expanded.1 Information on imaging and computed tomography (CT) has been included,1 and issues related to inhaled delivery4 and adherence5 have been addressed. Also included is an expanded role of triple inhaled therapy in select patient populations,6 and the complexity of COPD is also examined— which involves not only cigarette smoking, but other exposures as well.7
