title: The GOLD initiative 2011: a change of paradigm?
abstract: Ten years after the publication of the first GOLD strategy (Global Strategy for the Diagnosis, Management, and Prevention of COPD) for chronic obstructive pulmonary disease (COPD), the new revision published on the GOLD website at the end of 2011 represents a significant change in the diagnostic approach, clinical evaluation and therapeutic treatment of the disease. This revision debates not only the most significant aspects, which remain relatively intact, but also, and in particular, those that have been substantially modified compared with the GOLD revision from 2006.
authors.affiliation: Servei de Pneumologia, Institut del Tòrax, Hospital Clínic, Universitat de Barcelona, IDIBAPS & CIBERES, Barcelona, Spain. rororo@clinic.ub.es
authors.forename: Roberto
authors.initials: R
authors.lastname: Rodríguez-Roisin
authors.forename: Alvar
authors.initials: A
authors.lastname: Agustí
mesh_terms: D016902:Air Pollution, Indoor / Q000009:adverse effects; D015897:Comorbidity; D003245:Consensus Statements as Topic; D019468:Disease Management; D006040:Goals; D006293:Health Promotion; D006801:Humans; D007391:International Cooperation; D010102:Oxygen Inhalation Therapy; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000145:classification / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D012306:Risk; D012720:Severity of Illness Index; D000074606:Smoking Prevention; D013147:Spirometry