title: Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary.
abstract: 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 COPD 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.
authors.affiliation: Universidad de Marburg, Marburg, Alemania, Miembro del Centro Alemán para Investigación Pulmonar (DZL). Electronic address: claus.vogelmeier@med.uni-marburg.de.
authors.forename: Claus F
authors.initials: CF
authors.lastname: Vogelmeier
authors.affiliation: Lewis Katz School of Medicine at Temple University, Filadelfia, Pensilvania, EE. UU.
authors.forename: Gerard J
authors.initials: GJ
authors.lastname: Criner
authors.affiliation: New York-Presbyterian Hospital, Weil Cornell Medical Center, Nueva York, Nueva York, EE. UU.
authors.forename: Fernando J
authors.initials: FJ
authors.lastname: Martínez
authors.affiliation: University of Texas Health Science Center and South Texas Veterans Health Care System, San Antonio, Texas, EE. UU.
authors.forename: Antonio
authors.initials: A
authors.lastname: Anzueto
authors.affiliation: National Heart and Lung Institute, Imperial College, Londres, Reino Unido.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Barnes
authors.affiliation: McGill University Health Centre, McGill University, Montreal, Canadá.
authors.forename: Jean
authors.initials: J
authors.lastname: Bourbeau
authors.affiliation: Brigham and Women's Hospital Boston, Massachusetts, EE. UU.
authors.forename: Bartolome R
authors.initials: BR
authors.lastname: Celli
authors.affiliation: Laboratorio Central Estatal para Enfermedades Respiratorias, Instituto de Enfermedades Respiratorias de Guangzhou, Primer Hospital Afiliado de la Universidad de Medicina de Guangzhou, Guangzhou, República Popular de China.
authors.forename: Rongchang
authors.initials: R
authors.lastname: Chen
authors.affiliation: Universidad de Lovaina, Lovaina, Bélgica.
authors.forename: Marc
authors.initials: M
authors.lastname: Decramer
authors.affiliation: Universidad de Módena y Reggio Emilia, Módena, Italia.
authors.forename: Leonardo M
authors.initials: LM
authors.lastname: Fabbri
authors.affiliation: Flinders University Faculty of Medicine, Bedford Park, South Australia Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Frith
authors.affiliation: Royal Devon & Exeter Hospital, Exeter, Reino Unido.
authors.forename: David M G
authors.initials: DM
authors.lastname: Halpin
authors.affiliation: Universidad de la República Montevideo, Uruguay.
authors.forename: M Victorina
authors.initials: MV
authors.lastname: López Varela
authors.affiliation: Facultad de Medicina de la Universidad de Hokkaido, Japón.
authors.forename: Masaharu
authors.initials: M
authors.lastname: Nishimura
authors.affiliation: Hôpital Cochin (APHP), Universidad Paris Descartes, París, Francia.
authors.forename: Nicolás
authors.initials: N
authors.lastname: Roche
authors.affiliation: Instituto del Tórax, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: Roberto
authors.initials: R
authors.lastname: Rodríguez-Roisin
authors.affiliation: St. Paul's Hospital, University of British Columbia, Vancouver, Canadá.
authors.forename: Don D
authors.initials: DD
authors.lastname: Sin
authors.affiliation: University of Manchester, Manchester, Reino Unido.
authors.forename: Dave
authors.initials: D
authors.lastname: Singh
authors.affiliation: University Hospital, Birmingham, Reino Unido.
authors.forename: Robert
authors.initials: R
authors.lastname: Stockley
authors.affiliation: University of Manchester, Manchester, Reino Unido.
authors.forename: Jørgen
authors.initials: J
authors.lastname: Vestbo
authors.affiliation: Imperial College London, Londres, Reino Unido.
authors.forename: Jadwiga A
authors.initials: JA
authors.lastname: Wedzicha
authors.affiliation: Hospital Clínic, Universitat de Barcelona, Ciberes, Barcelona, España.
authors.forename: Alvar
authors.initials: A
authors.lastname: Agustí
mesh_terms: D006801:Humans; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*
keywords: COPD; COPD management; COPD prevention; Chronic obstructive pulmonary disease; Diagnóstico de enfermedad pulmonar obstructiva crónica; EPOC; Evaluación; Prevención; diagnosis