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The second 5-year update of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) consensus report is available. Although not dramatically different from earlier versions, it includes a new assessment and grading system to guide treatment of patients with stable chronic obstructive pulmonary disease (COPD). This approach deemphasizes using forced expiratory volume in 1 second (FEV1) alone to stage disease and focuses instead on both symptom control and risk for adverse events. The change is based on a growing body of literature which demonstrates that FEV1 does not correlate well with individual patients' severity of dyspnea, exercise limitations, or health status.
The GOLD recommendations can be downloaded as a pocket guide. To …