Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report

被引：1516

作者：

Vogelmeier, Claus F. ^{[1
]}

Criner, Gerard J. ^{[2
]}

Martinez, Fernando J. ^{[3
]}

Anzueto, Antonio ^{[4
,5
]}

Barnes, Peter J. ^{[6
]}

Bourbeau, Jean ^{[7
]}

Celli, Bartolome R. ^{[8
]}

Chen, Rongchang ^{[9
]}

Decramer, Marc ^{[10
]}

Fabbri, Leonardo M. ^{[11
]}

Frith, Peter ^{[12
]}

Halpin, David M. G. ^{[13
]}

Varela, M. Victorina Lopez ^{[14
]}

Nishimura, Masaharu ^{[15
]}

Roche, Nicolas ^{[16
]}

Rodriguez-Roisin, Roberto ^{[17
]}

Sin, Don D. ^{[18
]}

Singh, Dave ^{[19
]}

Stockley, Robert ^{[20
]}

Vestbo, Jurgen ^{[19
]}

Wedzicha, Jadwiga A. ^{[6
]}

Agusti, Alvar ^{[21
]}

机构：

[1] Univ Marburg, German Ctr Lung Res DZL, Marburg, Germany

[2] Temple Univ, Lewis Katz Sch Med, Philadelphia, PA 19122 USA

[3] New York Presbyterian Hosp, Weill Cornell Med Ctr, New York, NY USA

[4] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[5] South Texas Vet Hlth Care Syst, San Antonio, TX USA

[6] Imperial Coll, Natl Heart & Lung Inst, London, England

[7] McGill Univ, Ctr Hlth, Montreal, PQ, Canada

[8] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[9] Guangzhou Med Univ, Affiliated Hosp 1, Guangzhou Inst Resp Dis, State Key Lab Resp Dis, Guangzhou, Guangdong, Peoples R China

[10] Univ Leuven, Leuven, Belgium

[11] Univ Modena & Reggio Emilia, Modena, Italy

[12] Flinders Univ S Australia, Fac Med, Bedford Pk, SA, Australia

[13] Royal Devon & Exeter Hosp, Exeter, Devon, England

[14] Univ Republica, Hosp Maciel, Montevideo, Uruguay

[15] Hokkaido Univ, Sch Med, Sapporo, Hokkaido, Japan

[16] Univ Paris 05, Hop Cochin, AP HP, Paris, France

[17] Univ Barcelona, Hosp Clin, Thorax Inst, Barcelona, Spain

[18] Univ British Columbia, St Pauls Hosp, Vancouver, BC, Canada

[19] Univ Manchester, Manchester, Lancs, England

[20] Univ Hosp, Birmingham, W Midlands, England

[21] Univ Barcelona, Hosp Clin, Ctr Invest Biomed Red Enfermedade Resp, Barcelona, Spain

来源：

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE | 2017年 / 195卷 / 05期

关键词：

chronic obstructive pulmonary disease; COPD diagnosis; COPD management; COPD prevention; POSITIVE-PRESSURE VENTILATION; AIR-FLOW OBSTRUCTION; INHALED FLUTICASONE FUROATE; CHRONIC RESPIRATORY-DISEASE; BONE-MINERAL DENSITY; QUALITY-OF-LIFE; GASTROESOPHAGEAL-REFLUX DISEASE; RANDOMIZED CONTROLLED-TRIAL; VOLUME-REDUCTION SURGERY; WATER-PIPE SMOKING;

D O I：

10.1164/rccm.201701-0218PP

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

This Executive Summary of the Global Strategy for the Diagnosis, Management, and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (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 pharmacologic treatments are proposed; (3) the concept of deescalation of therapy is introduced in the treatment assessment scheme; (4) nonpharmacologic therapies are comprehensively presented; and (5) the importance of comorbid conditions in managing chronic obstructive pulmonary disease is reviewed.

引用

页码：557 / 582

页数：26

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