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  1. OVERALL KEY POINTS: Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases.

  2. advance from the simple spirometric grading system of the earlier versions of GOLD because it incorporated multimodality assessment, symptom burden and highlighted the importance of exacerbation prevention in the management of COPD.

  3. The medical dictionary contains information on all medical history observations recorded by the GP using Read version (v) 2 codes and the descriptions of all medical codes referenced in the data files as ‘medcode’.

  4. GLOBAL STRATEGY FOR PREVENTION, DIAGNOSIS AND MANAGEMENT OF COPD: 2024 Report. Evidence-based strategy document for COPD diagnosis, management, and prevention, with citations from the scientific literature. View the 2024 Summary of Changes. Download 2024 GOLD Report.

  5. The GOLD report, Global Strategy for the Diagnosis, Management, and Prevention of COPD, is based on the best-validated current concepts of COPD pathogenesis and the available evidence on the most appropriate management and prevention strategies.

  6. The Global Initiative for Obstructive Lung Disease (GOLD) Criteria for COPD assesses different stages of COPD and provides treatment recommendations.

  7. In this article we review the major changes in the 2023 GOLD report as they impact on the initial and ongoing pharmacological management of COPD and consider the implications for primary care in the UK. Dr Fiona Mosgrove is a GP in Aberdeen and Clinical Lead for the Grampian Respiratory Improvement Programme.

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