Cohen Review: 2023 COPD GOLD Guidelines

COPD Classification

• Stages:
  • Stage 1 to Stage 4
  • Stage 4 is the most severe
• Diagnosis Tool:
  • Spirometry results are crucial for diagnosis

New 2023 Group Classifications

• Old Groups: A, B, C, D
• New Groups: A, B, E
  • Group A: Mild symptoms
  • Group B: More symptoms than A
  • Group E (formerly C and D):
    • Stage 3 and 4 severity
    • At least two flare-ups in the past year
    • At least one hospitalization due to COPD

Data for COPD Treatment Decision

• CAT Score:
  • An 8-item questionnaire assessing health status in COPD patients
• Recurrent Hospitalizations:
  • Number of hospitalizations due to COPD

Treatment Approach

• COPD vs Asthma:
  • COPD does not use the Step Up treatment approach as in asthma

Additional Resources

• For more detailed information, refer to the Cohen Review.
• Link available in the bio.