Global Strategy for Diagnosis, Management, and Prevention of COPD

January 2014

Please reference this document as follows:
From the Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2014. Available from:


Click here to download a list of publications reviewed by the GOLD Science Committee to prepare the 2014 updates of the documents.

In 2011, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) released a consensus report, Global Strategy for the Diagnosis, Management, and Prevention of COPD. It recommended a major revision in the management strategy for COPD that was presented in the original 2001 document. Updated reports released in January 2013 and January 2014 are based on scientific literature published since the completion of the 2011 document but maintain the same treatment paradigm. Assessment of COPD is based on the patient’s level of symptoms, future risk of exacerbations, the severity of the spirometric abnormality, and the identification of comorbidities.

The GOLD report is presented as a “strategy document” for health care professionals to use as a tool to implement effective management programs based on available health care systems. The quadrant management strategy tool is designed to be used in any clinical setting; it draws together a measure of the impact of the patient’s symptoms and an assessment of the patient’s risk of having a serious adverse health event in the future. More and more evidence is being produced to evaluate this strategy. Evidence will continue to be evaluated by the GOLD committees and management strategy recommendations modified as required.

GOLD has been fortunate to have a network of international distinguished health professionals from multiple disciplines. Many of these experts have initiated investigations of the causes and prevalence of COPD in< their countries, and have developed innovative approaches for the dissemination and implementation of the GOLD management strategy. The GOLD initiative will continue to work with National Leaders and other interested health care professionals to bring COPD to the attention of governments, public health officials, health care workers, and the general public to raise awareness of the burden of COPD and to develop programs for early detection, prevention and approaches to management.

We are most appreciative of the unrestricted educational grants from Almirall, AstraZeneca, Boehringer-Ingelheim, Chiesi, Forest Laboratories, GlaxoSmithKline, Merck Sharp & Dohme, Mylan, Nonin Medical, Novartis, Pearl Therapeutics, Pfizer, Quintiles, and Takeda that enabled development of this report.

Marc Decramer, MD
Chair, GOLD Board of Directors
Professor of Medicine
Chief of the Respiratory Division
University Hospital
Katholieke Universiteit, Leuven Belgium

Jørgen Vestbo, MD
Vice-Chair, GOLD Board of Directors
Chair, GOLD Science Committee
Professor of Respiratory Medicine
Odense University Hospital
Odense, Denmark (and)
The University of Manchester
Manchester Academic Health Science
University Hospital of South Manchester
NHS Foundation Trust, Manchester, UK

To read the entire document please download it by clicking here.

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