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What is the GOLD system for chronic obstructive pulmonary disease?

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GOLD stands for the Global Initiative for Chronic Obstructive Lung Disease. The GOLD system bases the stage of your COPD on several things:

  • Your symptoms
  • How many times your COPD has gotten worse
  • Any times you’ve had to stay in the hospital because your COPD has gotten worse
  • Spirometry, a test that checks the amount (volume) of air and speed (flow) that you can exhale

From: COPD Stages and the Gold Criteria WebMD Medical Reference

SOURCES: COPD Foundation: “What is COPD?”

Global Initiative for Chronic Obstructive Lung Disease: “Global Strategy for Diagnosis, Management, and Prevention of COPD – 2016,” “The Global Initiative for Chronic Obstructive Lung Disease (GOLD).”

American Family Physician , Nov. 16, 2013.

UpToDate: “Chronic obstructive pulmonary disease: Definition, clinical manifestations, diagnosis, and staging.”

Mayo Clinic: “Spirometry.”

Reviewed by Minesh Khatri on July 17, 2019

SOURCES: COPD Foundation: “What is COPD?”

Global Initiative for Chronic Obstructive Lung Disease: “Global Strategy for Diagnosis, Management, and Prevention of COPD – 2016,” “The Global Initiative for Chronic Obstructive Lung Disease (GOLD).”

American Family Physician , Nov. 16, 2013.

UpToDate: “Chronic obstructive pulmonary disease: Definition, clinical manifestations, diagnosis, and staging.”

Mayo Clinic: “Spirometry.”

Reviewed by Minesh Khatri on July 17, 2019

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What are your spirometry results based on?

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