GOLD · Global

GOLD Global Strategy for Diagnosis, Management and Prevention of COPD

ABE assessment groups, initial inhaler choice by symptoms and exacerbations, eosinophil-guided ICS use.

2025Version 2025 reportRespiratory

Key recommendations

  • AStrong

    Post-bronchodilator FEV1/FVC < 0.70 is required to confirm airflow obstruction.

  • BStrong

    Group E patients should start LABA + LAMA; add ICS if blood eosinophils ≥ 300 cells/µL.

  • AStrong

    Offer smoking cessation support at every contact — it is the only intervention altering decline in FEV1.

Applies to

Demo content. Educational decision support only. Verify every dose, citation and recommendation against your national formulary and the primary source before clinical use.