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Editorials |

GOLD Stage 0 COPD: Is it Real? Does it Matter?

David M. Mannino, MD, FCCP
Author and Funding Information

Affiliations: Lexington, KY
 ,  Dr. Mannino is affiliated with the Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky Medical Center.

Correspondence to: David M. Mannino, MD, FCCP, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky Medical Center, 740 S Limestone St, K-528 Kentucky Clinic, Lexington, KY 40536; e-mail: dmannino@uky.edu



Chest. 2006;130(2):309-310. doi:10.1378/chest.130.2.309
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The Global Initiative on Obstructive Lung Disease (GOLD) criteria for COPD were developed in 20011 to provide a framework for the uniform diagnosis and staging of COPD, and have been recently updated.2 These criteria have been, in large part, incorporated into the COPD guidelines of the American Thoracic Society and the European Respiratory Society.3 While there are several components of these COPD criteria that remain controversial, one of the biggest ones relates to GOLD stage 0 COPD, which comprises patients who are “at risk” for the development of COPD. The range of opinions on GOLD stage 0 vary from “is of little help in identifying subjects at risk for COPD,”4 to “… (having) a high demand for medical assistance,”5 to “… (being) associated with an increased mortality risk among male smokers.”6

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