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Asthma and COPD: Together but Not the Same – GOLD 2024 Guildelines Clear the Air!

  • The Review Course in Family Medicine
  • May 7
  • 1 min read

A man holding up a glass of whisky

Bottom Line: Asthma-COPD overlap (ACO) is changing in the guidelines. The 2024 and 2025 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines no longer use the term ACO, and the 2025 Global Initiative for Asthma guidelines (GINA) has changed the terminology to asthma+copd instead of ACO.


Key Points:

  • Asthma and COPD are separate conditions but may often coexist in the same individual

  • Personalize the treatment tailoring unique characteristics of each patient

  • For concurrent diagnoses of asthma and COPD, treatment should adhere to asthma guidelines

  • It is crucial to confirm a COPD diagnosis with spirometry (post-bronchodilator FEV1/FVC < 0.7) 

  • Screening guidelines are highlighted for targeted populations, including lung cancer imaging 

Also has updates on aspects of COPD management, including Preserved Ratio but Impaired Spirometry (PRISM), hyperinflation, and interstitial lung abnormalities




 
 
 

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