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The GOLD 2023 proposed taxonomy: a new tool to determine COPD etiotypes

Joan B. Soriano, Andreas Horner, Michael Studnicka, Don D. Sin, Milo A. Puhan, Martijn A. Spruit, Bernd Lamprecht
European Respiratory Journal 2023 61: 2300466; DOI: 10.1183/13993003.00466-2023
Joan B. Soriano
1Facultat de Medicina, Universitat de les Illes Balears, Palma, Spain
2Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
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  • For correspondence: jbsoriano2@gmail.com
Andreas Horner
3Department of Internal Medicine 4 – Pneumology, Kepler University Hospital, Linz, Austria
4Medical Faculty, Johannes Kepler University Linz, Linz, Austria
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Michael Studnicka
5Department of Pulmonology, Paracelsus Medical University, Salzburg, Austria
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Don D. Sin
6St Paul's Hospital University of British Columbia, Vancouver, BC, Canada
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Milo A. Puhan
7Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
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Martijn A. Spruit
8Department of Research and Development, Ciro, Horn, The Netherlands
9NUTRIM School of Nutrition and Translational Research in Metabolism, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
10Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands
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Bernd Lamprecht
3Department of Internal Medicine 4 – Pneumology, Kepler University Hospital, Linz, Austria
4Medical Faculty, Johannes Kepler University Linz, Linz, Austria
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Extract

The population burden of COPD remains high well into the 21st century, although with great regional variability [1]. Changes in the geographical and secular distribution of COPD points to the interaction of a number of risk factors beyond tobacco and other forms of smoking, which is still considered the first and foremost causal risk factor of COPD. We read with interest the new Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 document, proposing a new taxonomy of COPD and suggesting six etiotypes on the origin of COPD [2]. This taxonomy is based on work found elsewhere [3, 4]. To the best of our knowledge, these etiotypes are not evidence-based, and the information required to obtain them has not been explored. We aimed to identify the information required to determine the classification of COPD etiotypes by GOLD 2023, by means of panel discussion and consensus by the authors.

Abstract

The information required to determine the classification of COPD etiotypes by GOLD 2023 is hard to obtain https://bit.ly/43ZJhCc

Acknowledgements

All authors are members of the COPD Cohorts Collaborative International Assessment (3CIAplus) consortium, and aimed to determine COPD etiotypes in their pooled database.

Footnotes

  • Conflict of interest: J.B Soriano and D.D. Sin are current members of the European Respiratory Journal editorial board. J.B Soriano is an associate editor and D.D. Sin is the current deputy chief editor. The remaining authors have nothing to disclose.

  • Received March 17, 2023.
  • Accepted April 14, 2023.
  • Copyright ©The authors 2023. For reproduction rights and permissions contact permissions{at}ersnet.org
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The GOLD 2023 proposed taxonomy: a new tool to determine COPD etiotypes
Joan B. Soriano, Andreas Horner, Michael Studnicka, Don D. Sin, Milo A. Puhan, Martijn A. Spruit, Bernd Lamprecht
European Respiratory Journal Jun 2023, 61 (6) 2300466; DOI: 10.1183/13993003.00466-2023

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The GOLD 2023 proposed taxonomy: a new tool to determine COPD etiotypes
Joan B. Soriano, Andreas Horner, Michael Studnicka, Don D. Sin, Milo A. Puhan, Martijn A. Spruit, Bernd Lamprecht
European Respiratory Journal Jun 2023, 61 (6) 2300466; DOI: 10.1183/13993003.00466-2023
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