https://doi.org/10.4081/monaldi.2023.2619
Classification of chronic obstructive pulmonary disease as ABCD according to the GOLD 2011 and 2017 versions in patients at the University Medical Center in Ho Chi Minh City, Vietnam
Submitted: April 28, 2023
Accepted: June 21, 2023
Published: July 28, 2023
Accepted: June 21, 2023
Abstract Views: 1047
PDF: 190
SUPPLEMENTARY MATERIAL: 3
SUPPLEMENTARY MATERIAL: 3
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
In 2017, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) substantially changed its ABCD group categorization. Although several studies had been conducted to assess the impact of the new GOLD category, there was no research on the change in the GOLD classification in Vietnam. This retrospective analysis was conducted at the Asthma and Chronic Obstructive Pulmonary Disease (COPD) Clinic at the University Medical Center in Ho Chi Minh City, Vietnam. Our study population comprised patients visiting the medical center from January 2018 to January 2020. We categorized patients’ demographics, clinical characteristics, and pharmacotherapy based on GOLD 2011 and 2017 guidelines. A comparison between the two versions was also determined. A total of 457 patients were included in this study. The percentage of groups A, B, C, and D according to GOLD 2011 was 5%, 20.8%, 13.1%, and 61.1%, respectively, and according to GOLD 2017, it was 6.1%, 34.1%, 12%, and 47.8%, respectively. In terms of gender, male patients constituted nearly 95% of the study’s population (433/457 patients). Regarding pharmacotherapy, approximately 20% of the low-risk group (groups A and B) was overtreated with inhaled corticosteroid (ICS) components: long-acting β-agonists (LABA) + ICS (15.8%) and long-acting muscarinic antagonist + LABA + ICS (3.8%). There were 13.3% and 1.1% of patients transferred from D to B and from C to A, respectively. All of them had a lower predicted percentage of forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and FEV1/FVC than the patients who remained in groups B or A (p<0.005). This is the first research in Vietnam to show the distribution of COPD patients using both the GOLD 2011 and GOLD 2017 criteria. 14% of patients were reclassified from high-risk to low-risk groups when changing from the 2011 version to the 2017 one, and there was discordance of medications between guidelines and real-life practice. Therefore, clinicians should use their clinical competence to consider patients’ conditions before deciding on the appropriate therapeutic approach. Consequently, further studies were required to evaluate the effect of the change in the GOLD classification.
Vogelmeier CF, Criner GJ, Martinez FJ, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Resp Crit Care 2017;195:557-82.
Safiri S, Carson-Chahhoud K, Noori M, et al. Burden of chronic obstructive pulmonary disease and its attributable risk factors in 204 countries and territories, 1990-2019: results from the Global Burden of Disease Study 2019. BMJ 2022;378:e069679.
Rodriguez-Roisin R, Rabe KF, Vestbo J, et al. Global initiative for chronic obstructive lung disease (GOLD) 20th anniversary: a brief history of time. Eur Respir J 2017;50:1700671.
Vestbo J, Hurd SS, Agustí AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Resp Crit Care 2013;187:347-65.
Agustí A, Celli BR, Criner GJ, et al. Global initiative for chronic obstructive lung disease 2023 report: GOLD executive summary. Am J Resp Crit Care 2023;207:819-37.
Cabrera López C, Casanova Macario C, Marín Trigo JM, et al. Comparison of the 2017 and 2015 global initiative for chronic obstructive lung disease reports. Impact on grouping and outcomes. Am J Resp Crit Care 2018;197:463-9.
Sun L, Chen Y, Wu R, et al. Changes in definition lead to changes in the clinical characteristics across COPD categories according to GOLD 2017: a national cross-sectional survey in China. Int J Chron Obstruct Pulmon Dis 2017;12:3095-102.
Gayle A, Dickinson S, Morris K, et al. What is the impact of GOLD 2017 recommendations in primary care? – a descriptive study of patient classifications, treatment burden and costs. Int J Chron Obstruct Pulmon Dis 2018;13:3485-92.
Cui Y, Dai Z, Luo L, et al. Classification and treatment of chronic obstructive pulmonary disease outpatients in China according to the global initiative for chronic obstructive lung disease (GOLD) 2017: comparison with GOLD 2014. J Thorac Dis 2019;11:1303-15.
Hsieh M-J, Huang S-Y, Yang T-M, et al. The impact of 2011 and 2017 global initiative for chronic obstructive pulmonary disease (GOLD) guidelines on allocation and pharmacological management of patients with COPD in Taiwan: Taiwan obstructive lung disease (TOLD) study. Int J Chron Obstruct Pulmon Dis 2018;13:2949-59.
Oishi K, Hirano T, Hamada K, et al. Characteristics of 2017 GOLD COPD group A: a multicenter cross-sectional CAP study in Japan. Int J Chron Obstruct Pulmon Dis 2018:3901-7.
Song JH, Lee C-H, Um S-J, et al. Clinical impacts of the classification by 2017 GOLD guideline comparing previous ones on outcomes of COPD in real-world cohorts. Int J Chron Obstruct Pulmon Dis 2018:3473-84.
Marçôa R, Rodrigues DM, Dias M, et al. Classification of chronic obstructive pulmonary disease (COPD) according to the new global initiative for chronic obstructive lung disease (GOLD) 2017: comparison with GOLD 2011. COPD 2018;15:21-6.
Kahnert K, Alter P, Young D, et al. The revised GOLD 2017 COPD categorization in relation to comorbidities. Respir Med 2018;134:79-85.
Högman M, Sulku J, Ställberg B, et al. 2017 Global initiative for chronic obstructive lung disease reclassifies half of COPD subjects to lower risk group. Int J Chron Obstruct Pulmon Dis 2018;13:165-73.
Smid DE, Spruit MA, Houben-Wilke S, et al. Burden of COPD in patients treated in different care settings in the Netherlands. Respir Med 2016;118:76-83.
Nguyen HT, Collins PF, Pavey TG, et al. Nutritional status, dietary intake, and health-related quality of life in outpatients with COPD. Int J Chron Obstruct Pulmon Dis 2019:215-26.
Duong-Quy S, Tran Van H, Vo Thi Kim A, et al. Clinical and functional characteristics of subjects with asthma, COPD, and asthma-COPD overlap: a multicentre study in Vietnam. Can Respir J 2018;2018:1732946.
Nguyen T-S, Nguyen TLH, Van Pham TT, et al. Impact of pharmaceutical care in the improvement of medication adherence and quality of life for COPD patients in Vietnam. Respir Med 2019;153:31-7.
Kobayashi S, Hanagama M, Ishida M, et al. Clinical characteristics and outcomes in Japanese patients with COPD according to the 2017 GOLD classification: the Ishinomaki COPD Network Registry. Int J Chron Obstruct Pulmon Dis 2018;13:3947-55.
Brandsma CA, Van den Berge M, Hackett TL, et al. Recent advances in chronic obstructive pulmonary disease pathogenesis: from disease mechanisms to precision medicine. J Pathol 2020;250:624-35.
Hikichi M, Mizumura K, Maruoka S, et al. Pathogenesis of chronic obstructive pulmonary disease (COPD) induced by cigarette smoke. J Thorac Dis 2019;11:S2129-40.
Lange P, Ahmed E, Lahmar ZM, et al. Natural history and mechanisms of COPD. Respirology 2021;26:298-321.
Singh D, Agusti A, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease: the GOLD science committee report 2019. Eur Respir J 2019;53:1900164.
Ntritsos G, Franek J, Belbasis L, et al. Gender-specific estimates of COPD prevalence: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis 2018;13:1507-14.
Zhang H, Wu F, Yi H, et al. Gender differences in chronic obstructive pulmonary disease symptom clusters. Int J Chron Obstruct Pulmon Dis 2021;16:1101-7.
Ministry of Health, Hanoi Medical University, General Statistics Office of Viet Nam. Global Adult Tobacco Survey 2015. Available from: https://extranet.who.int/ncdsmicrodata/index.php/catalog/875/study-description. Accessed in: December 2021.
Haughney J, Gruffydd-Jones K, Roberts J, et al. The distribution of COPD in UK general practice using the new GOLD classification. Eur Respir J 2014;43:993-1002.
Gedebjerg A, Szépligeti SK, Wackerhausen L-MH, et al. Prediction of mortality in patients with chronic obstructive pulmonary disease with the new global initiative for chronic obstructive lung disease 2017 classification: a cohort study. Lancet Respir Med 2018;6:204-12.
Yang Y, Li W, Guo Y, et al. Early COPD risk decision for adults aged from 40 to 79 years based on lung radiomics features. Front Med (Lausanne) 2022;9:845286.
Koarai A, Sugiura H, Yamada M, et al. Treatment with LABA versus LAMA for stable COPD: a systematic review and meta-analysis. BMC Pulm Med 2020;20:111.
Koblizek V, Milenkovic B, Barczyk A, et al. Phenotypes of COPD patients with a smoking history in Central and Eastern Europe: the POPE Study. Eur Respir J 2017;49:1601446.
Vukoja M, Kopitovic I, Lazic Z, et al. Diagnosis and management of chronic obstructive pulmonary disease in Serbia: an expert group position statement. Int J Chron Obstruct Pulmon Dis 2019;14:1993-2002.
Han MK, Quibrera PM, Carretta EE, et al. Frequency of exacerbations in patients with chronic obstructive pulmonary disease: an analysis of the SPIROMICS cohort. Lancet Respir Med 2017;5:619-26.
McGarvey L, Lee AJ, Roberts J, et al. Characterisation of the frequent exacerbator phenotype in COPD patients in a large UK primary care population. Respir Med 2015;109:228-37.
Ethics Approval
The study was approved by the Ethics Committee of the University of Medicine and Pharmacy at Ho Chi Minh city. The data collection process was permitted by the Department of Science and Training of the University Medical Center.How to Cite
Nguyen-Nhu, Vinh, Lam-Phuoc Nguyen, Sy Duong-Quy, Pham Le An, and Tri Bui-Minh. 2023. “Classification of Chronic Obstructive Pulmonary Disease As ABCD According to the GOLD 2011 and 2017 Versions in Patients at the University Medical Center in Ho Chi Minh City, Vietnam”. Monaldi Archives for Chest Disease 94 (2). https://doi.org/10.4081/monaldi.2023.2619.
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Mario Stanislao, Antonio Facciorusso, Serena Michelini, Giovanni de Luca, Mario Fanelli, Guido Valle, Early Cardiac Resynchronization Therapy (CRT) improves the outcome in Heart Failure (HF) patients with Left Bundle Branch Block (LBBB) , Monaldi Archives for Chest Disease: Vol. 78 No. 2 (2012): Cardiac series
- Sotirios Kotoulas, Konstantinos Grapatsas, Charalampos Georgiou, Zoi Tsilogianni, Vasileios Leivaditis, Mariana Braga Lopes Rufino, Christophoros Kotoulas, Common swelling of the dorsal thoracic wall brings an unexpected finding: elastofibroma dorsi , Monaldi Archives for Chest Disease: Vol. 90 No. 1 (2020)
- Sonam Spalgais, Tsewang Thinles, Parul Mrigpuri, Raj Kumar, Pulmonary sarcoidosis presenting as hoarseness and mass lesion , Monaldi Archives for Chest Disease: Vol. 91 No. 1 (2021)
- Francesco Giallauria, Valentina Battimiello, Mariagrazia Veneziano, Paolofabrizio De Luca, Ilenia Cipollaro, Maria Buonincontro, Carlo Vigorito, Domenico Del Forno, Psychosocial risk factors in cardiac practice , Monaldi Archives for Chest Disease: Vol. 68 No. 2 (2007): Cardiac series
- P.M. Turkington, M.W. Elliott, Sleep disordered breathing following stroke , Monaldi Archives for Chest Disease: Vol. 61 No. 3 (2004): Pulmonary series
- Marco Ambrosetti, Gabriella Malfatto, Anna Maria Cremona, Marcello Arca, Pompilio Faggiano, Familial Hypercholesterolemia in Cardiac Rehabilitation: a new field of interest , Monaldi Archives for Chest Disease: Vol. 82 No. 2 (2014): Cardiac series
- Gian Francesco Mureddu, Marco Ambrosetti, Elio Venturini, Maria Teresa La Rovere, Antonio Mazza, Roberto Pedretti, Filippo Sarullo, Francesco Fattirolli, Pompilio Faggiano, Francesco Giallauria, Carlo Vigorito, Elisabetta Angelino, Silvia Brazzo, Matteo Ruzzolini, Cardiac rehabilitation activities during the COVID-19 pandemic in Italy. Position Paper of the AICPR (Italian Association of Clinical Cardiology, Prevention and Rehabilitation) , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- J.L. Lopez-Campos, C. Garcia Polo, A. Leon Jimenez, A. Arnedillo, E. Gonzalez-Moya, J.J. Fenandez Berni, Staff training influence on non-invasive ventilation outcome for acute hypercapnic respiratory failure , Monaldi Archives for Chest Disease: Vol. 65 No. 3 (2006): Pulmonary series
- G. Passalacqua, E. Compalati, M. Schiappoli, G. Senna, Complementary and alternative medicine for the treatment and diagnosis of asthma and allergic diseases , Monaldi Archives for Chest Disease: Vol. 63 No. 1 (2005): Pulmonary series
- Matteo Gelardi, Giuseppe Porro, Vitaliano Quaranta, Nicola Quaranta, Michele Cassano, Giorgio Ciprandi, *Italian Study Group on CRSwNP, Clinical-Cytological-Grading and phenotyping in patients with chronic rhinosinusitis with nasal polyps: the relevance in clinical practice , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
<< < 93 94 95 96 97 98 99 100 101 102 > >>
You may also start an advanced similarity search for this article.
