1. COPD

2. Introduction

3. GOLD 2017: Definition of COPD

4. COPD Diagnosis: The Paradox

5. Worldwide COPD Prevalence

6. COPD Now Ranks Third in Diseases Leading to Deaths Globally

7. Universally High Underdiagnosis of COPD

8. Detection (GOLD)

9. Questionnaires Can Help: IPAG COPD Questionnaire

10. Detection (GOLD)

11. Objectives of Treatment

12. Available Medications

13. Individualized Benefit-Risk Assessment

14. The GOLD Refined ABCD Assessment Tool

15. GOLD 2017: New Pharmacologic Treatment Recommendations

16. GOLD A Therapeutic Recommendations

17. GOLD B Therapeutic Recommendations

18. GOLD C Therapeutic Recommendations

19. GOLD D Therapeutic Recommendations

20. All Patients With COPD Are Obstructed and Need Bronchodilation

21. FLAME Study

22. LABA + LAMA > LABA + ICS on Exacerbations

23. No Inversion in Patients With Higher Blood Eosinophils

24. GOLD 2017: Consider ICS Withdrawal in Patients Who Exacerbate Despite Triple Therapy

25. WISDOM: ICS Withdrawal Did Not Increase Exacerbations in Patients With Severe COPD

26. WISDOM: ICS Withdrawal Only Increased Exacerbation Risk in Patients With ≥2 Prior Exacerbations and Elevated Blood Eosinophils

27. Associated Measures

28. Phenotyping and Treatment of COPD

29. Future Algorithms

30. Conclusion

31. Abbreviations

32. Abbreviations (cont)

33. Abbreviations (cont)