Definitions of Chronic Obstructive Pulmonary Disease and Chronic Obstructive Pulmonary Disease Exacerbation: A Modified Delphi Survey

Yong Bum Park, Jin Hwa Lee, Seung Won Ra, Hye Yun Park, Ji Ye Jung, Young Ae Kang, Chin Kook Rhee, Deog Kyeom Kim, Kwang Ha Yoo, Yong Il Hwang, Seong Yong Lim, Jae Seung Lee, Kyung Wook Jo, Yeon Mok Oh

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) update 2023 proposed new definitions of chronic obstructive pulmonary disease (COPD) and COPD exacerbation. However, an agreement on the definitions has not been made, either internationally or domestically. This study aimed to reach an agreement between experts on the new definitions of COPD and COPD exacerbation in South Korea. Methods: A modified Delphi method was used to make an agreement on the definitions of COPD and COPD exacerbation proposed by the GOLD update 2023. We performed two rounds of the survey including 15 Korean experts on COPD, asthma, and tuberculosis. Results: More than two-thirds of the experts agreed on 12 of the 13 statements related to the definitions of COPD and COPD exacerbation in the two rounds of the survey. The experts agreed on the definitions of COPD and COPD exacerbation that should be revised in line with the definitions proposed by the GOLD update 2023. However, the experts showed an uncertain opinion on the statement that the definition of COPD includes patients with persistent airflow obstruction due to bronchiectasis. Conclusion: Based on this Delphi survey, experts’ agreement was made on the definitions of COPD and COPD exacerbation proposed by the GOLD update 2023.

Original languageEnglish
Pages (from-to)196-202
Number of pages7
JournalTuberculosis and Respiratory Diseases
Volume86
Issue number3
DOIs
StatePublished - Jul 2023

Bibliographical note

Publisher Copyright:
Copyright © 2023 The Korean Academy of Tuberculosis and Respiratory Diseases.

Keywords

  • Chronic Obstructive Pulmonary Disease
  • Definition
  • Exacerbation

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