Abstract
The continuing discrepancy between national and international guidance is unhelpful for patients, doctors, policy makers, and researchers because the Global initiative for chronic Obstructive Lung Disease (GOLD) does not require the presence of subjective symptoms (cough, sputum production, shortness of breath), whereas NICE guidance states that symptoms are a requirement for diagnosis and classification of chronic obstructive pulmonary disease (COPD).1 Why does the National Institute of Health and Clinical …
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