Implementing the change in National Institute for Health and Clinical Excellence guidance on airflow obstruction grading in chronic obstructive pulmonary disease

David Brendan Price, Rupert C M Jones, Kevin Gruffydd-Jones

Research output: Contribution to journalArticle


The updated National Institute for Health and Clinical Excellence (NICE) chronic obstructive pulmonary disease (COPD) guidelines1 and the draft national strategy for COPD2 have recommended a change in the classification of airflow obstruction severity to align them with international classifications. NICE's 2004 guidelines recognised that disease severity is not the same as the severity of airflow obstruction and has recommended using other measures such as the Medical Research Council (MRC) dyspnoea scale, exacerbation frequency and multicomponent indices.3
Original languageEnglish
Pages (from-to)543-544
Number of pages2
Issue number6
Early online date14 Oct 2010
Publication statusPublished - 2011


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