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Correspondence
Implementing the change in National Institute for Health and Clinical Excellence guidance on airflow obstruction grading in chronic obstructive pulmonary disease
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  1. Rupert C M Jones1,
  2. Kevin Gruffydd-Jones2,
  3. David B Price3
  1. 1Peninsula Medical School, Respiratory Research Unit, Plymouth, UK
  2. 2Box Surgery, London Road, Corsham, UK
  3. 3University of Aberdeen, Department of General Practice and Primary Care, Aberdeen, UK
  1. Correspondence to Dr Rupert C M Jones, Peninsula Medical School, Room N21, 1 Davy Road, Plymouth PL6 8BX, UK; rupert.jones{at}pms.ac.uk

https://doi.org/10.1136/thx.2010.148510

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    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 However, UK …

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