All that glitters is not GOLD, nor is it even NICE

Please note an error has been corrected in the PCRS treatment guidelines article "All that glitters is not GOLD, nor is it even NICE" which first appeared in the Spring 2019 issue of Primary Care Respiratory Update. We had placed LAMA instead of LABA in the asthma/COPD overlap column in figure 7.

This is a consensus-based article that sets out a simple treatment pathway based on the predominant characteristics of COPD for an individual – whether symptoms or exacerbations – distilled from current guidelines.

The article has been developed by a group of clinicians working with and in primary care, facilitated by integrated care consultant Vince Mak; GPs Duncan Keeley, Noel Baxter and Kevin Gruffydd Jones; practice nurse Carol Stonham; and pharmacist Anna Murphy.

Our pharmacist colleagues noted that we had placed LAMA instead of LABA in the asthma/COPD overlap column in figure 7. This was not intentional and we have now corrected this.

We have also had feedback that the first SABA step without ICS controller is no longer consistent with current thinking in asthma management and all authors have agreed that straight to ICS/LABA is the most appropriate course of action for anyone with COPD and asthma features.