Asthma-COPD overlap confusion: Call for better guidance

DEBATE is simmering over the labelling of patients with asthma-COPD overlap syndrome (ACOS) but specialists agree on the need for greater awareness of vulnerable patients with features of both diseases.

In a paper calling for better guidance on ACOS and a review of airways disease taxonomy, Sydney respiratory specialist Clinical Associate Professor Helen Reddel and colleagues say the syndrome is associated with greater morbidity than asthma or COPD alone.

“In the past, guidelines about asthma have said that you need to distinguish it from COPD,