Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study
A hallmark of the diagnosis of chronic obstructive pulmonary disease (COPD) is the measurement of post-bronchodilator (post-BD) airflow obstruction (AO) by spirometry, but spirometry is not enough for the provision of a clinical diagnosis. In the majority of previous epidemiological studies, COPD di...
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ftunivleuven:oai:lirias.kuleuven.be:123456789/599748 2023-05-15T17:40:39+02:00 Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study Andreeva, Elena Pokhaznikova, Marina Lebedev, Anatoly Moiseeva, Irina Kuznetsova, Olga Degryse, Jean-Marie 2017-11 1015111 bytes application/pdf https://lirias.kuleuven.be/handle/123456789/599748 https://doi.org/10.1038/s41533-017-0062-6 https://lirias.kuleuven.be/bitstream/123456789/599748/1//Andreeva_et_al-2017-npj_Primary_Care_Respiratory_Medicine.pdf en eng Nature Publishing Group Npj Primary Care Respiratory Medicine vol:27 issue:1 pages:62 https://lirias.kuleuven.be/handle/123456789/599748 2055-1010 http://dx.doi.org/10.1038/s41533-017-0062-6 https://lirias.kuleuven.be/bitstream/123456789/599748/1//Andreeva_et_al-2017-npj_Primary_Care_Respiratory_Medicine.pdf 477200;public Article IT 477200;Article 2017 ftunivleuven https://doi.org/10.1038/s41533-017-0062-6 2018-01-06T16:27:05Z A hallmark of the diagnosis of chronic obstructive pulmonary disease (COPD) is the measurement of post-bronchodilator (post-BD) airflow obstruction (AO) by spirometry, but spirometry is not enough for the provision of a clinical diagnosis. In the majority of previous epidemiological studies, COPD diagnosis has been based on spirometry and a few clinical characteristics. The aim of our study was to identify outcomes in patients newly diagnosed with airflow obstruction (AO) based on a diagnostic work-up conducted as part of a population-based cross-sectional study in North-Western Russia. Spirometry was performed before (pre-BD) and after BD administration, and AO was defined using the FEV1/FVC <0.70 and FEV1/FVC <lower limit of normal cut-off values. Relevant symptoms were recorded. Participants with AO identified at baseline were then examined by a pulmonologist, including a clinical examination and second spirometry with BD test. Of the 102 participants with post-BD AO in the initial assessment, only 60.8% still had AO identified at the second examination; among these patients, the following final diagnoses were reported: COPD (n = 41), asthma (n = 5), asthma-COPD overlap syndrome (ACOS) (n = 4) and likely ACOS (n = 5). Of the 65 participants with pre-BD AO, 23.1% had post-BD AO at the second assessment, and these patients had been diagnosed with COPD (n = 12), asthma (n = 1), ACOS (n = 1), likely ACOS (n = 1). Serial spirometric assessments complemented by a comprehensive clinical evaluation are recommended in new epidemiological studies. status: published Article in Journal/Newspaper North-Western Russia KU Leuven: Lirias npj Primary Care Respiratory Medicine 27 1 |
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KU Leuven: Lirias |
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English |
description |
A hallmark of the diagnosis of chronic obstructive pulmonary disease (COPD) is the measurement of post-bronchodilator (post-BD) airflow obstruction (AO) by spirometry, but spirometry is not enough for the provision of a clinical diagnosis. In the majority of previous epidemiological studies, COPD diagnosis has been based on spirometry and a few clinical characteristics. The aim of our study was to identify outcomes in patients newly diagnosed with airflow obstruction (AO) based on a diagnostic work-up conducted as part of a population-based cross-sectional study in North-Western Russia. Spirometry was performed before (pre-BD) and after BD administration, and AO was defined using the FEV1/FVC <0.70 and FEV1/FVC <lower limit of normal cut-off values. Relevant symptoms were recorded. Participants with AO identified at baseline were then examined by a pulmonologist, including a clinical examination and second spirometry with BD test. Of the 102 participants with post-BD AO in the initial assessment, only 60.8% still had AO identified at the second examination; among these patients, the following final diagnoses were reported: COPD (n = 41), asthma (n = 5), asthma-COPD overlap syndrome (ACOS) (n = 4) and likely ACOS (n = 5). Of the 65 participants with pre-BD AO, 23.1% had post-BD AO at the second assessment, and these patients had been diagnosed with COPD (n = 12), asthma (n = 1), ACOS (n = 1), likely ACOS (n = 1). Serial spirometric assessments complemented by a comprehensive clinical evaluation are recommended in new epidemiological studies. status: published |
format |
Article in Journal/Newspaper |
author |
Andreeva, Elena Pokhaznikova, Marina Lebedev, Anatoly Moiseeva, Irina Kuznetsova, Olga Degryse, Jean-Marie |
spellingShingle |
Andreeva, Elena Pokhaznikova, Marina Lebedev, Anatoly Moiseeva, Irina Kuznetsova, Olga Degryse, Jean-Marie Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study |
author_facet |
Andreeva, Elena Pokhaznikova, Marina Lebedev, Anatoly Moiseeva, Irina Kuznetsova, Olga Degryse, Jean-Marie |
author_sort |
Andreeva, Elena |
title |
Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study |
title_short |
Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study |
title_full |
Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study |
title_fullStr |
Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study |
title_full_unstemmed |
Spirometry is not enough to diagnose COPD in epidemiological studies: a follow-up study |
title_sort |
spirometry is not enough to diagnose copd in epidemiological studies: a follow-up study |
publisher |
Nature Publishing Group |
publishDate |
2017 |
url |
https://lirias.kuleuven.be/handle/123456789/599748 https://doi.org/10.1038/s41533-017-0062-6 https://lirias.kuleuven.be/bitstream/123456789/599748/1//Andreeva_et_al-2017-npj_Primary_Care_Respiratory_Medicine.pdf |
genre |
North-Western Russia |
genre_facet |
North-Western Russia |
op_relation |
Npj Primary Care Respiratory Medicine vol:27 issue:1 pages:62 https://lirias.kuleuven.be/handle/123456789/599748 2055-1010 http://dx.doi.org/10.1038/s41533-017-0062-6 https://lirias.kuleuven.be/bitstream/123456789/599748/1//Andreeva_et_al-2017-npj_Primary_Care_Respiratory_Medicine.pdf |
op_rights |
477200;public |
op_doi |
https://doi.org/10.1038/s41533-017-0062-6 |
container_title |
npj Primary Care Respiratory Medicine |
container_volume |
27 |
container_issue |
1 |
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1766141629724360704 |