A rapidly changing understanding of COPD: World COPD Day from the COPD Foundation

Thomashow, Byron; Mannino, David M.; Tal‐Singer, Ruth; Crapo, James D.

doi:10.1152/ajplung.00400.2021

Cited by 11 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evidence from cohorts of smokers at risk has shown a relationship between the existence of symptoms (cough and phlegm), low FEV 1 % pred, rapid rate of lung function decline, low D LCO , low BMI and emphysema detected with chest CT scans with incident CAL [ 10 , 41 , 42 ]. Currently, a chest CT is hard to justify if the subject does not meet lung cancer screening criteria, repeated spirometries over time to establish FEV 1 decline is time and resource consuming, while the D LCO may not be readily available, particularly in low- or middle-income countries with resource-limited healthcare systems [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

From pre-COPD to COPD: a Simple, Low cost and easy to IMplement (SLIM) risk calculator

Divo,

Liu,

Polverino

et al. 2023

Eur Respir J

View full text Add to dashboard Cite

IntroductionThe lifetime risk of developing clinical COPD among smokers ranges from 13 to 22%. Identifying at-risk individuals who will develop overt disease in a reasonable time frame may allow for early intervention. We hypothesized that readily available clinical and physiological variables could help identify ever-smokers at higher risk of developing Chronic Airflow Limitation (CAL).MethodsAmong the 2273 Lovelace Smokers’ Cohort (LSC) participants, we included 677 (mean age=54 years) with normal spirometry at baseline and a minimum of 3 spirometries, each one year apart. Repeated spirometric measurements were used to determine incident CAL. Using logistic regression, demographics, anthropometrics, smoking history, mMRC dyspnoea, St. George's questionnaire, comorbidities, and spirometric we related variables obtained at baseline to incident CAL as defined by the GOLD and LLN criteria. The predictive model derived from the LSC was validated in subjects from the COPDGene Study.ResultsOver 6.3 years, the incidence of CAL was 26 cases per 1000 person-years. The strongest independent predictors were FEV1/FVC <0.75, having smoked ≥30 pack-years, BMI <25 kg.m2, and symptoms of chronic bronchitis. Having all four predictors increased the risk of developing CAL over 6 years to 85% (AUROC=0.84, 95% CI 0.81–0.89). The prediction model showed similar results when applied to subjects in the COPDGene Study with a follow-up period of 10 years (AUROC= 0.77, 95% CI 0.72–0.81).ConclusionIn middle-aged ever-smokers, a simple predictive model with FEV1/FVC, smoking history, BMI, and chronic bronchitis, helps identify subjects at high risk of developing CAL.

show abstract

Section: Discussionmentioning

confidence: 99%

From pre-COPD to COPD: a Simple, Low cost and easy to IMplement (SLIM) risk calculator

Divo,

Liu,

Polverino

et al. 2023

Eur Respir J

View full text Add to dashboard Cite

show abstract

“… 16 , 36–40 COPD is potentially fatal; yet, interpersonal discomfort on the taboo topic of death may delay patient-provider discussions on prognosis. 41 The lack of dedicated resources for COPD has also extended into research, 42 as evidenced by some researchers calling COPD the “poor cousin” 25 of other chronic conditions.…”

Section: Background and Significancementioning

confidence: 99%

From illness management to quality of life: rethinking consumer health informatics opportunities for progressive, potentially fatal illnesses

Antonio,

Veinot

2023

Journal of the American Medical Informatics Association

View full text Add to dashboard Cite

Objectives Investigate how people with chronic obstructive pulmonary disease (COPD)—an example of a progressive, potentially fatal illness—are using digital technologies (DTs) to address illness experiences, outcomes and social connectedness. Materials and Methods A transformative mixed methods study was conducted in Canada with people with COPD (n = 77) or with a progressive lung condition (n = 6). Stage-1 interviews (n = 7) informed the stage-2 survey. Survey responses (n = 80) facilitated the identification of participants for stage-3 interviews (n = 13). The interviews were thematically analyzed. Descriptive statistics were calculated for the survey. The integrative mixed method analysis involved mixing between and across the stages. Results Most COPD participants (87.0%) used DTs. However, few participants frequently used DTs to self-manage COPD. People used DTs to seek online information about COPD symptoms and treatments, but lacked tailored information about illness progression. Few expressed interest in using DTs for self- monitoring and tracking. The regular use of DTs for intergenerational connections may facilitate leaving a legacy and passing on traditions and memories. Use of DTs for leisure activities provided opportunities for connecting socially and for respite, reminiscing, distraction and spontaneity. Discussion and Conclusion We advocate reconceptualizing consumer health technologies to prioritize quality of life for people with a progressive, potentially fatal illness. “Quality of life informatics” should focus on reducing stigma regarding illness and disability and taboo towards death, improving access to palliative care resources and encouraging experiences to support social, emotional and mental health. For DTs to support people with fatal, progressive illnesses, we must expand informatics strategies to quality of life.

show abstract

“…Patients in the possible or probable COPD categories may be categorized as either COPD or Pre-COPD. With permission from the American Journal of Physiology, Lung Cellular and Molecular Physiology [51]. reduced ventricular preload and diastolic dysfunction [61,62].…”

Section: Prospects For Treatment By Copd Subtypes: Barry Make Nicola ...mentioning

confidence: 99%

COPD: Providing the right treatment for the right patient at the right time

Amann

Tabtabai²,

Wakefield³

et al. 2023

Respiratory Medicine

View full text Add to dashboard Cite

A rapidly changing understanding of COPD: World COPD Day from the COPD Foundation

Abstract: World COPD Day raises awareness about chronic obstructive pulmonary disease (COPD). The 2021 aim is to highlight the ongoing high burden of COPD in the midst on the COVID-19 pandemic.

Cited by 11 publications

References 33 publications

From pre-COPD to COPD: a Simple, Low cost and easy to IMplement (SLIM) risk calculator

From pre-COPD to COPD: a Simple, Low cost and easy to IMplement (SLIM) risk calculator

From illness management to quality of life: rethinking consumer health informatics opportunities for progressive, potentially fatal illnesses

COPD: Providing the right treatment for the right patient at the right time

Contact Info

Product

Resources

About