2024-03-29T12:13:54Zhttps://repositori.uji.es/oai/requestoai:repositori.uji.es:10234/1622292021-06-10T18:02:30Zcom_10234_36080com_10234_9col_10234_36082
Repositori UJI
author
Casanova, Ciro
author
Marin, Jose M.
author
Martinez-Gonzalez, Cristina
author
Lucas-Ramos, Pilar de
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Mir-Viladrich, Isabel
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Cosio, Borja
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Peces-Barba, Germán
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Calle-Rubio, Miryam
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Solanes-García, Ingrid
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Agüero Balbin, Ramón
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de Diego, Alfredo
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Feu-Collado, Nuria
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Alfageme Michavila, Inmaculada
author
Irigaray, Rosa
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Balcells, Eva
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Llunell Casanovas, Antònia
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Bautista i García, Joan Damià
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Marín Royo, Margarita
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Soler-Cataluña, Juan J.
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Lopez-Campos, Jose Luis
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Soriano, Joan B.
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Torres, Juan P. de
author
COPD History Assessment In SpaiN (CHAIN) cohort
2016-09-06T13:17:32Z
2016-09-06T13:17:32Z
2014
Casanova et al.: New GOLD classification: longitudinal data on group assignment. Respiratory Research 2014 15:3.
1465-99211465-993X
http://hdl.handle.net/10234/162229
http://dx.doi.org/10.1186/1465-9921-15-3
Rationale: Little is known about the longitudinal changes associated with using the 2013 update of the
multidimensional GOLD strategy for chronic obstructive pulmonary disease (COPD).
Objective: To determine the COPD patient distribution of the new GOLD proposal and evaluate how this
classification changes over one year compared with the previous GOLD staging based on spirometry only.
Methods: We analyzed data from the CHAIN study, a multicenter observational Spanish cohort of COPD patients
who are monitored annually. Categories were defined according to the proposed GOLD: FEV1%, mMRC dyspnea,
COPD Assessment Test (CAT), Clinical COPD Questionnaire (CCQ), and exacerbations-hospitalizations. One-year
follow-up information was available for all variables except CCQ data.
Results: At baseline, 828 stable COPD patients were evaluated. On the basis of mMRC dyspnea versus CAT, the
patients were distributed as follows: 38.2% vs. 27.2% in group A, 17.6% vs. 28.3% in group B, 15.8% vs. 12.9% in
group C, and 28.4% vs. 31.6% in group D. Information was available for 526 patients at one year: 64.2% of patients
remained in the same group but groups C and D show different degrees of variability. The annual progression by
group was mainly associated with one-year changes in CAT scores (RR, 1.138; 95%CI: 1.074-1.206) and BODE index
values (RR, 2.012; 95%CI: 1.487-2.722).
Conclusions: In the new GOLD grading classification, the type of tool used to determine the level of symptoms
can substantially alter the group assignment. A change in category after one year was associated with longitudinal
changes in the CAT and BODE index.
eng
© Casanova et al.; licensee BioMed Central Ltd. 2014
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Atribución 4.0 España
COPD
GOLD
Longitudinal
New GOLD classification: longitudinal data on group assignment
info:eu-repo/semantics/article
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