Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience
Introduction The Global Lung Function Initiative (GLI) has proposed new criteria for airflow limitation (AL) and recommends using these to interpret spirometry. The objective of this study was to explore the impact of the application of the AL GLI criteria in two well characterized GOLD-defined COPD...
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| Tipo de documento: | Artículo |
| Estado: | Published version |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universidad de Zaragoza |
| Repositorio: | Zaguán. Repositorio Digital de la Universidad de Zaragoza |
| OAI Identifier: | oai:zaguan.unizar.es:132253 |
| Acceso en línea: | http://zaguan.unizar.es/record/132253 |
| Nivel de acceso: | Acceso abierto |
| _version_ | 1878740819760906240 |
|---|---|
| author | de-Torres, Juan P. |
| author2 | Casanova, Ciro Marín, José M. Cabrera, Carlos Marín, Marta Ezponda, Ana Cosio, Borja G. Martínez, Cristina Solanes, Ingrid Fuster, Antonia Calle, Myriam Peces-Barba, Germán Gotera, Carolina Feu-Collado, Nuria Marin, Alicia Alcaide, Ana Belén Sangro, Matilde Bastarrika, Gorka Celli, Bartolome R. |
| author2_role | author author author author author author author author author author author author author author author author author author |
| author_browse | Alcaide, Ana Belén Bastarrika, Gorka Cabrera, Carlos Calle, Myriam Casanova, Ciro Celli, Bartolome R. Cosio, Borja G. Ezponda, Ana Feu-Collado, Nuria Fuster, Antonia Gotera, Carolina Marin, Alicia Martínez, Cristina Marín, José M. Marín, Marta Peces-Barba, Germán Sangro, Matilde Solanes, Ingrid de-Torres, Juan P. |
| author_facet | de-Torres, Juan P. Casanova, Ciro Marín, José M. Cabrera, Carlos Marín, Marta Ezponda, Ana Cosio, Borja G. Martínez, Cristina Solanes, Ingrid Fuster, Antonia Calle, Myriam Peces-Barba, Germán Gotera, Carolina Feu-Collado, Nuria Marin, Alicia Alcaide, Ana Belén Sangro, Matilde Bastarrika, Gorka Celli, Bartolome R. |
| author_role | author |
| collection | Zaguán. Repositorio Digital de la Universidad de Zaragoza |
| description | Introduction The Global Lung Function Initiative (GLI) has proposed new criteria for airflow limitation (AL) and recommends using these to interpret spirometry. The objective of this study was to explore the impact of the application of the AL GLI criteria in two well characterized GOLD-defined COPD cohorts. Methods COPD patients from the BODE (n = 360) and the COPD History Assessment In SpaiN (CHAIN) cohorts (n = 722) were enrolled and followed. Age, gender, pack-years history, BMI, dyspnea, lung function measurements, exercise capacity, BODE index, history of exacerbations and survival were recorded. CT-detected comorbidities were registered in the BODE cohort. The proportion of subjects without AL by GLI criteria was determined in each cohort. The clinical, CT-detected comorbidity, and overall survival of these patients were evaluated. Results In total, 18% of the BODE and 15% of the CHAIN cohort did not meet GLI AL criteria. In the BODE and CHAIN cohorts respectively, these patients had a high clinical burden (BODE ≥ 3: 9% and 20%; mMRC ≥ 2: 16% and 45%; exacerbations in the previous year: 31% and 9%; 6MWD < 350 m: 15% and 19%, respectively), and a similar prevalence of CT-diagnosed comorbidities compared with those with GLI AL. They also had a higher rate of long-term mortality – 33% and 22% respectively. Conclusions An important proportion of patients from 2 GOLD-defined COPD cohorts did not meet GLI AL criteria at enrolment, although they had a significant burden of disease. Caution must be taken when applying the GLI AL criteria in clinical practice. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_d9fa6cc34d863433cc2c1fb63c723c18 |
| institution | Universidad de Zaragoza |
| instname_str | Universidad de Zaragoza |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:zaguan.unizar.es:132253 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| reponame_str | Zaguán. Repositorio Digital de la Universidad de Zaragoza |
| spelling | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience de-Torres, Juan P. Casanova, Ciro Marín, José M. Cabrera, Carlos Marín, Marta Ezponda, Ana Cosio, Borja G. Martínez, Cristina Solanes, Ingrid Fuster, Antonia Calle, Myriam Peces-Barba, Germán Gotera, Carolina Feu-Collado, Nuria Marin, Alicia Alcaide, Ana Belén Sangro, Matilde Bastarrika, Gorka Celli, Bartolome R. Introduction The Global Lung Function Initiative (GLI) has proposed new criteria for airflow limitation (AL) and recommends using these to interpret spirometry. The objective of this study was to explore the impact of the application of the AL GLI criteria in two well characterized GOLD-defined COPD cohorts. Methods COPD patients from the BODE (n = 360) and the COPD History Assessment In SpaiN (CHAIN) cohorts (n = 722) were enrolled and followed. Age, gender, pack-years history, BMI, dyspnea, lung function measurements, exercise capacity, BODE index, history of exacerbations and survival were recorded. CT-detected comorbidities were registered in the BODE cohort. The proportion of subjects without AL by GLI criteria was determined in each cohort. The clinical, CT-detected comorbidity, and overall survival of these patients were evaluated. Results In total, 18% of the BODE and 15% of the CHAIN cohort did not meet GLI AL criteria. In the BODE and CHAIN cohorts respectively, these patients had a high clinical burden (BODE ≥ 3: 9% and 20%; mMRC ≥ 2: 16% and 45%; exacerbations in the previous year: 31% and 9%; 6MWD < 350 m: 15% and 19%, respectively), and a similar prevalence of CT-diagnosed comorbidities compared with those with GLI AL. They also had a higher rate of long-term mortality – 33% and 22% respectively. Conclusions An important proportion of patients from 2 GOLD-defined COPD cohorts did not meet GLI AL criteria at enrolment, although they had a significant burden of disease. Caution must be taken when applying the GLI AL criteria in clinical practice. http://zaguan.unizar.es/record/132253 |
| spellingShingle | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience de-Torres, Juan P. |
| status_str | publishedVersion |
| title | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience |
| title_full | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience |
| title_fullStr | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience |
| title_full_unstemmed | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience |
| title_short | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience |
| title_sort | Impact of Applying the Global Lung Initiative Criteria for Airway Obstruction in GOLD Defined COPD Cohorts: The BODE and CHAIN Experience |
| url | http://zaguan.unizar.es/record/132253 |