Table 3.
Extrapolated Changes in Outcomes Calculated from Race-Based and Race-Neutral Lung-Function Equations, According to Persons Affected and Disability Payments in the United States.*
| Outcome | Net Change | Total Change | ||||||
|---|---|---|---|---|---|---|---|---|
| Overall | Asian or Other | Black | Hispanic | White | Overall | Newly Classified | No Longer Classified | |
| Persons affected — no., in thousands (95% CI) | ||||||||
| Obstructive impairment | 2070 (1330 to 2820) | −392 (−608 to −177) | 110 (−17 to 237) | 349 (231 to 466) | 2010 (1360 to 2650) | 3200 (2630 to 3860) | 2640 (2080 to 3290) | 565 (338 to 884) |
| Nonobstructive impairment | −4700 (−6140 to −3270) | −304 (−498 to −110) | 2340 (1930 to 2750) | −1370 (−1800 to −942) | −5370 (−6550 to −4190) | 9620 (8570 to 10,800) | 2460 (1960 to 3040) | 7160 (6130 to 8320) |
| Moderate-to-severe COPD: GOLD grade ≥2 | −749 (−1180 to −316) | 6 (−15 to 27) | 428 (300 to 556) | −85 (−139 to −32) | −1100 (−1480 to −715) | 1660 (1300 to 2070) | 453 (324 to 617) | 1200 (857 to 1640) |
| Occupational disqualification from firefighting | −624 (−1200 to −48) | 72 (10 to 135) | 754 (540 to 969) | −181 (−262 to −100) | −1270 (−1730 to −809) | 2280 (1840 to 2780) | 826 (601 to 1110) | 1450 (1030 to 1980) |
| Moderate-to-severe impairment: AMA class ≥2 | −297 (−725 to 131) | 41 (−9 to 92) | 638 (478 to 797) | −38 (−59 to −16) | −938 (−1310 to −570) | 1580 (1250 to 1960) | 646 (481 to 849) | 929 (632 to 1320) |
| Annual VA disability payments — U.S. $, in millions (95% Cl) | 806 (−42 to 1,650) | 279 (−268 to 825) | 1,100 (585 to 1,610) | 46 (−99 to 7) | −524 (−917 to −131) | 1,940 (1,100 to 2,790) | 1,380 (627 to 2,120) | 570 (173 to 966) |
Differences are shown for the total number of affected persons or disability payment dollars when criteria are calculated with the use of race-neutral GLI-Global equations as compared with race-based GLI-2012 equations. Data from NHANES IV were survey-adjusted to be representative of the U.S. population (see the Supplementary Methods section).