Table 3. Predictive Factors Assessed in COPD Epidemiological Studies.
Study Design and Setting | Factors/Predictors | ||||||||||||||||||||||||||||||
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Study Author | Titlea | Year | Study Designb | Country | Population | Sample Size | Age Range Inclusion | Age | Gender | Race | BMI | Smoking | Passive Smoke, Exposure to Smoke, Second Hand Smoke | Primary Care Visits | Respiratory symptoms | Cough | Phlegm/Sputum | Dyspnea or Shortness of Breath | Wheeze | Chest Infectionsc | Prior Diagnosisd | Exposures (Dust; Biomass Fuel) | Childhood Illness | Education/Occupation | Health Status | Fatigue/Tiredness | Allergies | Breathing Medication or Antibiotics | Family History of Lung Disease | Income | Cardiac Co-Morbidity |
de Marco36 | Incidence of chronic obstructive pulmonary disease in a cohort of young adults according to the presence of chronic cough and phlegm | 2007 | Prospective study of COPD (incidence of COPD) | 12 European countries | General population | 5002 | 20–44 | X | X | X | X | X | X | X | |||||||||||||||||
Hvidsten37 | Prevalence and predictors of undiagnosed chronic obstructive pulmonary disease in a Norwegian adult general population | 2010 | Prospective study of COPD | Norway | General population | 3506 | 47–48 and 71–73 | X | X | X | X | X | X | X | X | X | X | X | X | X | |||||||||||
Lamprecht38 | COPD in never smokers: results from the population-based burden of obstructive lung disease study | 2011 | Prospective analysis | 14 countries | General population | Men (n=1311)Women (n=2578) | ≥40 | X | X | X | X | X | X | X | X | ||||||||||||||||
Medbø39 | What role may symptoms play in the diagnosis of airflow limitation?e | 2008 | Prospective study of COPDf | Norway | General population | 3919 | ≥60 | X | X | X | X | X | X | X | |||||||||||||||||
Ohar40 | Do symptoms predict COPD in smokers?g | 2010 | Prospective study of COPD | US | General population | 3955 | ≥40 | X | X | X | X | X | |||||||||||||||||||
Ulrik41 | Early detection of COPD in general practice | 2011 | Prospective study of COPD | Denmark | General population | 3095 | >35 | X | X | X | X | ||||||||||||||||||||
Albers42 | Do family physicians records fit guideline diagnosed COPD?h | 2009 | Retrospective studyi | Netherlands | Primary care | 532 | 20–70 | X | X | X | X | X | X | X | |||||||||||||||||
Hill43 | Prevalence and underdiagnosis of chronic obstructive pulmonary disease among patients at risk in primary care | 2010 | Prospective study of COPD | Ontario, Canada | Primary care | 1003 | ≥40 | X | X | X | X | X | X | ||||||||||||||||||
Løkke44 | Detection of previously undiagnosed cases of COPD in a high-risk population identified in general practice | 2012 | Prospective study of COPD | Denmark | Primary Care | 4049 | >35 | X | X | X | X | X | X | X | X | X | |||||||||||||||
Minas45 | COPD prevalence and the differences between newly and previously diagnosed COPD patients in a spirometry program | 2010 | Prospective study of COPD | Greece | Primary care | 1526 | >30 | X | X | X | X | X | X | X | X | X | X | X | X | ||||||||||||
Van Schayck46 | Detecting patients at a high risk of developing chronic obstructive pulmonary disease in general practice: cross sectional case finding studyj | 2002 | Prospective study | Netherlands | Primary care | 651 | 35–70 | X | X | X | X | X | X | X | |||||||||||||||||
Vandevoorde47 | Early detection of COPD: A case finding study in general practice | 2007 | Prospective study of COPD | Netherlands | Primary care | 146 | 40–70 | X | X | X | X | X | X | X | X | X |
COPD case definition unless otherwise noted was defined as postbronchodialator FEV1/FVC ratio <0.70
Multivariate analysis used to assess significance in all studies unless otherwise noted
Chest infections including cough, colds, respiratory issues that bring to the doctor
Prior diagnosis of asthma, bronchitis, or chronic expectorations
COPD case definition: Pre bronchodilator FEV1/FVC<0.70 for subjects 69 years and younger and pre bronchodilator FEV1/FVC<0.65 for subjects 70 years and older
Binary logistic regression was used in calculating odds ratios
COPD case definition: Post bronchodilator FEV1/FVC<70%, aged ≥40, and ≥20 pack-years of smoking
COPD case definition: No FEV1 reversibility ≥12% and ≥200 ml after taking salbutamol
Data source: DMCA, Detection, Intervention and Monitoring of COPD and Asthma
COPD case definition: FEV1<80%
Grey shading = odds ratio was significant at p<0.05