Title |
The diagnostic performance of patient symptoms in screening for COPD
|
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Published in |
Respiratory Research, August 2018
|
DOI | 10.1186/s12931-018-0853-5 |
Pubmed ID | |
Authors |
Kate M. Johnson, Wan C. Tan, Jean Bourbeau, Don D. Sin, Mohsen Sadatsafavi, for the Canadian Cohort of Obstructive Lung Disease (CanCOLD) study and the Canadian Respiratory Research Network |
Abstract |
It is recommended that screening for COPD be restricted to symptomatic individuals, but supporting evidence is lacking. We determined the performance of wheeze, cough, phlegm, and dyspnea in discriminating COPD versus non-COPD in a population-based sample of 1332 adults. Area Under the Receiver Operating Curves (AUC) indicated that symptoms had modest performance whether assessed individually (AUCs 0.55-0.62), or in combination (AUC for number of symptoms as the predictor 0.64). AUC improved with the inclusion of multiple other factors (AUC 0.71). Restricting screening to symptomatic individuals is unlikely to substantially improve the yield of general population screening for undiagnosed COPD. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Canada | 2 | 22% |
Ecuador | 1 | 11% |
United States | 1 | 11% |
Australia | 1 | 11% |
United Kingdom | 1 | 11% |
Unknown | 3 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 7 | 78% |
Practitioners (doctors, other healthcare professionals) | 2 | 22% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 21 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 7 | 33% |
Student > Ph. D. Student | 3 | 14% |
Researcher | 2 | 10% |
Other | 2 | 10% |
Student > Bachelor | 1 | 5% |
Other | 0 | 0% |
Unknown | 6 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 33% |
Social Sciences | 2 | 10% |
Computer Science | 1 | 5% |
Biochemistry, Genetics and Molecular Biology | 1 | 5% |
Nursing and Health Professions | 1 | 5% |
Other | 1 | 5% |
Unknown | 8 | 38% |