Artículo
New GOLD classification: longitudinal data on group assignment
Autor/es | Casanova, Ciro
Marin, Jose M Martínez-González, Cristina Lucas-Ramos, Pilar de Mir-Viladrich, Isabel Cosio, Borja Alfageme Michavila, Inmaculada López-Campos Bodineau, José Luis Torres, Juan de |
Departamento | Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2014-01-13 |
Fecha de depósito | 2021-08-26 |
Publicado en |
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Resumen | 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 ... 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. |
Cita | Casanova, C., Marin, J.M., Martínez-González, C., Lucas-Ramos, P.d., Mir-Viladrich, I., Cosio, B.,...,de Torres, J. (2014). New GOLD classification: longitudinal data on group assignment. Respiratory Research, 15 (1), art.n.3. |
Ficheros | Tamaño | Formato | Ver | Descripción |
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New GOLD classification.pdf | 881.9Kb | [PDF] | Ver/ | New GOLD classification |
Corrección...pdf | 269.7Kb | [PDF] | Ver/ | |