Mostrar el registro sencillo del ítem
dc.contributor.author | Smid, Dionne E | |
dc.contributor.author | Franssen, Frits M. E | |
dc.contributor.author | Gonik, Maria | |
dc.contributor.author | Miravitlles, Marc | |
dc.contributor.author | Casanova, Ciro | |
dc.contributor.author | García-Cosío, Borja Autor/a del sistema sanitario público de las Islas Baleares Orcid | |
dc.contributor.author | de Lucas, Pilar | |
dc.contributor.author | Marin, Jose M | |
dc.contributor.author | Martinez, Cristina | |
dc.contributor.author | Mir, IsabelAutor/a del sistema sanitario público de las Islas Baleares | |
dc.contributor.author | Soriano, Joan B.Autor/a del sistema sanitario público de las Islas Baleares | |
dc.contributor.author | De Torres Tajes, Juan Pablo | |
dc.contributor.author | Agusti, Alvar | |
dc.contributor.author | Atalay, Nart B | |
dc.contributor.author | Billington, Julia | |
dc.contributor.author | Boutou, Afroditi K | |
dc.contributor.author | Brighenti-Zogg, Stefanie | |
dc.contributor.author | Chaplin, Emma | |
dc.contributor.author | Coster, Samantha | |
dc.contributor.author | Dodd, James W | |
dc.contributor.author | Durr, Selina | |
dc.contributor.author | Fernandez-Villar, Alberto | |
dc.contributor.author | Groenen, Miriam T. J | |
dc.contributor.author | Guimaraes, Miguel | |
dc.contributor.author | Hejduk, Karel | |
dc.contributor.author | Higgins, Victoria | |
dc.contributor.author | Hopkinson, Nicholas S | |
dc.contributor.author | Horita, Nobuyuki | |
dc.contributor.author | Houben-Wilke, Sarah | |
dc.contributor.author | Janssen, Daisy J. A | |
dc.contributor.author | Jehn, Melissa | |
dc.contributor.author | Joerres, Rudolf | |
dc.contributor.author | Karch, Annika | |
dc.contributor.author | Kelly, Julia L | |
dc.contributor.author | Kim, Yu-Il | |
dc.contributor.author | Kimura, Hiroshi | |
dc.contributor.author | Koblizek, Vladimir | |
dc.contributor.author | Kocks, Janwillem H | |
dc.contributor.author | Kon, Samantha S. C | |
dc.contributor.author | Kwon, Namhee | |
dc.contributor.author | Ladeira, Ines | |
dc.contributor.author | Lee, Sang-Do | |
dc.contributor.author | Leuppi, Joerg D | |
dc.contributor.author | Locantore, Nicholas | |
dc.contributor.author | Lopez-Campos, Jose L | |
dc.contributor.author | Man, William D-C | |
dc.contributor.author | Maricic, Lana | |
dc.contributor.author | Mendoza, Laura | |
dc.contributor.author | Miedinger, David | |
dc.contributor.author | Mihaltan, Florin | |
dc.contributor.author | Minami, Seigo | |
dc.contributor.author | van der Molen, Thys | |
dc.contributor.author | Murrells, Trevor J | |
dc.contributor.author | Nakken, Nienke | |
dc.contributor.author | Nishijima, Yu | |
dc.contributor.author | Norman, Ian J | |
dc.contributor.author | Novotna, Barbora | |
dc.contributor.author | O'Donnell, Denis E | |
dc.contributor.author | Ogata, Yoshitaka | |
dc.contributor.author | Pereira, Eanes D | |
dc.contributor.author | Piercy, James | |
dc.contributor.author | Price, David | |
dc.contributor.author | Pothirat, Chaicharn | |
dc.contributor.author | Raghavan, Natya | |
dc.contributor.author | Ringbaek, Thomas | |
dc.contributor.author | Sajkov, Dimitar | |
dc.contributor.author | Sigari, Naseh | |
dc.contributor.author | Singh, Sally | |
dc.contributor.author | Small, Mark | |
dc.contributor.author | da Silva, Guilherme F | |
dc.contributor.author | Tanner, Rebecca J | |
dc.contributor.author | Tsiligianni, Ioanna G | |
dc.contributor.author | Tulek, Baykal | |
dc.contributor.author | Tzanakis, Nikolaos | |
dc.contributor.author | Vanfleteren, Lowie E. G. W | |
dc.contributor.author | Watz, Henrik | |
dc.contributor.author | Webb, Katherine A | |
dc.contributor.author | Wouters, Emiel F. M | |
dc.contributor.author | Xie, Guogang G | |
dc.contributor.author | Yoshikawa, Masanori | |
dc.contributor.author | Spruit, Martijn A | |
dc.date.accessioned | 2024-07-11T09:12:21Z | |
dc.date.available | 2024-07-11T09:12:21Z | |
dc.date.issued | 2017-12-01 | |
dc.identifier.citation | Smid Dionne E., Franssen Frits M. E., Gonik Maria, Miravitlles Marc, Casanova Ciro, Cosio Borja G, et al. Redefining Cut-Points for High Symptom Burden of the Global Initiative for Chronic Obstructive Lung Disease Classification in 18,577 Patients With Chronic Obstructive Pulmonary Disease. J Am Med Dir Assoc. 2017 Dec 01;18(12):1097.e11-1097.e24. | en |
dc.identifier.issn | 1525-8610 | |
dc.identifier.other | http://hdl.handle.net/20.500.13003/9538 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/20495 | |
dc.description.abstract | Background: Patients with chronic obstructive pulmonary disease (COPD) can be classified into groups A/C or B/D based on symptom intensity. Different threshold values for symptom questionnaires can result in misclassification and, in turn, different treatment recommendations. The primary aim was to find the best fitting cut-points for Global initiative for chronic Obstructive Lung Disease (GOLD) symptom measures, with an modified Medical Research Council dyspnea grade of 2 or higher as point of reference. Methods: After a computerized search, data from 41 cohorts and whose authors agreed to provide data were pooled. COPD studies were eligible for analyses if they included, at least age, sex, post-bronchodilator spirometry, modified Medical Research Council, and COPD Assessment Test (CAT) total scores. Main outcomes: Receiver operating characteristic curves and the Youden index were used to determine the best calibration threshold for CAT, COPD Clinical Questionnaire, and St. Georges Respiratory Questionnaire total scores. Following, GOLD A/B/C/D frequencies were calculated based on current cut-points and the newly derived cut-points. Findings: A total of 18,577 patients with COPD [72.0% male; mean age: 66.3 years (standard deviation 9.6)] were analyzed. Most patients had a moderate or severe degree of airflow limitation (GOLD spirometric grade 1, 10.9%; grade 2, 46.6%; grade 3, 32.4%; and grade 4, 10.3%). The best calibration threshold for CAT total score was 18 points, for COPD Clinical Questionnaire total score 1.9 points, and for St. Georges Respiratory Questionnaire total score 46.0 points. Conclusions: The application of these new cut-points would reclassify about one-third of the patients with COPD and, thus, would impact on individual disease management. Further validation in prospective studies of these new values are needed. | en |
dc.language.iso | eng | en |
dc.publisher | Elsevier | en |
dc.type.hasVersion | SMUR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | COPD | |
dc.subject | GOLD | |
dc.subject | health status | |
dc.subject | clinical significance | |
dc.subject.mesh | Disease Progression | * |
dc.subject.mesh | Aged | * |
dc.subject.mesh | Age Factors | * |
dc.subject.mesh | Risk Assessment | * |
dc.subject.mesh | Pulmonary Disease, Chronic Obstructive | * |
dc.subject.mesh | Symptom Assessment | * |
dc.subject.mesh | Humans | * |
dc.subject.mesh | Middle Aged | * |
dc.subject.mesh | Global Health | * |
dc.subject.mesh | Male | * |
dc.subject.mesh | Severity of Illness Index | * |
dc.subject.mesh | Sex Factors | * |
dc.subject.mesh | Female | * |
dc.subject.mesh | Evidence-Based Medicine | * |
dc.subject.mesh | Practice Guidelines as Topic | * |
dc.subject.mesh | Sickness Impact Profile | * |
dc.title | Redefining Cut-Points for High Symptom Burden of the Global Initiative for Chronic Obstructive Lung Disease Classification in 18,577 Patients With Chronic Obstructive Pulmonary Disease | en |
dc.type | research article | en |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 International | * |
dc.identifier.pubmedID | 29169740 | es_ES |
dc.format.volume | 18 | es_ES |
dc.format.number | 12 | es_ES |
dc.format.page | 1097.e11-1097.e24 | es_ES |
dc.identifier.doi | 10.1016/j.jamda.2017.09.003 | |
dc.identifier.e-issn | 1538-9375 | es_ES |
dc.relation.publisherversion | https://dx.doi.org/10.1016/j.jamda.2017.09.003 | en |
dc.identifier.journal | Journal of the American Medical Directors Association | es_ES |
dc.rights.accessRights | open access | en |
dc.subject.decs | Guías de Práctica Clínica como Asunto | * |
dc.subject.decs | Perfil de Impacto de Enfermedad | * |
dc.subject.decs | Medicina Basada en la Evidencia | * |
dc.subject.decs | Salud Global | * |
dc.subject.decs | Femenino | * |
dc.subject.decs | Evaluación de Síntomas | * |
dc.subject.decs | Masculino | * |
dc.subject.decs | Factores Sexuales | * |
dc.subject.decs | Enfermedad Pulmonar Obstructiva Crónica | * |
dc.subject.decs | Humanos | * |
dc.subject.decs | Persona de Mediana Edad | * |
dc.subject.decs | Factores de Edad | * |
dc.subject.decs | Anciano | * |
dc.subject.decs | Medición de Riesgo | * |
dc.subject.decs | Índice de Severidad de la Enfermedad | * |
dc.subject.decs | Progresión de la Enfermedad | * |
dc.identifier.scopus | 2-s2.0-85034568244 | |
dc.identifier.wos | 416478400025 | |
dc.identifier.pui | L619348842 |
Ficheros en el ítem
Ficheros | Tamaño | Formato | Ver |
---|---|---|---|
No hay ficheros asociados a este ítem. |