Definition of COPD: based on evidence or opinion?

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Definition of COPD: based on evidence or opinion?

In 1986, the American Thoracic Society (ATS) first suggested a fixed ratio of forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) ,0.75 to define airflow obstruction [1]. Subsequent ATS documents published in 1991 [2] and 1995 [3] generically defined airflow obstruction as a reduction of FEV1/FVC, without recommending any numerical cutoff point. By contrast, the Europea...

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What evidence could validate the definition of COPD?

diagram really a useful way of illustrating the components of COPD? Often the components of COPD are described as alveolar destruction (emphysema), small airway fibrosis (bronchiolitis) and chronic bronchitis. As most of the airflow obstruction is due to reduced airflow in the small conducting airways, it seems a little odd not to have small airways disease in the diagram. Should we then start ...

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 2008

ISSN: 0903-1936,1399-3003

DOI: 10.1183/09031936.00154307