Cited 6 times in
New scoring system for the differentiation of chronic obstructive pulmonary disease and asthma
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이영석 | - |
dc.date.accessioned | 2016-02-04T11:13:49Z | - |
dc.date.available | 2016-02-04T11:13:49Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 1323-7799 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/139956 | - |
dc.description.abstract | BACKGROUND AND OBJECTIVE: It remains difficult to differentiate between chronic obstructive pulmonary disease (COPD) and asthma in clinical practice, especially in a primary care setting. The purpose of this study was to develop a new scoring system for differentiating between COPD and asthma, and to evaluate its effectiveness. METHODS: First, to identify important variables differentiating COPD from asthma, the data of 197 patients with COPD and 138 patients with asthma were assessed retrospectively. Secondly, a scoring system that was based on these variables was then developed, and its performance was internally validated using a bootstrapping-based method. Thirdly, the scoring system was externally validated using prospectively collected data from patients with COPD (n = 104) or asthma (n = 96). RESULTS: The final scoring system was composed of the four variables: age of onset of breathlessness (<40 years, 0 points; 40-60 years, 2 points; >60 years, 4 points), continuous breathlessness (no, 0 points; yes, 1 point), diurnal variation of breathlessness (yes, 0 points; no, 1 point) and emphysematous change in chest X-ray (no, 0 points; yes, 1 point). The patients were classified by their total score into three categories: 0-2 points, probable asthma; 3-4 points, difficult-to-differentiate; 5-7 points, probable COPD. The new scoring system performed well in the external validation dataset (area under the curve, 0.86; 95% confidence interval: 0.813-0.911; P < 0.001). CONCLUSIONS: The new scoring system that was developed in this study may be a useful tool for differentiating between COPD and asthma in primary care. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 626~632 | - |
dc.relation.isPartOf | RESPIROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Asthma/diagnosis* | - |
dc.subject.MESH | Asthma/physiopathology | - |
dc.subject.MESH | Diagnosis, Differential | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pulmonary Disease, Chronic Obstructive/diagnosis* | - |
dc.subject.MESH | Pulmonary Disease, Chronic Obstructive/physiopathology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Severity of Illness Index | - |
dc.title | New scoring system for the differentiation of chronic obstructive pulmonary disease and asthma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Young Seok Lee | - |
dc.contributor.googleauthor | Seunghee Baek | - |
dc.contributor.googleauthor | Yousang Ko | - |
dc.contributor.googleauthor | Mi-Yeong Kim | - |
dc.contributor.googleauthor | Hyun-Kyung Lee | - |
dc.contributor.googleauthor | Tae-Bum Kim | - |
dc.contributor.googleauthor | You Sook Cho | - |
dc.contributor.googleauthor | Hee-Bom Moon | - |
dc.contributor.googleauthor | Sang-Do Lee | - |
dc.contributor.googleauthor | Yeon-Mok Oh | - |
dc.identifier.doi | 10.1111/resp.12511 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02956 | - |
dc.relation.journalcode | J02617 | - |
dc.identifier.eissn | 1440-1843 | - |
dc.identifier.pmid | 25823440 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/resp.12511/abstract | - |
dc.subject.keyword | asthma | - |
dc.subject.keyword | chronic obstructive pulmonary disease | - |
dc.subject.keyword | differential diagnosis | - |
dc.subject.keyword | primary care physician | - |
dc.contributor.alternativeName | Lee, Young Seok | - |
dc.contributor.affiliatedAuthor | Lee, Young Seok | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 20 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 626 | - |
dc.citation.endPage | 632 | - |
dc.identifier.bibliographicCitation | RESPIROLOGY, Vol.20(4) : 626-632, 2015 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.