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An official American Thoracic Society/European Respiratory Society statement: research questions in COPD

Bartolome R. Celli, Marc Decramer, Jadwiga A. Wedzicha, Kevin C. Wilson, Alvar A. Agustí, Gerard J. Criner, William MacNee, Barry J. Make, Stephen I. Rennard, Robert A. Stockley, Claus Vogelmeier, Antonio Anzueto, David H. Au, Peter J. Barnes, Pierre-Regis Burgel, Peter M. Calverley, Ciro Casanova, Enrico M. Clini, Christopher B. Cooper, Harvey O. Coxson, Daniel J. Dusser, Leonardo M. Fabbri, Bonnie Fahy, Gary T. Ferguson, Andrew Fisher, Monica J. Fletcher, Maurice Hayot, John R. Hurst, Paul W. Jones, Donald A. Mahler, François Maltais, David M. Mannino, Fernando J. Martinez, Marc Miravitlles, Paula M. Meek, Alberto Papi, Klaus F. Rabe, Nicolas Roche, Frank C. Sciurba, Sanjay Sethi, Nikos Siafakas, Don D. Sin, Joan B. Soriano, James K. Stoller, Donald P. Tashkin, Thierry Troosters, Geert M. Verleden, Johny Verschakelen, Jorgen Vestbo, John W. Walsh, George R. Washko, Robert A. Wise, Emiel F.M. Wouters, Richard L. ZuWallack on behalf of the ATS/ERS Task Force for COPD Research
European Respiratory Review 2015 24: 159-172; DOI: 10.1183/16000617.00000315
Bartolome R. Celli
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Marc Decramer
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Jadwiga A. Wedzicha
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Kevin C. Wilson
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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  • For correspondence: kwilson@thoracic.org
Alvar A. Agustí
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Gerard J. Criner
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William MacNee
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Barry J. Make
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Stephen I. Rennard
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Robert A. Stockley
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Claus Vogelmeier
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Antonio Anzueto
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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David H. Au
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Peter J. Barnes
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Pierre-Regis Burgel
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Peter M. Calverley
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Ciro Casanova
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Enrico M. Clini
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Christopher B. Cooper
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Harvey O. Coxson
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Daniel J. Dusser
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Leonardo M. Fabbri
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Bonnie Fahy
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Gary T. Ferguson
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Andrew Fisher
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Monica J. Fletcher
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Maurice Hayot
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John R. Hurst
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Paul W. Jones
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Donald A. Mahler
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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François Maltais
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David M. Mannino
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Fernando J. Martinez
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Marc Miravitlles
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Paula M. Meek
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Alberto Papi
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Klaus F. Rabe
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Nicolas Roche
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Frank C. Sciurba
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Sanjay Sethi
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Nikos Siafakas
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Don D. Sin
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Joan B. Soriano
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James K. Stoller
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Donald P. Tashkin
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Thierry Troosters
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Geert M. Verleden
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Johny Verschakelen
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Jorgen Vestbo
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John W. Walsh
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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George R. Washko
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Robert A. Wise
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Emiel F.M. Wouters
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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Richard L. ZuWallack
Further details of this ATS/ERS Task Force for COPD Research can be found in the acknowledgements section
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  • Article
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Tables

  • Additional Files
  • TABLE 1

    Spirometric classification of chronic obstructive pulmonary disease (COPD)

    Severity of obstructionPost-bronchodilator FEV1/FVCFEV1 % predicted
    At risk>0.7≥80
    Mild COPD≤0.7≥80
    Moderate COPD≤0.750–80
    Severe COPD≤0.730–50
    Very severe COPD≤0.7<30
    • FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity. At risk are patients who: smoke or have exposure to pollutants; have cough, sputum or dyspnoea; and have a family history of chronic respiratory disease.

  • TABLE 2

    Modified Medical Research Council Dyspnoea Scale

    GradeDescription
    0Not troubled with breathlessness, except during strenuous exercise
    1Troubled by shortness of breath when hurrying or walking up a slight hill
    2Walks slower than people of the same age due to breathlessness or has to stop for breath when walking at own pace on a level surface
    3Stops for breath after walking about 100 m or after a few minutes on a level surface
    4Too breathless to leave the house or breathless when dressing or undressing
  • TABLE 3

    Composite prognostic indexes in chronic obstructive pulmonary disease

    Composite indexComponents[Ref.]
    BODEBMI, FEV1, mMRC dyspnoea scale and 6MWD[31]
    mBODEBMI, FEV1, mMRC dyspnoea scale and V´O2peak[32]
    eBODEBMI, FEV1, mMRC dyspnoea scale, 6MWD and exacerbation rate[33]
    BODExBMI, FEV1, mMRC dyspnoea scale and exacerbation rate[34]
    Inflammatory BODEBODE, inflammatory biomarkers, age and hospitalisation history[35]
    ADOAge, mMRC dyspnoea scale and FEV1[36]
    DOSEmMRC dyspnoea scale, FEV1, smoking status and exacerbation rate[37]
    CODExComorbidity, obstruction, dyspnoea and previous severe exacerbations[39]
    • BODE: body mass index (BMI), airflow obstruction, dyspnoea, exercise capacity; mBODE: modified BODE in which 6MWD is replaced by peak oxygen consumption; eBODE: exacerbations added to the original BODE; BODEx: exacerbations replace 6MWD in the original BODE; inflammatory BODE: inflammatory markers added to the original BODE; ADO: age, dyspnoea and airflow obstruction index; DOSE: dyspnoea, airflow obstruction, smoking status and exacerbations index; CODEx: comorbidities, airflow obstruction, dyspnoea and exacerbations index;. FEV1: forced expiratory volume in 1 s (severity of airflow obstruction); mMRC: modified Medical Research Council; 6MWD: 6-min walking distance; V´O2peak: peak oxygen consumption.

Additional Files

  • Tables
  • Disclosures

    Files in this Data Supplement:

    • A. Anzueto
    • L.M. Fabbri
    • G.T. Ferguson
    • J.R. Hurst
    • P.W. Jones
    • W. MacNee
    • B.J. Make
    • F. Maltais
    • D.M. Mannino
    • F.J. Martinez
    • M. Miravitlles
    • D.H. Au
    • A. Papi
    • K.F. Rabe
    • S.I. Rennard
    • N. Roche
    • F.C. Sciurba
    • D.D. Sin
    • R.A. Stockley
    • J.K. Stoller
    • D.P. Tashkin
    • J. Vestbo
    • P-R. Burgel
    • C. Vogelmeier
    • G.R. Washko
    • J.A. Wedzicha
    • K.C. Wilson
    • R.A. Wise
    • E.F.M. Wouters
    • R.L. ZuWallack
    • P.M. Calverley
    • B.R. Celli
    • C.B. Cooper
    • H.O. Coxson
    • M. Decramer
    • D.J. Dusser
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An official American Thoracic Society/European Respiratory Society statement: research questions in COPD
Bartolome R. Celli, Marc Decramer, Jadwiga A. Wedzicha, Kevin C. Wilson, Alvar A. Agustí, Gerard J. Criner, William MacNee, Barry J. Make, Stephen I. Rennard, Robert A. Stockley, Claus Vogelmeier, Antonio Anzueto, David H. Au, Peter J. Barnes, Pierre-Regis Burgel, Peter M. Calverley, Ciro Casanova, Enrico M. Clini, Christopher B. Cooper, Harvey O. Coxson, Daniel J. Dusser, Leonardo M. Fabbri, Bonnie Fahy, Gary T. Ferguson, Andrew Fisher, Monica J. Fletcher, Maurice Hayot, John R. Hurst, Paul W. Jones, Donald A. Mahler, François Maltais, David M. Mannino, Fernando J. Martinez, Marc Miravitlles, Paula M. Meek, Alberto Papi, Klaus F. Rabe, Nicolas Roche, Frank C. Sciurba, Sanjay Sethi, Nikos Siafakas, Don D. Sin, Joan B. Soriano, James K. Stoller, Donald P. Tashkin, Thierry Troosters, Geert M. Verleden, Johny Verschakelen, Jorgen Vestbo, John W. Walsh, George R. Washko, Robert A. Wise, Emiel F.M. Wouters, Richard L. ZuWallack
European Respiratory Review Jun 2015, 24 (136) 159-172; DOI: 10.1183/16000617.00000315

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An official American Thoracic Society/European Respiratory Society statement: research questions in COPD
Bartolome R. Celli, Marc Decramer, Jadwiga A. Wedzicha, Kevin C. Wilson, Alvar A. Agustí, Gerard J. Criner, William MacNee, Barry J. Make, Stephen I. Rennard, Robert A. Stockley, Claus Vogelmeier, Antonio Anzueto, David H. Au, Peter J. Barnes, Pierre-Regis Burgel, Peter M. Calverley, Ciro Casanova, Enrico M. Clini, Christopher B. Cooper, Harvey O. Coxson, Daniel J. Dusser, Leonardo M. Fabbri, Bonnie Fahy, Gary T. Ferguson, Andrew Fisher, Monica J. Fletcher, Maurice Hayot, John R. Hurst, Paul W. Jones, Donald A. Mahler, François Maltais, David M. Mannino, Fernando J. Martinez, Marc Miravitlles, Paula M. Meek, Alberto Papi, Klaus F. Rabe, Nicolas Roche, Frank C. Sciurba, Sanjay Sethi, Nikos Siafakas, Don D. Sin, Joan B. Soriano, James K. Stoller, Donald P. Tashkin, Thierry Troosters, Geert M. Verleden, Johny Verschakelen, Jorgen Vestbo, John W. Walsh, George R. Washko, Robert A. Wise, Emiel F.M. Wouters, Richard L. ZuWallack
European Respiratory Review Jun 2015, 24 (136) 159-172; DOI: 10.1183/16000617.00000315
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