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Characterisation of COPD heterogeneity in the ECLIPSE cohort
Open accessAbstract
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a complex condition with pulmonary and extra-pulmonary manifestations. This study describes the heterogeneity of COPD in a large and well characterised and controlled COPD cohort (ECLIPSE). METHODS: We studied 2164 clinically stable COPD patients, 337 smokers with normal lung function and 245 never smokers. In these individuals, we measured clinical parameters, nutritional status, spirometry, exercise tolerance, and amount of emphysema by computed tomography. RESULTS: COPD patients were slightly older than controls and had more pack years of smoking than smokers with normal lung function. Co-morbidities were more prevalent in COPD patients than in controls, and occurred to the same extent irrespective of the GOLD stage. The severity of airflow limitation in COPD patients was poorly related to the degree of breathlessness, health status, presence of co-morbidity, exercise capacity and number of exacerbations reported in the year before the study. The distribution of these variables within each GOLD stage was wide. Even in subjects with severe airflow obstruction, a substantial proportion did not report symptoms, exacerbations or exercise limitation. The amount of emphysema increased with GOLD severity. The prevalence of bronchiectasis was low (4%) but also increased with GOLD stage. Some gender differences were also identified. CONCLUSIONS: The clinical manifestations of COPD are highly variable and the degree of airflow limitation does not capture the heterogeneity of the disease.
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Metadata
- Authors
- the Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) investigators, Agusti, A., Calverley, P. M., Celli, B., Coxson, H. O., Edwards, L. D., Lomas, D. A., MacNee, W., Miller, B. E., Rennard, S., Silverman, E. K., Tal-Singer, R., Wouters, E., Yates, J. C., & Vestbo, J.
- Affiliations
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (ES)
- Brigham and Women's Hospital (US)
- University of British Columbia (CA)
- University of Cambridge (GB)
- Edinburgh Royal Infirmary (GB)
- GlaxoSmithKline (United States) (US)
- Maastricht University Medical Centre (NL)
- University of Copenhagen (DK)
- ORCID
- Venue
- Respiratory Research
- Published
- 2010-09-10
- Volume
- 11
- Issue
- 1
- Pages
- 122-122
- ISSN
- 1465-9921 (ISSN-L)
- 1465-993X
- PMC
- PMC2944278
- OpenAlex
- W2142096203
- Semantic Scholar
- 40fa41938c0c969c1ab6219b857fcd884f7a804b
- Cited by
- 1,157
- References
- 32
- Citations by year
- 2026: 24 · 2025: 32 · 2024: 51 · 2023: 39 · 2022: 50 · 2021: 83 · 2020: 91 · 2019: 73 · 2018: 94 · 2017: 101 · 2016: 96 · 2015: 103 · 2014: 104 · 2013: 90 · 2012: 67
- FWCI
- 57.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Respiratory Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (publishedVersion, cc-by)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (publishedVersion, other-oa)
- DigitalCommons@UNMC (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Apollo (University of Cambridge) (submittedVersion, cc-by)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- GlaxoSmithKline
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Keywords
- chronic obstructive pulmonary disease, disease heterogeneity, ECLIPSE cohort, GOLD severity, airflow obstruction, dyspnea, comorbidities, exacerbations, exercise capacity, emphysema, bronchiectasis, nutritional status, smoking, never smokers, sex differences
- MeSH terms
- Adult, Aged, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Respiratory Function Tests, Smoking, Cohort Studies, Pulmonary Disease, Chronic Obstructive
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