Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease
Seung Jun Lee,1 Sang Suk Yun,1 Sunmi Ju,1 Jung Wan You,1 Yu Ji Cho,1 Yi Yeong Jeong,1 Ju-Young Kim,2 Ho Cheol Kim,2 Jong Deog Lee11Division of Pulmonology and Allergy, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju,...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-04-01
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| Series: | International Journal of COPD |
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| Online Access: | https://www.dovepress.com/validity-of-the-gold-2017-classification-in-the-prediction-of-mortalit-peer-reviewed-article-COPD |
| _version_ | 1819327222726524928 |
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| author | Lee SJ Yun SS Ju S Yoo JW Cho YJ Jeong YY Kim JY Kim HC Lee JD |
| author_facet | Lee SJ Yun SS Ju S Yoo JW Cho YJ Jeong YY Kim JY Kim HC Lee JD |
| author_sort | Lee SJ |
| collection | DOAJ |
| description | Seung Jun Lee,1 Sang Suk Yun,1 Sunmi Ju,1 Jung Wan You,1 Yu Ji Cho,1 Yi Yeong Jeong,1 Ju-Young Kim,2 Ho Cheol Kim,2 Jong Deog Lee11Division of Pulmonology and Allergy, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Republic of Korea; 2Division of Pulmonology and Allergy, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Gyeongsang National University School of Medicine, Jinju, Republic of KoreaBackground: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) released an updated document in 2017 that excluded the spirometric parameter in the classification of patients. The validity of this new classification system in predicting mortality and respiratory hospitalization is still uncertain.Methods: Outpatients (n=149) with chronic obstructive pulmonary disease (COPD) who underwent spirometry and six-minutes walking test from October 2011 to September 2013 were enrolled. The overall mortality and rate of respiratory hospitalization over a median of 61 months were analyzed. Kaplan-Meier survival analyses, receiver operaing curve analyses with areas under the curve (AUCs), and logistic regression analyses for GOLD 2007, GOLD 2011, GOLD 2017, and/or BODE index were performed to evaluate their abilities to predict mortality and respiratory hospitalization.Results: Forty-two (53.2%) patients in 2011 GOLD C or D group were categorized into 2017 GOLD A or B group. The odds ratios of GOLD 2017 group C and group D relative to group A were 7.55 (95% CI, 1.25–45.8) and 25.0 (95% CI, 6.01–102.9) for respiratory hospitalization. Patients in GOLD 2017 group A and group B had significantly better survival (log-rank test, p<0.001) compared with patients in group D; however, survival among patients in GOLD 2007 groups and GOLD 2011 groups was comparable. The AUC values for GOLD 2007, GOLD 2011, GOLD 2017, and BODE index were 0.573, 0.624, 0.691, 0.692 for mortality (p=0.013) and 0.697, 0.707, 0.741, and 0.754 for respiratory hospitalization (p=0.296), respectively.Conclusion: The new GOLD classification may perform better than the previous classifications in terms of predicting mortality and respiratory hospitalization.Keywords: COPD, GOLD classification, mortality, respiratory hospitalization |
| first_indexed | 2024-12-24T13:07:25Z |
| format | Article |
| id | doaj.art-1f7cde198eb645b8b68666e7cb4765cb |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-12-24T13:07:25Z |
| publishDate | 2019-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-1f7cde198eb645b8b68666e7cb4765cb2022-12-21T16:53:58ZengDove Medical PressInternational Journal of COPD1178-20052019-04-01Volume 1491191945386Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary diseaseLee SJYun SSJu SYoo JWCho YJJeong YYKim JYKim HCLee JDSeung Jun Lee,1 Sang Suk Yun,1 Sunmi Ju,1 Jung Wan You,1 Yu Ji Cho,1 Yi Yeong Jeong,1 Ju-Young Kim,2 Ho Cheol Kim,2 Jong Deog Lee11Division of Pulmonology and Allergy, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Republic of Korea; 2Division of Pulmonology and Allergy, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Gyeongsang National University School of Medicine, Jinju, Republic of KoreaBackground: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) released an updated document in 2017 that excluded the spirometric parameter in the classification of patients. The validity of this new classification system in predicting mortality and respiratory hospitalization is still uncertain.Methods: Outpatients (n=149) with chronic obstructive pulmonary disease (COPD) who underwent spirometry and six-minutes walking test from October 2011 to September 2013 were enrolled. The overall mortality and rate of respiratory hospitalization over a median of 61 months were analyzed. Kaplan-Meier survival analyses, receiver operaing curve analyses with areas under the curve (AUCs), and logistic regression analyses for GOLD 2007, GOLD 2011, GOLD 2017, and/or BODE index were performed to evaluate their abilities to predict mortality and respiratory hospitalization.Results: Forty-two (53.2%) patients in 2011 GOLD C or D group were categorized into 2017 GOLD A or B group. The odds ratios of GOLD 2017 group C and group D relative to group A were 7.55 (95% CI, 1.25–45.8) and 25.0 (95% CI, 6.01–102.9) for respiratory hospitalization. Patients in GOLD 2017 group A and group B had significantly better survival (log-rank test, p<0.001) compared with patients in group D; however, survival among patients in GOLD 2007 groups and GOLD 2011 groups was comparable. The AUC values for GOLD 2007, GOLD 2011, GOLD 2017, and BODE index were 0.573, 0.624, 0.691, 0.692 for mortality (p=0.013) and 0.697, 0.707, 0.741, and 0.754 for respiratory hospitalization (p=0.296), respectively.Conclusion: The new GOLD classification may perform better than the previous classifications in terms of predicting mortality and respiratory hospitalization.Keywords: COPD, GOLD classification, mortality, respiratory hospitalizationhttps://www.dovepress.com/validity-of-the-gold-2017-classification-in-the-prediction-of-mortalit-peer-reviewed-article-COPDCOPDGOLD classificationmortalityrespiratory hospitalization |
| spellingShingle | Lee SJ Yun SS Ju S Yoo JW Cho YJ Jeong YY Kim JY Kim HC Lee JD Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease International Journal of COPD COPD GOLD classification mortality respiratory hospitalization |
| title | Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease |
| title_full | Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease |
| title_fullStr | Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease |
| title_full_unstemmed | Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease |
| title_short | Validity of the GOLD 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease |
| title_sort | validity of the gold 2017 classification in the prediction of mortality and respiratory hospitalization in patients with chronic obstructive pulmonary disease |
| topic | COPD GOLD classification mortality respiratory hospitalization |
| url | https://www.dovepress.com/validity-of-the-gold-2017-classification-in-the-prediction-of-mortalit-peer-reviewed-article-COPD |
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