ArticlePloS one2017
Spirometry, questionnaire and electronic medical record based COPD in a population survey: Comparing prevalence, level of agreement and associations with potential risk factors.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Prevalence of COPD in other long-term conditions: a systematic meta review.BMC pulmonary medicine · 2026Pooled it
- Air pollution from livestock farms and lung function decline in neighboring residents over 7 years.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
- Associations between acquired antimicrobial resistance genes in the upper respiratory tract and livestock farm exposures: a case-control study in COPD and non-COPD individuals.The Journal of antimicrobial chemotherapy · 2024Article
- The prevalence and mortality risks of PRISm and COPD in the United States from NHANES 2007-2012.Respiratory research · 2024Article
- Clarifying Chronic Obstructive Pulmonary Disease Genetic Associations Observed in Biobanks via Mediation Analysis of Smoking.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024Article
- Lung function in Lolland-Falster Health Study (LOFUS).The clinical respiratory journal · 2022Article
- Treatable Traits in Misdiagnosed Chronic Obstructive Pulmonary Disease: Data from the Akershus Cardiac Examination 1950 Study.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022Article
- Chronic Obstructive Pulmonary Disease and U.S. Workers: Prevalence, Trends, and Attributable Cases Associated With Work.American journal of preventive medicine · 2021Article
- Electronic Medical Record-Based Case Phenotyping for the Charlson Conditions: Scoping Review.JMIR medical informatics · 2021Article
- Validation of Questionnaire-based Case Definitions for Chronic Obstructive Pulmonary Disease.Epidemiology (Cambridge, Mass.) · 2020Article
- Morbidity Rates in an Area with High Livestock Density: A Registry-Based Study Including Different Groups of Patients with Respiratory Health Problems.International journal of environmental research and public health · 2020Observational
- Trait Insights Gained by Comparing Genome-Wide Association Study Results using Different Chronic Obstructive Pulmonary Disease Definitions.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020Article
- Association of Undifferentiated Dyspnea in Late Life With Cardiovascular and Noncardiovascular Dysfunction: A Cross-sectional Analysis From the ARIC Study.JAMA network open · 2019Article
- Attitude toward livestock farming does not influence the earlier observed association between proximity to goat farms and self-reported pneumonia.Environmental epidemiology (Philadelphia, Pa.) · 2019Article
- Lifetime Occupational History, Respiratory Symptoms and Chronic Obstructive Pulmonary Disease: Results from a Population-Based Study.International journal of chronic obstructive pulmonary disease · 2019Article
- Spatial Variation of Endotoxin Concentrations Measured in Ambient PMEnvironmental health perspectives · 2018Article
- Remarkable spatial variation in the seroprevalence of Coxiella burnetii after a large Q fever epidemic.BMC infectious diseases · 2017Article
- The impact of different spirometric definitions on the prevalence of airway obstruction and their association with respiratory symptoms.ERJ open research · 2017Article
- Prevalence and risk factors for colonization of Clostridium difficile among adults living near livestock farms in the Netherlands.Epidemiology and infection · 2017Article
- Mobility assessment of a rural population in the Netherlands using GPS measurements.International journal of health geographics · 2017Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOPD-diagnosis is confirmed by post-bronchodilator (BD) spirometry. However, epidemiological studies often rely on pre-BD spirometry, self-reports, or medical records. This population-based study aims to determine COPD-prevalence based on four different operational definitions and their level of agreement, and to compare associations between COPD-definitions and risk factors.
methodsCOPD-prevalence in 1,793 adults from the general Dutch population (aged 18-70 years) was assessed based on self-reported data, Electronic Medical Records (EMR), and post-BD spirometry: using the FEV1/FVC below the lower limit of normal (LLN) and GOLD fixed cut-off (FEV1/FVC <0.70). Using spirometry as a reference, sensitivity was calculated for self-reported and EMR-based COPD. Associations between COPD and known risk factors were assessed with logistic regression. Data were collected as part of the cross-sectional VGO study (Livestock Farming and Neighboring Residents' Health Study).
resultsThe highest prevalence was found based on spirometry (GOLD: 10.9%, LLN: 5.9%), followed by self-report (4.6%) and EMR (2.9%). Self-reported or EMR-based COPD identified less than 30% of all COPD-cases based on spirometry. The direction of association between known risk factors and COPD was similar across the four definitions, however, magnitude and significance varied. Especially indicators of allergy were more strongly associated with self-reported COPD compared to the other definitions.
conclusionsCOPD-prevalence varied depending on the used definition. A substantial number of subjects with spirometry-based COPD cannot be identified with questionnaires or medical records which can cause underestimation of COPD-prevalence. The influence of the different COPD-definitions on associations with known risk factors was limited.
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