Evidence map›Paper›PMID 42553781›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2026

Longitudinal Outcomes and Prognostic Risk of Normalized Airflow Obstruction in a Korean General Population Cohort.

Yun Seok Kim, Yong Suk Jo, Chin Kook Rhee, John S Kim, Yet Hong Khor, Joon Young Choi

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yun Seok KimDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID 0000-0002-2061-3133
Yong Suk JoDivision of Pulmonary, Allergy and Critical Care Medicine Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID 0000-0002-6422-6530
Chin Kook RheeDivision of Pulmonary and Allergy, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-4533-7937
John S KimDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Yet Hong KhorRespiratory Research@alfred, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Joon Young ChoiDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID 0000-0001-6298-2204

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Some individuals with airflow obstruction later show normalized spirometric values, but the clinical implications of this phenomenon in the general population are unclear. Methods: Using data from the Korean Genome and Epidemiology Study (KoGES), we examined the characteristics and prognosis of individuals with normalized airflow obstruction (NO), defined as FEV1/FVC <0.7 at baseline that normalized to ≥0.7 during follow-up. Results: Between 2000 and 2006, 4,807 participants were classified as NO (n=242), fixed obstruction (FO; persistent FEV1/FVC <0.7; n=277), or normal (FEV1/FVC ≥0.7 throughout; n=4,288). Over eight years of follow-up (2007-2014), the NO group contained more men, current smokers, and individuals with lower body mass index than the normal group and showed intermediate lung function between FO and normal groups. Annual FEV1 decline was similar across groups (-48.8 mL/year normal; -48.3 mL/year NO; -45.8 mL/year FO). However, by the end of the 12-year follow-up period, 37.2% of participants in the NO group developed airflow obstruction, with a 4.22-fold higher risk compared with the normal group (95% CI 3.26-5.46). Findings were consistent in a sensitivity analysis excluding individuals with excessive lung function variability. (HR 7.41, 95% CI 5.45-10.07). Discussion: These findings indicate that NO may represent a distinct and dynamic spirometric phenotype associated with increased risk of future airflow obstruction and highlight the need for early identification and preventive strategies in at-risk populations.

Indexed as

LungPulmonary Disease, Chronic ObstructiveAdultAgedDisease ProgressionFemaleForced Expiratory VolumeHumansLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsPrognosisRepublic of KoreaRisk AssessmentRisk Factorschronic obstructive pulmonary diseasecohort studiesCOPDKoGES cohortnormalized airflow obstructionspirometry

Identifiers

PMID42553781
PMCPMC13436087

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.