Multidimensional prognostic indices for use in COPD patient care. A systematic review
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van Dijk, Wouter D.; van den Bemt, Lisette; van den Haak-Rongen, Saskia; Bischoff, Erik; van Weel, Chris; in 't Veen, Johannes C. C. M.; Schermer, Tjard R. J.
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BACKGROUND A growing number of prognostic indices for chronic obstructive pulmonary disease (COPD) is developed for clinical use. Our aim is to identify, summarize and compare all published prognostic COPD indices, and to discuss their performance, usefulness and implementation in daily practice. METHODS We performed a systematic literature search in both Pubmed and Embase up to September 2010. Selection criteria included primary publications of indices developed for stable COPD patients, that...[Show more]
dc.contributor.author | van Dijk, Wouter D. | |
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dc.contributor.author | van den Bemt, Lisette | |
dc.contributor.author | van den Haak-Rongen, Saskia | |
dc.contributor.author | Bischoff, Erik | |
dc.contributor.author | van Weel, Chris | |
dc.contributor.author | in 't Veen, Johannes C. C. M. | |
dc.contributor.author | Schermer, Tjard R. J. | |
dc.date.accessioned | 2015-12-24T00:02:43Z | |
dc.date.available | 2015-12-24T00:02:43Z | |
dc.identifier.issn | 1465-9921 | |
dc.identifier.uri | http://hdl.handle.net/1885/95194 | |
dc.description.abstract | BACKGROUND A growing number of prognostic indices for chronic obstructive pulmonary disease (COPD) is developed for clinical use. Our aim is to identify, summarize and compare all published prognostic COPD indices, and to discuss their performance, usefulness and implementation in daily practice. METHODS We performed a systematic literature search in both Pubmed and Embase up to September 2010. Selection criteria included primary publications of indices developed for stable COPD patients, that predict future outcome by a multidimensional scoring system, developed for and validated with COPD patients only. Two reviewers independently assessed the index quality using a structured screening form for systematically scoring prognostic studies. RESULTS Of 7,028 articles screened, 13 studies comprising 15 indices were included. Only 1 index had been explored for its application in daily practice. We observed 21 different predictors and 7 prognostic outcomes, the latter reflecting mortality, hospitalization and exacerbation. Consistent strong predictors were FEV1 percentage predicted, age and dyspnoea. The quality of the studies underlying the indices varied between fairly poor and good. Statistical methods to assess the predictive abilities of the indices were heterogenic. They generally revealed moderate to good discrimination, when measured. LIMITATIONS We focused on prognostic indices for stable disease only and, inevitably, quality judgment was prone to subjectivity. CONCLUSIONS We identified 15 prognostic COPD indices. Although the prognostic performance of some of the indices has been validated, they all lack sufficient evidence for implementation. Whether or not the use of prognostic indices improves COPD disease management or patients' health is currently unknown; impact studies are required to establish this. | |
dc.description.sponsorship | The paper was supported by a university grant (RvB08.066.51196/GE) by Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands. | |
dc.publisher | BioMed Central | |
dc.rights | © 2011 van Dijk et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. | |
dc.source | Respiratory Research | |
dc.subject | hospitalization | |
dc.subject | humans | |
dc.subject | prevalence | |
dc.subject | prognosis | |
dc.subject | pulmonary disease, chronic obstructive | |
dc.subject | reproducibility of results | |
dc.subject | respiratory function tests | |
dc.subject | risk assessment | |
dc.subject | risk factors | |
dc.subject | sensitivity and specificity | |
dc.subject | survival rate | |
dc.subject | data interpretation, statistical | |
dc.subject | proportional hazards models | |
dc.subject | survival analysis | |
dc.title | Multidimensional prognostic indices for use in COPD patient care. A systematic review | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 12 | |
dcterms.dateAccepted | 2011-04-20 | |
dc.date.issued | 2011-11-14 | |
local.identifier.absfor | 110200 | |
local.identifier.ariespublication | f5625xPUB13121 | |
local.publisher.url | http://www.biomedcentral.com/ | |
local.type.status | Published Version | |
local.contributor.affiliation | van Dijk, Wouter D., Radboud University Nijmegen Medical Centre, Netherlands | |
local.contributor.affiliation | van den Bemt, Lisette, Department of Primary and Community Care, Netherlands | |
local.contributor.affiliation | Haak-Rongen, Saskia van den, Radboud University Nijmegen Medical Centre, Netherlands | |
local.contributor.affiliation | Bischoff, Eric W M A, Radboud University Nijmegen Medical Centre, Netherlands | |
local.contributor.affiliation | Van Weel, Chris, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Australian Primary Health Care Research Institute, The Australian National University | |
local.contributor.affiliation | CCM in ÔÇÿt Veen, Johannes, Radboud University Nijmegen Medical Centre, Netherlands | |
local.contributor.affiliation | Schermer, Tjard R.J., Radboud University Nijmegen Medical Centre, Netherlands | |
local.identifier.essn | 1465-993X | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | 151 | |
local.identifier.doi | 10.1186/1465-9921-12-151 | |
dc.date.updated | 2016-02-24T08:44:36Z | |
local.identifier.scopusID | 2-s2.0-81055127633 | |
Collections | ANU Research Publications |
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