2015
DOI: 10.1136/bmj.h3021
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Chronic obstructive pulmonary disease: missed diagnosis versus misdiagnosis:

Abstract: This article is part of a series on overdiagnosis looking at the risks and harms to patients of expanding definitions of disease and increasing use of new diagnostic technologies. Correspondence to: M R Miller m.r.miller@bham.ac.uk For personal use only: See rights and reprints

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Cited by 65 publications
(54 citation statements)
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“…The use of the lower limit of normality for specific populations has tended to be the criteria adopted internationally in order to avoid the excess of false diagnosis for the elderly population 17 .…”
Section: Discussionmentioning
confidence: 99%
“…The use of the lower limit of normality for specific populations has tended to be the criteria adopted internationally in order to avoid the excess of false diagnosis for the elderly population 17 .…”
Section: Discussionmentioning
confidence: 99%
“…However, airflow obstruction may be underdiagnosed in younger people and overdiagnosed in older people if absolute cut-off values of 70% rather than 'lower limits of normal (LLN)' for FEV1/FVC are used. 5 Furthermore, normal values are much higher in children than in adults. 1 A lack of skill in interpretation of results, and availability of trained staff and equipment, limits the universal usefulness of spirometry.…”
Section: The Importance Of Training and Experiencementioning
confidence: 99%
“…A related aspect of the above pathogenetic nosology is the development of destructive changes in the pulmonary parenchyma, caused, in particular, a metabolic disorder due to exposure to tobacco metalloproteinases or virulence factors Mycobacterium tuberculosis [2] [5] [8]. Among the diseases found at autopsy in patients who died of TB in Texas (USA) from 2000 to 2010, COPD was in 5th place [4] [9]. Paratuberculous process data in this study are not separately isolated.…”
Section: Purposementioning
confidence: 99%
“…Paratuberculous process data in this study are not separately isolated. At the same time, the experience of some authors shows that among all causes of hospitalization in infectious department of patients with this pathology tuberculosis occupies a significant place, second only to respiratory tract infections and pyothorax [1] [9] [7] [10]. There is a high probability of death of the patient within one year from the date of detection of tuberculosis-according to different authors varies between 18% -22% of all cases [6] [9]- [11].…”
Section: Purposementioning
confidence: 99%