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Table 4 Estimated average change per year over 4 years in % predicted bronchodilator response (Δ = % predicted post-bronchodilator minus % predicted pre-bronchodilator FEV1 or FVC) (±SE) in the placebo arm by GOLD grading for airflow obstruction (I&II, III, IV), age (≤50 yrs, >50 yrs), gender, and smoking status (sustained ex-smoker, intermittent smoker, continuing smoker)

From: Acute bronchodilator responses decline progressively over 4 years in patients with moderate to very severe COPD

Group

FEV1

FVC

 

Estimated change in Δ (SE) per yr

p value

Estimated change in Δ (SE) per yr

p value

All

-0.33 (0.03)

<0.0001

-0.53 (0.05)

<0.0001

GOLD Stage

    

I & II

-0.33 (0.04)

<0.0001

-0.35 (0.07)1

<0.0001

III

-0.35 (0.04)

<0.0001

-0.68 (0.09)

<0.0001

IV

-0.41 (0.08)

<0.0001

-1.05 (0.24)

<0.0001

Age, yrs

    

≤65 yrs

-0.33 (0.04)

<0.0001

-0.39 (0.07)2

<0.0001

>65 yrs

-0.32 (0.04)

<0.0001

-0.69 (0.08)

<0.0001

Gender

    

Male

-0.30 (0.03)3

<0.0001

-0.51 (0.06)

<0.0001

Female

-0.43 (0.06)

<0.0001

-0.61 (0.11)

<0.0001

Smoking status

    

Sustained ex-smoker

-0.37 (0.03)4

<0.0001

-0.65 (0.07)3

<0.0001

Intermittent smoker

-0.31 (0.05)

<0.0001

-0.46 (0.10)

<0.0001

Continuing smoker

-0.18 (0.08)

0.0322

-0.16 (0.15)

0.29

Inhaled steroids (baseline)

    

No

-0.23 (0.04)5

0.0273

-0.27 (0.09)6

0.0024

Yes

-0.39 (0.03)

<0.0001

-0.70 ((0.07)

<0.0001

  1. 1Significantly different from GOLD III (p = 0.0023) and GOLD IV (p = 0.0013).
  2. 2Significantly different from no baseline inhaled steroids (p = 0.0040).
  3. 3Significantly different from women (p = 0.0428).
  4. 4Signficiantly different from continuing smokers (FEV1 p = 0.0267; FVC p = 0.0038).
  5. 5Significantly different from no baseline inhaled steroids (p = 0.0045).
  6. 6Significantly different from no baseline inhaled steroids (p < 0.0001).