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Table 1 Main published studies on COPD-HIV interaction in the pre-HAART era

From: Interactions between HIV infection and chronic obstructive pulmonary disease: Clinical and epidemiological aspects

Year of publication

First author Reference

Study period

Type of study

Focus

Number of patients

Main findings

1993

Moscato G [12]

NR

"One day"

Case-control

Bronchial hyper-responsiveness

25

(25 controls)

Prevalence of bronchial hyper-responsiveness identical in the two populations

1997

Wallace JM [11]

1988-1994

Cohort

Case-control

Bronchial hyper-responsiveness

62

(62 controls)

Prevalence of bronchial hyper-responsiveness identical in the two populations

2001

Poirier CD [10]

1995-1996

prospective

Case-control

Bronchial hyper-responsiveness

248

(236 controls)

Prevalence of bronchial hyper-responsiveness identical in the two populations Among smokers, bronchial hyper-responsiveness more frequent in HIV-infected men than in controls

2003

Diaz PT [13]

1993-1998

Cohort

Case-control

Chronic bronchitis

327

(52 controls)

Chronic bronchitis more frequent in HIV-infected patients than in controls (26.9% versus 13.5%, p < 0.05)

1998

Shaw RJ [16]

NR

Prospective?

descriptive

Airway obstruction

34

Lung infections (PCP, bacterial pneumonia) associated with lower FEV1 and peak flow rates

1988

O'Donnell CR [14]

1983-1986

Retrospective?

Airway obstruction

99

(AIDS)

Estimated prevalence of lower forced expiratory. flow rates: 33%

1999

Gelman M [15]

NR

Prospective

Case-control

Air trapping/CT

48

(11 controls)

Degree of air trapping correlated with duration of HIV infection

2000

Hnizdo E [18]

1995-1996

Cohort

Case-control

Impairment of lung function and tuberculosis

305

(1038 controls)

Functional respiratory decline due to tuberculosis not aggravated by HIV co infection

2000

Morris AM [17]

1988-1994

Cohort

descriptive

Airway obstruction

141

Acceleration of decline in FEV1, FVC and FEV1/FVC, for several months after acute episode

1989

Kuhlman JE [21]

NR

Retrospective

descriptive

Emphysema

CT findings

55

CT signs of emphysema, bullous lesions and cysts in 42% of cases

1996

Guillemi SA [22]

NR

Prospective

descriptive

Emphysema

CT findings

32

CT signs of emphysema in 31% of cases

1999

Diaz PT [20]

NR

Prospective

Case-control

Emphysema

96

(30 controls)

CT signs of emphysema in 50% of cases in patients with reduced DL, CO

2000

Diaz PT [23]

1994-1997

Prospective

Case-control

Emphysema

114

(44 controls)

Increased incidence of emphysema in the HIV-infected population (15% versus 2% in controls (p = 0.025)).

1993

Nieman RB [25]

1986-1991

Cohort

descriptive

TL, CO

84 (AIDS)

Decline in TL, CO significantly associated with more rapid progression to AIDS

1993

Mitchell DM [27]

NR

Cohort

descriptive

DL, CO

474

DL, CO decline in case of acute respiratory disease. Decline not specific for PCP diagnosis.

1995

Rosen MJ [29]

1988-1994

Prospective

Case-control

DL, CO

1127

(167 controls)

CD4 < 200/mm3, ethnic origin, smoking, IV drug use associated with DL, CO decline