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Table 2 Estimated average change per year over 4 years in absolute bronchodilator response (Δ, in ml) (±SE) for FEV 1 and FVC in the placebo arm of the UPLIFT trial 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

-10.9 (0.76)

<0.0001

-20.6 (1.87)

<0.0001

GOLD Stage

    

I & II

-11.1 (1.10)

<0.0001

-14.4 (2.42)1

<0.0001

III

-11.2 (1.10)

<0.0001

-25.2 (3.08)

<0.0001

IV

-13.1 (2.35)

<0.0001

-40.6 (8.21)

<0.0001

Age, yrs

    

≤65 yrs

-11.6 (1.05)

<0.0001

-15.5 (2.64)2

<0.001

>65 yrs

-10.1 (1.09)

<0.0001

-2.66 (2.60)

<0.0001

Gender

    

Male

-10.7 (0.92)

<0.0001

-21.4 (2.27)

<0.0001

Female

-11.5 (1.21)

<0.0001

-18.4 (2.98)

<0.0001

Smoking status

    

Sustained ex-smoker

-11.9 (0.93) 3

<0.0001

-24.6 (2.37)3

<0.0001

Intermittent smoker

-10.5 (1.48)

<0.0001

-17.3 (3.57)

<0.0001

Continuing smoker

-6.77 (2.42)

0.0053

-9.17 (5.70)

0.11

Inhaled steroids (baseline)

    

No

-8.41 (1.24)4

<0.0001

-11.3 (3.01)4

0.0002

Yes

-12.5 (0.95)

<0.0001

-26.6 (2.38)

<0.0001

  1. 1Significantly different from GOLD III (p = 0.0059) and GOLD IV (p = 0.0006).
  2. 2Significantly different from age >65 yrs (pp = 0.0022).
  3. 3Signficiantly different from continuing smokers (p = 0.0264 for FEV1 and p = 0.0088 for FVC).
  4. 4Significantly different from those with baseline inhaled steroids (p = 0.0081 for FEV1 and p < 0.0001 for FVC)).