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Table 1 Characteristics of the included studies of clinical phenotypes for COPD

From: Derivation and validation of clinical phenotypes for COPD: a systematic review

Study, country, period

Setting, design

Inclusion criteria

Number included in the analysis/ number eligible

Reason for exclusion

Difference between included and excluded patients

Burgel et al. (2010), France, Jan 2005 - Aug 2008

Pulmonary units in university hospitals, cross-sectional

Stable COPD§

322/584 (55%)

Missing/incomplete data

Significant difference in sex distribution

Burgel et al. (2012), France, Jan 2005 - June 2009

Pulmonary units in university hospitals, prospective cohort

Stable COPD§

303/584 (52%)

Missing/incomplete data

Significant difference in sex distribution

Burgel et al. (2012), Belgium, Outcome assessed in Jan 2010

2 cohorts - Leuven university hospital COPD outpatient clinic, and from the NELSON study: community-based randomized lung cancer screening study, prospective cohort

• Smoking history ≥ 15 pack-years and age > 50 years (for the NELSON study) COPD (for the hospital cohort)

527/649 (81%) - 374/495 from COPD clinic, 153/154 from NELSON study

Missing/incomplete data

Significant difference in sex, age, FEV1% predicted, BMI and follow-up time

Cho et al. (2010), USA

17 university-based clinics, cross-sectional

• Self-identified white subjects Physician-diagnosed COPD FEV1 ≤ 45% predicted Hyperinflation on PFT Bilateral emphysema on CT scan

308/1220 (28%)

Missing/incomplete data

Significant difference in lung function parameters, 6MWD, PaCO2

DiSantostefano et al. (2013), USA, Canada 2004-2005

Data pooled from two studies conducted across 98, and 94 research sites, respectively (setting not specified), randomized controlled trials

• ≥40 years Clinical history of COPD Pre-bronchodilator FEV1 ≤ 50% predicted, FEV1/ FVC ratio ≤ 0.7 Smoking history ≥10 pack-years Documented history of ≥1 moderate/severe COPD exacerbations in the previous year

1543/1579 (98%)

Protocol violations

Not reported

Garcia-Aymerich et al. (2011), Spain, Jan 2004 - March 2006

9 teaching hospitals, prospective cohort

• Patients hospitalized for the first time with a COPD exacerbation COPD, diagnosed 3 months after discharge, when clinically stable

342/604 (57%)

Non-participation (213 patients refused, 23 patients discharged before the interview, 12 deaths, 14 lost to follow-up)

Significant difference in smoking status and a diagnosis of congestive heart failure

Spinaci et al. (1985), Italy, 1979-1980

University out-patient clinic, cross-sectional

Stable, severe COLD: FEV1 < 1.5 L and (ratio between FEV1/FVC <0.6

532

Not reported

Not reported

Vanfleteren et al. (2013), Netherlands, Nov 2007- Nov 2010

Tertiary care referral center for pulmonary rehabilitation program, cross-sectional

• Moderate to very severe COPD (GOLD stages II–IV) 40–80 years Clinically stable

213

Not reported

Not reported

  1. §COPD defined by a post-bronchodilator FEV1/FVC ratio <0.7.
  2. BMI – body mass index, 6MWD – six minute walk distance, PaCO2- Partial pressure of carbon dioxide in arterial blood, FEV1 – forced expiratory volume, 1 second, FVC-forced vital capacity, PFT – pulmonary function test.