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Table 3 Statistical methods used for cluster analysis and outcomes tested in the included studies of clinical phenotypes for COPD

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

Study

Number of variables selected for analysis, method of selecting variables

Statistical method used for identifying phenotypes

Outcome tested

Burgel et al. (2010)

8 variables, expert opinion

Cluster using k-means after variable reduction using PCA

BOD§ index

Burgel et al. (2012)

8 variables, expert opinion

Cluster using k-means after variable reduction using PCA

Mortality rates after 3.35 years of follow-up

Burgel et al. (2012)

18 variables, expert opinion

Hierarchical clustering with Wards method after variables reduction using PCA and MCA

Mortality rates after 17.2 months of follow-up

Cho et al. (2010)

43 variables (including 12 SNPs from 5 genes), expert opinion, and selection of genes included in previous genetic association studies

Cluster using k-means after variable reduction using factor analysis

Exacerbations/year over 3.3 years (retrospective)

DiSantostefano et al. (2013)

36 variables analyzed, co-linear variables dropped, expert opinion

Tree-based supervised cluster analysis using modified recursive partitioning

Decreased annual rate of exacerbations with SFC compared to SAL

Garcia-Aymerich et al. (2011)

224 variables, all variables collected (after excluding those with additive relationships or resulting from categorizations)

Cluster using k-means clustering method (PKM)

Admissions and mortality rates during a 4-year follow-up

Spinaci et al. (1985)

4 variables, expert opinion

Cluster using k -means clustering method (PKM)

Analysis of contingency tables

Vanfleteren et al. (2013)

13 variables, based on “clinical relevance and methodological possibilities to objectify the comorbidities”

Self- organizing maps (SOMs, or Kohonen maps) used to order patients by their overall similarity with regards to comorbidities. Clusters generated using a hybrid algorithm that applied classical hierarchical method of Ward on top of the SOM topology.

Updated BODE index, Framingham 10-year risk

  1. §BOD index –Body mass index (BMI), obstruction (FEV1% pred) and dyspnoea evaluated on the modified Medical Research Council (MMRC) scale). Celli B, Jones P, Vestbo J, et al. The multidimensional BOD:association with mortality in the TORCH trial. Eur Respir J 2008; 32: Suppl. 52, 42 s.
  2. BODE index - Body mass index (BMI), obstruction (FEV1% pred), dyspnoea evaluated on the modified Medical Research Council (MMRC) scale), and exercise capacity on the 6-minute walk test. Celli B, et al. The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease. N Engl J Med 2004; 350:1005-1012.
  3. PCA – Principal component analysis, MCA – Multiple component analysis.