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Table 2 Prevalence of each symptom severity category in the whole population (‘Prev’) across all study visits, and the prevalence of undiagnosed COPD (‘COPD+’) within that symptom severity category. Sensitivity (‘TP’), specificity (‘TN’), positive predictive value (‘PPV’), and negative predictive value (‘NPV’) of each symptom when used alone to classify undiagnosed COPD (v. no COPD) using different severity thresholds

From: The diagnostic performance of patient symptoms in screening for COPD

Symptom severity

Cougha

Wheezeb

Phlegmc

Dyspnead

Total Symptomse

Prev, COPD+

Prev, COPD+

Prev, COPD+

Prev, COPD+

Prev, COPD+

0

72, 23%

78, 21%

83, 24%

70, 23%

45, 17%

1

12, 29%

10, 42%

6, 30%

26, 33%

29, 28%

2

3, 35%

10, 49%

1, 47%

3, 56%

16, 33%

3

13, 42%

2, 51%

9, 39%

1, 30%

7, 50%

4

   

< 1, 67%

4, 52%

 

TP, TN

PPV, NPV

TP, TN

PPV, NPV

TP, TN

PPV, NPV

TP, TN

PPV, NPV

TP, TN

PPV, NPV

0 vs. > 0

37, 76%

36, 77%

39, 84%

46, 79%

24, 85%

37, 76%

40, 74%

35, 77%

71, 50%

34, 83%

≤1 vs. > 1

24, 88%

41, 76%

23, 91%

49, 77%

16, 91%

40, 75%

7, 98%,

52, 75%

41, 78%

40, 79%

≤2 vs. > 2

21, 90%

42, 76%

4, 99%

51, 74%

14, 92%

39, 75%

1, 99%,

38, 74%

21, 93%

51, 77%

≤3 vs. > 3

   

< 1, > 99%

67, 74%

7, 98%

52, 75%

  1. Prev prevalence, COPD+ undiagnosed COPD, TP true positive (sensitivity), TN true negative (specificity), PPV positive predictive value, NPV negative predictive value
  2. Patients were asked, since your last visit:
  3. a1) Do you usually cough when you don’t have a cold? 1a) Are there months you cough most days? 1b) Do you cough most days for as much as 3 months?
  4. b2) Have you had any wheezing or whistling in your chest? 2a) Do you only have wheezing or whistling when you have a cold? 2b) Have you had an attack of wheezing or whistling that made you short of breath?
  5. c3) Do you usually have phlegm in your chest when you don’t have a cold? 3a) Are there months you have phlegm most days? 3b) Do you hav e phlegm most days for as many as 3 months?
  6. dScores on the Medical Research Council (MRC) Dyspnea scale are subtracted by 1
  7. eThe sum of the number of individual symptoms that participants reported