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Underdiagnosis in COPD: a battle worth fighting

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Cited by (26)

  • Prevalence and Determinants of COPD in Spain: EPISCAN II

    2021, Archivos de Bronconeumologia
    Citation Excerpt :

    Exploring the asthma and COPD overlap,33 or those with preserved ratio impaired spirometry (PRISm), alternatively known as restrictive, unclassified spirometry,34 are just a few of the pre-established analyses scheduled with EPISCAN II,12 all beyond the scope of this manuscript. Our finding of a 74.7% underdiagnosis of COPD in Spain should be put into perspective, as it is no better than the 73% in 1997,5 and only marginally different than the 78% seen in 20076; these are unwelcome news in our global effort to reduce COPD unmet burden,4,35 where new strategies might be field tested and then implemented.36 The 80.6% underdiagnosis in Spanish women, ten points higher than the 74.6% observed in men, confirms previous findings of higher female underdiagnosis in Spain, which is at odds with observations elsewhere, where male COPD underdiagnosis prevails, and to date its reasons appear elusive.37

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