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Understanding asthma-chronic obstructive pulmonary disease overlap syndrome
Keele E Wurst1, Kaitlin Kelly-Reif2, Greta A Bushnell2
1GSK R&D, Research Triangle Park, NC, USA.
Asthma-COPD overlap syndrome (ACOS) prevalence varies widely due to differing definitions. This review highlights the impact of diagnostic criteria on ACOS prevalence estimates in asthma and COPD patients.
Area of Science:
- Pulmonary Medicine
- Clinical Epidemiology
Background:
- Asthma-COPD overlap syndrome (ACOS) describes patients with features of both asthma and COPD.
- Lack of standardized definitions complicates ACOS understanding, impacting prevalence, diagnosis, and treatment.
- Previous research has not systematically explored how varying definitions affect ACOS prevalence estimates.
Purpose of the Study:
- To characterize the prevalence of ACOS.
- To evaluate the effect of different disease definitions on ACOS prevalence estimates.
Main Methods:
- Literature review of English language studies published between 2000 and 2014.
- Analysis of prevalence data for ACOS in patients with COPD and asthma.
- Comparison of prevalence estimates based on diverse diagnostic criteria and ascertainment methods.
Main Results:
- Estimated ACOS prevalence ranged from 12.1% to 55.2% in COPD patients.
- Estimated ACOS prevalence ranged from 13.3% to 61.0% in asthma patients.
- Variability in prevalence is associated with differences in diagnostic criteria, ascertainment methods (spirometry, clinical diagnosis, claims data), and population characteristics (age, gender, smoking status).
Conclusions:
- The wide range of ACOS prevalence estimates is significantly influenced by the specific diagnostic criteria and methods used.
- Clarifying ACOS definitions is crucial for accurate prevalence assessment and future clinical study design.
- Standardized criteria will aid in better understanding and managing ACOS patients.
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