Distribution of clinical phenotypes in patients with chronic obstructive pulmonary disease caused by biomass and tobacco smoke

Exposure to biomass smoke is a risk factor for chronic obstructive pulmonary disease (COPD). It is unknown whether COPD caused by biomass smoke has different characteristics to COPD caused by tobacco smoke. To determine clinical differences between these two types of the disease. Retrospective obser...

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Veröffentlicht in:Archivos de bronconeumología (English ed.) 2014-08, Vol.50 (8), p.318
Hauptverfasser: Golpe, Rafael, Sanjuán López, Pilar, Cano Jiménez, Esteban, Castro Añón, Olalla, Pérez de Llano, Luis A
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container_issue 8
container_start_page 318
container_title Archivos de bronconeumología (English ed.)
container_volume 50
creator Golpe, Rafael
Sanjuán López, Pilar
Cano Jiménez, Esteban
Castro Añón, Olalla
Pérez de Llano, Luis A
description Exposure to biomass smoke is a risk factor for chronic obstructive pulmonary disease (COPD). It is unknown whether COPD caused by biomass smoke has different characteristics to COPD caused by tobacco smoke. To determine clinical differences between these two types of the disease. Retrospective observational study of 499 patients with a diagnosis of COPD due to biomass or tobacco smoke. The clinical variables of both groups were compared. There were 122 subjects (24.4%) in the biomass smoke group and 377 (75.5%) in the tobacco smoke group. In the tobacco group, the percentage of males was higher (91.2% vs 41.8%, P
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It is unknown whether COPD caused by biomass smoke has different characteristics to COPD caused by tobacco smoke. To determine clinical differences between these two types of the disease. Retrospective observational study of 499 patients with a diagnosis of COPD due to biomass or tobacco smoke. The clinical variables of both groups were compared. There were 122 subjects (24.4%) in the biomass smoke group and 377 (75.5%) in the tobacco smoke group. In the tobacco group, the percentage of males was higher (91.2% vs 41.8%, P&lt;.0001) and the age was lower (70.6 vs 76.2 years, P&lt;.0001). Body mass index and FEV1% values were higher in the biomass group (29.4±5.7 vs 28.0±5.1, P=.01, and 55.6±15.6 vs 47.1±17.1, P&lt;.0001, respectively). The mixed COPD-asthma phenotype was more common in the biomass group (21.3% vs 5%, P&lt;.0001), although this difference disappeared when corrected for gender. The emphysema phenotype was more common in the tobacco group (45.9% vs 31.9%, P=.009). The prevalence of the chronic bronchitis and exacerbator phenotypes, the comorbidity burden and the rate of hospital admissions were the same in both groups. Differences were observed between COPD caused by biomass and COPD caused by tobacco smoke, although these may be attributed in part to uneven gender distribution between the groups.</description><identifier>ISSN: 1579-2129</identifier><identifier>EISSN: 1579-2129</identifier><identifier>DOI: 10.1016/j.arbres.2013.12.013</identifier><identifier>PMID: 24576449</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Asthma - epidemiology ; Asthma - etiology ; Biomass ; Body Mass Index ; Bronchitis - complications ; Chronic Disease ; Comorbidity ; Environmental Exposure ; Female ; Forced Expiratory Volume ; Hospitalization - statistics &amp; numerical data ; Humans ; Male ; Phenotype ; Prevalence ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary Disease, Chronic Obstructive - etiology ; Pulmonary Emphysema - epidemiology ; Pulmonary Emphysema - etiology ; Retrospective Studies ; Smoke - adverse effects ; Smoking - adverse effects ; Smoking - epidemiology ; Tobacco Smoke Pollution - adverse effects ; Wood</subject><ispartof>Archivos de bronconeumología (English ed.), 2014-08, Vol.50 (8), p.318</ispartof><rights>Copyright © 2013 SEPAR. 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It is unknown whether COPD caused by biomass smoke has different characteristics to COPD caused by tobacco smoke. To determine clinical differences between these two types of the disease. Retrospective observational study of 499 patients with a diagnosis of COPD due to biomass or tobacco smoke. The clinical variables of both groups were compared. There were 122 subjects (24.4%) in the biomass smoke group and 377 (75.5%) in the tobacco smoke group. In the tobacco group, the percentage of males was higher (91.2% vs 41.8%, P&lt;.0001) and the age was lower (70.6 vs 76.2 years, P&lt;.0001). Body mass index and FEV1% values were higher in the biomass group (29.4±5.7 vs 28.0±5.1, P=.01, and 55.6±15.6 vs 47.1±17.1, P&lt;.0001, respectively). The mixed COPD-asthma phenotype was more common in the biomass group (21.3% vs 5%, P&lt;.0001), although this difference disappeared when corrected for gender. The emphysema phenotype was more common in the tobacco group (45.9% vs 31.9%, P=.009). The prevalence of the chronic bronchitis and exacerbator phenotypes, the comorbidity burden and the rate of hospital admissions were the same in both groups. Differences were observed between COPD caused by biomass and COPD caused by tobacco smoke, although these may be attributed in part to uneven gender distribution between the groups.</description><subject>Asthma - epidemiology</subject><subject>Asthma - etiology</subject><subject>Biomass</subject><subject>Body Mass Index</subject><subject>Bronchitis - complications</subject><subject>Chronic Disease</subject><subject>Comorbidity</subject><subject>Environmental Exposure</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Phenotype</subject><subject>Prevalence</subject><subject>Pulmonary Disease, Chronic Obstructive - epidemiology</subject><subject>Pulmonary Disease, Chronic Obstructive - etiology</subject><subject>Pulmonary Emphysema - epidemiology</subject><subject>Pulmonary Emphysema - etiology</subject><subject>Retrospective Studies</subject><subject>Smoke - adverse effects</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Tobacco Smoke Pollution - adverse effects</subject><subject>Wood</subject><issn>1579-2129</issn><issn>1579-2129</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LxDAYhIMo7rr6D0Ry9NKapGnaHmX9hAUvei5v0rds1japTarsxd9uwRU8zRyeGZgh5JKzlDOubnYpjHrEkArGs5SLdJYjsuR5USWCi-r4n1-QsxB2jCnFOT8lCyHzQklZLcn3nQ1xtHqK1jvqW2o666yBjg5bdD7uBwzUOjpAtOhioF82bqnZjn6mqNdzeDLRfiIdpq73DsY9bWxACEgNTAEbqvdUW99DCBRcQ6PXYIynoffveE5OWugCXhx0Rd4e7l_XT8nm5fF5fbtJBi55TCqDoPNSFVkhmYRMcCiyXFcFYCnbpixzI1ibgy6FQt1oKUFJ1pSVFiCw4NmKXP_2DqP_mDDEurfBYNeBQz-FmueKsWquZzN6dUAn3WNTD6Pt51X132fZD8Z5czQ</recordid><startdate>201408</startdate><enddate>201408</enddate><creator>Golpe, Rafael</creator><creator>Sanjuán López, Pilar</creator><creator>Cano Jiménez, Esteban</creator><creator>Castro Añón, Olalla</creator><creator>Pérez de Llano, Luis A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201408</creationdate><title>Distribution of clinical phenotypes in patients with chronic obstructive pulmonary disease caused by biomass and tobacco smoke</title><author>Golpe, Rafael ; 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It is unknown whether COPD caused by biomass smoke has different characteristics to COPD caused by tobacco smoke. To determine clinical differences between these two types of the disease. Retrospective observational study of 499 patients with a diagnosis of COPD due to biomass or tobacco smoke. The clinical variables of both groups were compared. There were 122 subjects (24.4%) in the biomass smoke group and 377 (75.5%) in the tobacco smoke group. In the tobacco group, the percentage of males was higher (91.2% vs 41.8%, P&lt;.0001) and the age was lower (70.6 vs 76.2 years, P&lt;.0001). Body mass index and FEV1% values were higher in the biomass group (29.4±5.7 vs 28.0±5.1, P=.01, and 55.6±15.6 vs 47.1±17.1, P&lt;.0001, respectively). The mixed COPD-asthma phenotype was more common in the biomass group (21.3% vs 5%, P&lt;.0001), although this difference disappeared when corrected for gender. The emphysema phenotype was more common in the tobacco group (45.9% vs 31.9%, P=.009). The prevalence of the chronic bronchitis and exacerbator phenotypes, the comorbidity burden and the rate of hospital admissions were the same in both groups. Differences were observed between COPD caused by biomass and COPD caused by tobacco smoke, although these may be attributed in part to uneven gender distribution between the groups.</abstract><cop>Spain</cop><pmid>24576449</pmid><doi>10.1016/j.arbres.2013.12.013</doi></addata></record>
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subjects Asthma - epidemiology
Asthma - etiology
Biomass
Body Mass Index
Bronchitis - complications
Chronic Disease
Comorbidity
Environmental Exposure
Female
Forced Expiratory Volume
Hospitalization - statistics & numerical data
Humans
Male
Phenotype
Prevalence
Pulmonary Disease, Chronic Obstructive - epidemiology
Pulmonary Disease, Chronic Obstructive - etiology
Pulmonary Emphysema - epidemiology
Pulmonary Emphysema - etiology
Retrospective Studies
Smoke - adverse effects
Smoking - adverse effects
Smoking - epidemiology
Tobacco Smoke Pollution - adverse effects
Wood
title Distribution of clinical phenotypes in patients with chronic obstructive pulmonary disease caused by biomass and tobacco smoke
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