journal.copdfoundation.orgChronic Obstructive Pulmonary Diseases | Journal of the COPD Foundation

Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation ® Editor in Chief: Mark T. Dransfield, MD Editors: Jessica Bon, MD, MS M. Bradley Drummond, MD, MHS Maria Rosa Faner, PhD Ken Kunisaki, MD, MS Fanny Wai San Ko, MD Noel Gerry” McElvaney, MD, DSc Valerie Press, MD, MPH Nirupama Putcha, MD, MHS Laura Spece, MD, MSc Editors: Jessica Bon, MD, MS M. Bradley Drummond, MD, MHS Maria Rosa Faner, PhD Ken Kunisaki, MD, MS Fanny Wai San Ko, MD Noel Gerry” McElvaney, MD, DSc Valerie Press, MD, MPH Nirupama Putcha, MD, MHS Laura Spece, MD, MSc Editors: Jessica Bon, MD, MS M. Bradley Drummond, MD, MHS Maria Rosa Faner, PhD Ken Kunisaki, MD, MS Fanny Wai San Ko, MD Noel Gerry” McElvaney, MD, DSc Valerie Press, MD, MPH Nirupama Putcha, MD, MHS Laura Spece, MD, MSc Menu Current Issue Editorial Board All Issues Latest Issue Articles In Press Plain Language Summary Past Issues Free Subscription Submit a Manuscript Volume 11, Issue 2 - 2024 Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation is an open access, peer-reviewed medical/scientific journal dedicated to publishing original research, reviews, and communications related to COPD. Articles are published online as quickly as possible following peer review and editorial acceptance and then aggregated into quarterly issues, and made available to the COPD medical/research community at no charge. The Journal is indexed by PubMed, PubMed Central, Scopus and Web of Science. Editorial: Diet and COPD: A Gut Feeling About Pathogenesis Laura R.C. Dowling, BBioMedS (Hons) 1,2 Hayley A. Scott, PhD 1,2 Author Affiliations | Correspondence | Abstract | Citation | Keywords | Full Text | PDF Author Affiliations School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, Australia Immune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, Australia Address correspondence to: Hayley A. Scott, PhD Immune Health Research Program Hunter Medical Research Institute Lot 1 Kookaburra Circuit New Lambton Heights NSW Australia 2305 Email: Hayley.Scott@newcastle.edu.au Abstract This article does not contain an abstract. Citation Citation: Dowling LRC, Scott HA. Diet and COPD: a gut feeling about pathogenesis. Chronic Obstr Pulm Dis . 2024; 11(2): 133-135. doi: http://dx.doi.org/10.15326/jcopdf.2024.0508 Keywords COPD , plant-based diet , gut microbiota , A Priori Diet Quality Score Full Text Click to read Diet and COPD: A Gut Feeling About Pathogenesis PDF Download PDF Version (228KB) Original Research: Assessment of Obstructive Sleep Apnea Among Patients With Chronic Obstructive Pulmonary Disease in Primary Care Lucas M. Donovan, MD, MS 1,2 Thomas L. Keller, MD, MS 2 Nancy H. Stewart, DO, MS 3 Jennifer Wright, MD 2 Laura J. Spece, MD, MS 1,2 Kevin I. Duan, MD, MS 2,4 Aristotle Leonhard, MD 1,2 Brian N. Palen, MD 1,2 Martha E. Billings, MD, MS 1,2 David H. Au, MD, MS 1,2 Laura C. Feemster, MD, MS 1,2 Author Affiliations | Correspondence | Abstract | Citation | Keywords | Full Text | PDF Author Affiliations Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, United States Department of Medicine, University of Washington, Seattle, Washington, United States Department of Internal Medicine, University of Kansas, Kansas City, Kansas, United States Division of Respiratory Medicine, University of British Columbia, Vancouver, Canada Address correspondence to: Lucas M. Donovan, MD, MS HSR&D Center of Innovation for Veteran-Centered and Value-Driven Care VA Puget Sound Health Care System Division of Pulmonary, Critical Care and Sleep Medicine 1660 South Columbian Way Seattle, WA 98108 Email: ldonovan@uw.edu Abstract Study Objectives: Observational studies link untreated obstructive sleep apnea (OSA) with adverse outcomes in chronic obstructive pulmonary disease (COPD). The first step in addressing OSA is a clinical assessment. However, given competing demands and a lack of high-quality evidence, it is unclear how often such assessments occur. We explored the documentation of OSA assessment among patients with COPD in primary care, and the patient and provider characteristics associated with these assessments. Methods: We conducted a cross-sectional study of patients with clinically diagnosed COPD at 2 primary care practices. We abstracted charts to determine whether providers assessed OSA, defined as documentation of symptoms, treatment, or a referral to sleep medicine. We performed multivariable mixed-effects logistic regression to assess the associations of patient and provider characteristics with OSA assessment. Results: Among 641 patients with clinically diagnosed COPD, 146 (23%) had OSA assessed over a 1-year period. Positive associations with OSA assessment included body mass index ≥ 30 (odds ratio [OR] 3.5, 95% confidence interval [CI] 1.8–7.0), pulmonary subspecialist visits (OR 3.9, 95%CI 2.4–6.3), and a prior sleep study demonstrating OSA documented within the electronic medical record (OR 18.0, 95%CI 9.0–35.8). Notably, patients identifying as Black were less likely to have OSA assessed than those identifying as White (OR 0.5, 95%CI 0.2–0.9). Conclusions: Providers document an assessment of OSA among a quarter of patients with COPD. Our findings highlight the importance of future work to rigorously test the impact of assessment on important health outcomes. Our findings also reinforce that additional strategies are needed to improve the equitable delivery of care. Citation Citation: Donovan LM, Keller TL, Stewart NH, et al. Assessment of obstructive sleep apnea among patients with chronic obstructive pulmonary disease in primary care. Chronic Obstr Pulm Dis . 2024; 11(2): 136-143. doi: http://dx.doi.org/10.15326/jcopdf.2023.0438 Keywords chronic obstructive pulmonary disease , primary care , obstructive sleep apnea Full Text Click to read Assessment of Obstructive Sleep Apnea Among Patients With Chronic Obstructive Pulmonary Disease in Primary Care PDF Download PDF Version (399KB) Health Status Progression Measured Using Weekly Telemonitoring of COPD Assessment Test Scores Over 1 Year and Its Association With COPD Exacerbations Paul Jones, MD, PhD 1a Toru Soutome, BPharm 2a,b Taizo Matsuki, PhD 2a Masahiro Shinoda, MD, PhD 3 Osamu Hataji, MD, PhD 4 Motohiko Miura, MD, PhD 5 Masaharu Kinoshita, MD 6 Akira Mizoo, MD 7 Kazunori Tobino, MD 8 Takanobu Nishi, MSc 2 Takeo Ishii, MD, PhD 2b Yoko Shibata, MD, PhD 9 Author Affiliations | Correspondence | Abstract | Citation | Keywords | Full Text | PDF Author Affiliations GSK, Brentford, Middlesex, United Kingdom Japan Medical & Development, GSK K.K, Tokyo, Japan Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Tokyo, Japan Respiratory Center, Matsusaka Municipal Hospital, Matsusaka, Mie, Japan Department of Respiratory Medicine, Tohoku Rosai Hospital, Miyagi, Japan Department of Respiratory Medicine, Nagata Hospital, Fukuoka, Japan Department of Pulmonary Medicine, Japan Community Healthcare Organization Tokyo Shinjuku Medical Center, Tokyo, Japan Department of Respiratory Medicine, Iizuka Hospital, Fukuoka, Japan Department of Pulmonary Medicine, Fukushima Medical University, Fukushima, Japan a Contributed equally b Affiliation at the time of the study Address correspondence to: Paul Jones, MD, PhD GSK 980 Great West Road Brentford, Middlesex TW8 9GS, United Kingdom Phone: +44 (771) 340-1434 Email: paul.8.jones@gsk.com Abstract Background: A previous longitudinal study of chronic obstructive pulmonary disease (COPD) Assessment Test (CAT) score changes suggested patients fall into 3 patterns: stable, improving, and worsening. This study assessed the evolution of CAT scores over time and its relationship to exacerbations. Methods: In total, 84 participants used a telemedicine platform to complete CAT weekly for 52 weeks. Completion rates, annualized change in CAT scores, and learning effects were...