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Open AccessJournal ArticleDOI

Minimum clinically important difference for the COPD Assessment Test: a prospective analysis

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TLDR
The most reliable estimate of the minimum important difference of the CAT is 2 points, which could be useful in the clinical interpretation of CAT data, particularly in response to intervention studies.
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This article is published in The Lancet Respiratory Medicine.The article was published on 2014-03-01 and is currently open access. It has received 447 citations till now. The article focuses on the topics: Minimal clinically important difference & Pulmonary rehabilitation.

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Citations
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Indacaterol–Glycopyrronium versus Salmeterol–Fluticasone for COPD

TL;DR: Indacaterol-glycopyrronium was more effective than salmeterol-fluticasone in preventing COPD exacerbations in patients with a history of exacerbation during the previous year and showed not only noninferiority but also superiority in reducing the annual rate of all COPd exacerbations.
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Sarcopenia in COPD: prevalence, clinical correlates and response to pulmonary rehabilitation

TL;DR: Sarcopenia affects 15% of patients with stable COPD and impairs function and health status and does not impact on response to PR, which can lead to a reversal of the syndrome in select patients.
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Physical frailty and pulmonary rehabilitation in COPD: a prospective cohort study

TL;DR: In this article, the authors determined the prevalence of frailty among patients with stable COPD and examined whether frailty affects completion and outcomes of pulmonary rehabilitation and concluded that patients who are frail respond favourably to rehabilitation and their frailty can be reversed in the short term.
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The COPD assessment test: a systematic review

TL;DR: It is concluded that the studies support the reliability and validity of the CAT and that the tool is responsive to interventions, although the MCID remains debatable.
References
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Journal ArticleDOI

Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.

TL;DR: List of participants (GOLD Scientific Committee): Nicholas Anthonisen, Winnipeg, Canada, William C. Bailey, Birmingham, US, Tim Clark, London, UK, Leonardo Fabbri, Modena, Italy, Yoshinosuke Fukuchi, Tokyo, Japan; Lawrence Grouse, Seattle, US; James C. Hogg, Vancouver, Canada; Dirkje S. Postma, Groningen, the Netherlands.
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Interpretation of changes in health-related quality of life the remarkable universality of half a standard deviation

TL;DR: In most circumstances, the threshold of discrimination for changes in health-related quality of life for chronic diseases appears to be approximately half a SD, which research in psychology has shown is approximately 1 part in 7.
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Development and first validation of the COPD Assessment Test

TL;DR: The aim of the present study was to develop a short validated patient-completed questionnaire, the COPD Assessment Test (CAT), assessing the impact of COPD on health status, which has good measurement properties, is sensitive to differences in state and should provide a valid, reliable and standardised measure of COPd health status with worldwide relevance.
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Determining a minimal important change in a disease-specific quality of life questionnaire

TL;DR: The observation that the minimal important difference is consistent across domains and for both improvement and deterioration will facilitate interpretation of results of studies examining quality of life.
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