Letters Diagnosing chronic obstructive pulmonary disease

Authors’ reply to Brusasco and colleagues and Quanjer and colleagues

BMJ 2016; 352 doi: https://doi.org/10.1136/bmj.i400 (Published 28 January 2016) Cite this as: BMJ 2016;352:i400
  1. Francesca Conway, academic foundation year 2 doctor1,
  2. Azeem Majeed, general practitioner and professor of primary care1,
  3. Graham Easton, general practitioner and lead for education research1
  1. 1Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK
  1. francesca.conway07{at}imperial.ac.uk

In their responses to our article,1 Brusasco and colleagues and Quanjer and colleagues suggest that current NICE guidelines on the management of chronic obstructive pulmonary disease (COPD) may lead to overdiagnosis in older people and underdiagnosis in younger people because of age related changes in lung function.2 3

Although this is possible, …

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