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How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?

OBJECTIVE: In this study, we aimed to investigate the compatibility of modified Medical Research Council (mMRC) and COPD assessment test (CAT) scores of chronic obstructive pulmonary disease (COPD) patients in terms of evaluation of their symptom status. METHODS: The study was planned as a single-ce...

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Autores principales: ERTAN YAZAR, Esra, NIKSARLIOGLU, Elif Yelda, YIGITBAS, Burcu, BAYRAKTAROGLU, Mesut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234363/
https://www.ncbi.nlm.nih.gov/pubmed/35735170
http://dx.doi.org/10.4274/MMJ.galenos.2022.06787
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author ERTAN YAZAR, Esra
NIKSARLIOGLU, Elif Yelda
YIGITBAS, Burcu
BAYRAKTAROGLU, Mesut
author_facet ERTAN YAZAR, Esra
NIKSARLIOGLU, Elif Yelda
YIGITBAS, Burcu
BAYRAKTAROGLU, Mesut
author_sort ERTAN YAZAR, Esra
collection PubMed
description OBJECTIVE: In this study, we aimed to investigate the compatibility of modified Medical Research Council (mMRC) and COPD assessment test (CAT) scores of chronic obstructive pulmonary disease (COPD) patients in terms of evaluation of their symptom status. METHODS: The study was planned as a single-center, cross-sectional study. Statistically four separate receiver operating characteristic (ROC) curves of CAT scoring were generated for mMRC scores of 1 to 4. RESULTS: Two hundred twenty eight patients with stable COPD, mean age 64.2±8.2 and 88.6% male were included. A strong positive correlation was detected between CAT and mMRC (r=0.60, p<0.001). However, it was observed that 32 patients had mMRC<2 but CAT≥10, while 21 patients had CAT<10 but mMRC≥2. Thus, in 53 patients CAT and mMRC scores were not identical in terms of assessed symptom status. According to the ROC analysis, the mMRC scores of 1 to 4 were most compatible with the CAT scores of 10, 10, 15, and 20, respectively. CONCLUSIONS: Expanding current data represents that CAT score of 10 could be more compatible with mMRC score of 1. Moreover we think although a high mMRC or CAT score may be sufficient to assign patients to high symptom groups, it is needed to evaluate mMRC and CAT together to assign a patient to a low symptom group. In this way misclassification of the patients with high symptoms due to insufficient symptom evaluation as if they have low symptoms can be prevented.
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spelling pubmed-92343632022-07-08 How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice? ERTAN YAZAR, Esra NIKSARLIOGLU, Elif Yelda YIGITBAS, Burcu BAYRAKTAROGLU, Mesut Medeni Med J Original Article OBJECTIVE: In this study, we aimed to investigate the compatibility of modified Medical Research Council (mMRC) and COPD assessment test (CAT) scores of chronic obstructive pulmonary disease (COPD) patients in terms of evaluation of their symptom status. METHODS: The study was planned as a single-center, cross-sectional study. Statistically four separate receiver operating characteristic (ROC) curves of CAT scoring were generated for mMRC scores of 1 to 4. RESULTS: Two hundred twenty eight patients with stable COPD, mean age 64.2±8.2 and 88.6% male were included. A strong positive correlation was detected between CAT and mMRC (r=0.60, p<0.001). However, it was observed that 32 patients had mMRC<2 but CAT≥10, while 21 patients had CAT<10 but mMRC≥2. Thus, in 53 patients CAT and mMRC scores were not identical in terms of assessed symptom status. According to the ROC analysis, the mMRC scores of 1 to 4 were most compatible with the CAT scores of 10, 10, 15, and 20, respectively. CONCLUSIONS: Expanding current data represents that CAT score of 10 could be more compatible with mMRC score of 1. Moreover we think although a high mMRC or CAT score may be sufficient to assign patients to high symptom groups, it is needed to evaluate mMRC and CAT together to assign a patient to a low symptom group. In this way misclassification of the patients with high symptoms due to insufficient symptom evaluation as if they have low symptoms can be prevented. Galenos Publishing 2022-06 2022-06-23 /pmc/articles/PMC9234363/ /pubmed/35735170 http://dx.doi.org/10.4274/MMJ.galenos.2022.06787 Text en © Copyright 2022 by the Istanbul Medeniyet University / Medeniyet Medical Journal published by Galenos Publishing House. https://creativecommons.org/licenses/by-nc/4.0/Licenced by Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
spellingShingle Original Article
ERTAN YAZAR, Esra
NIKSARLIOGLU, Elif Yelda
YIGITBAS, Burcu
BAYRAKTAROGLU, Mesut
How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?
title How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?
title_full How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?
title_fullStr How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?
title_full_unstemmed How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?
title_short How to Utilize CAT and mMRC Scores to Assess Symptom Status of Patients with COPD in Clinical Practice?
title_sort how to utilize cat and mmrc scores to assess symptom status of patients with copd in clinical practice?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234363/
https://www.ncbi.nlm.nih.gov/pubmed/35735170
http://dx.doi.org/10.4274/MMJ.galenos.2022.06787
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