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Original Research

Efficacy of a Self-Designed Questionnaire for Community Screening of COPD

ORCID Icon, ORCID Icon, , , , , , , , & show all
Pages 1381-1391 | Published online: 14 Jun 2022

Figures & data

Table 1 Differences Between Items and Scores of the Three Questionnaires

Figure 1 The flow of the study and results of screening.

Abbreviations: FEV1/FVC, forced expiratory volume in the first second/forced vital capacity; GOLD, Global Initiative for Chronic Obstructive Lung Disease.

Figure 1 The flow of the study and results of screening.Abbreviations: FEV1/FVC, forced expiratory volume in the first second/forced vital capacity; GOLD, Global Initiative for Chronic Obstructive Lung Disease.

Table 2 Characteristics of Participants with Complete Questionnaire Data and Spirometry Results

Table 3 ROC Curve and Diagnostic Values of the Three COPD Screening Questionnaires

Figure 2 Comparison of ROC curves of the three COPD screening questionnaires. The blue curve is the ROC curve of COPD-PS, the green curve is ROC curve of COPD-SQ, and the Orange curve is of COPD-MH. The marker points are shown as empty circles representing the best cut-off values. Identification of COPD by the three questionnaires were similar.

Abbreviation: ROC, receiver operator characteristic.
Figure 2 Comparison of ROC curves of the three COPD screening questionnaires. The blue curve is the ROC curve of COPD-PS, the green curve is ROC curve of COPD-SQ, and the Orange curve is of COPD-MH. The marker points are shown as empty circles representing the best cut-off values. Identification of COPD by the three questionnaires were similar.

Table 4 Effect of Gender Difference on Cut-off Value, AUC, and Validity of the Three Screening Questionnaires

Figure 3 Gender disparity on different screening questionnaires. A gender value of 1 represents male and 2 represents female. (A) shows the ROC curve of gender disparity for the COPD-PS and the sensitivity for females is higher than males; (B) is the ROC curve of gender disparity for the COPD-SQ; (C) is the ROC curve of gender disparity for the COPD-MH. The marker points are shown as empty circles representing the best cut-off values. The self-designed COPD-MH had higher diagnostic efficiency and higher sensitivity with gender-specific cut-off values for both males and females.

Figure 3 Gender disparity on different screening questionnaires. A gender value of 1 represents male and 2 represents female. (A) shows the ROC curve of gender disparity for the COPD-PS and the sensitivity for females is higher than males; (B) is the ROC curve of gender disparity for the COPD-SQ; (C) is the ROC curve of gender disparity for the COPD-MH. The marker points are shown as empty circles representing the best cut-off values. The self-designed COPD-MH had higher diagnostic efficiency and higher sensitivity with gender-specific cut-off values for both males and females.

Table 5 Impact of the Severity of COPD on Questionnaire Scores and Diagnostic Accuracy