Abstract
Rationale: Outcomes other than spirometry are required to assess nonbronchodilator therapies for chronic obstructive pulmonary disease. Estimates of the minimal clinically important difference for the 6-minute-walk distance (6MWD) have been derived from narrow cohorts using nonblinded intervention. Objectives: To determine minimum clinically important difference for change in 6MWD over 1 year as a function of mortality and first hospitalization in an observational cohort of patients with COPD. Methods:Data fromtheECLIPSEcohortwereused(n=2,112).Death or first hospitalizationwere indexevents;wemeasured change in6MWDin the 12-month period before the event and related change in 6MWD to lungfunctionandSt. George'sRespiratoryQuestionnaire (healthstatus). Measurement and Main Results: Of subjects with change in the 6MWD data, 94 died, and 323 were hospitalized. 6MWD fell by 29.7 m (SD, 82.9 m) more among those who died than among survivors (P
Original language | English |
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Pages (from-to) | 382-386 |
Number of pages | 4 |
Journal | American Journal of Respiratory and Critical Care Medicine |
Volume | 187 |
Issue number | 4 |
DOIs | |
Publication status | Published - 15 Feb 2013 |
Keywords
- 6MW
- COPD
- Death
- Hospitalization
- MCID