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It seemed to take them longer to see this in patients but they are working hard to find the difference in the non-smokers disease differs from smokers

While spirometric evidence of airflow obstruction is required to make a COPD diagnosis, spirometry is underutilized in clinical settings, 20,54,55 and the lack of spirometry in the PATH Study along with the potential of diagnostic and recall bias associated with self-report may introduce imprecision in the COPD diagnosis

The math works out