Journal Information
Original Article
The Accuracy of PUMA Questionnaire in Combination With Peak Expiratory Flow Rate to Identify At-risk, Undiagnosed COPD Patients
Kang-Cheng Sua,b,c, Yi-Han Hsiaoa,c, Hsin-Kuo Koa,c, Kun-Ta Choua,b,c, Tien-Hsin Jengd, Diahn-Warng Pernga,c,
Corresponding author
a Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
b Center of Sleep Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
c School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
d Medical Department, Ditmanson Medical Foundation, Chia-Yi Christian Hospital, Chia-Yi, Taiwan, ROC
Highlights
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The Chinese PUMA questionnaire (C-PUMA) is linguistically and clinically validated.
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The best C-PUMA cutoff score is ≥6 (sensitivity/specificity/NNS=77%/64%/3).
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C-PUMA ≥5 is adequate to detect more COPD patients in high-incidence primary care.
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The PUMA-PEFR model is more accurate and cost-effective than the C-PUMA alone.
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The best PCOPD cutoff value is ≥0.39 (sensitivity/specificity/NNS=79%/88%/2).