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Lundbäck B. Prevalence of chronic obstructive pulmonary disease according to BTS, ERS, GOLD and ATS criteria in relation to doctor’s diagnosis, symptoms, age, gender, and smoking habits. Respiration 2005;72:471–479. 8 Hill K, Goldstein RS, Guyatt GH, Blouin M, Tan WC, Davis LL, et al. Prevalence and underdiagnosis of chronic obstructive pulmonary disease among patients at risk in primary care.CMAJ 2010;182:673– 678. 9 Parulekar ADAM, Everett DC, Gozegir MS, Mohsin AF, Regan EA, Wise RA, et al. Characteristics of previously undiagnosed COPD in the COPDgene cohort [abstract]. Am J Respir Crit Care Med 2014;189: A2953. 10 Prieto Centurion V, Huang F, Naureckas ET, Camargo CA Jr, Charbeneau J, Joo MJ, et al. Confirmatory spirometry for adults hospitalized with a diagnosis of asthma or chronic obstructive pulmonary disease exacerbation. BMC Pulm Med 2012;12:73. 11 Spero K, Bayasi G, Beaudry L, Barber KR, Khorfan F. Overdiagnosis of COPD in hospitalized patients. Int J Chron Obstruct Pulmon Dis 2017;12:2417–2423. 12 Damarla M, Celli BR, Mullerova HX, Pinto-Plata VM. Discrepancy in the use of confirmatory tests in patients hospitalized with the diagnosis of chronic obstructive pulmonary disease or congestive heart failure. Respir Care 2006;51:1120–1124. 13 Martinez CH, Mannino DM, Jaimes FA, Curtis JL, Han MK, Hansel NN, et al. Undiagnosed obstructive lung disease in the United States: associated factors and long-term mortality. Ann Am Thorac Soc 2015;12:1788–1795. 14 Gershon AS, Thiruchelvam D, Chapman KR, Aaron SD, Stanbrook MB, Bourbeau J, et al.; Canadian Respiratory Research Network. Health services burden of undiagnosed and overdiagnosed COPD. Chest 2018;153:1336–1346.

Predictors of Reduced Survival for Adult-diagnosed Cystic Fibrosis: Older Age at Diagnosis, a Substitute for Older Age?