Chronic Obstructive Pulmonary Disease Clinical Trial
To assess the population burden of occupational exposures in the prevalence and progression of chronic obstructive pulmonary disease (COPD).
BACKGROUND:
Chronic obstructive pulmonary disease is the only one of the top four or five leading causes
of death in the U.S. with worsening epidemiological trends. Cigarette smoking accounts for
approximately 85 percent-90 percent of cases, but the other 10 percent-15 percent of the
attributable risk still represents a substantial fraction of this disease that remains
unexplained. Recently, several studies, in various countries, have addressed whether certain
occupational exposures (primarily those relating to dusts, vapors, gases, and/or fumes) are
potential risk factors for COPD. Most of these studies have shown elevated odds ratios or
relative risks, although not always to a statistically significant level.
DESIGN NARRATIVE:
A population sample of the continental United States of those aged 55-75, supplemented by an
enriched sample in geographic "hot spots" identified by the National Institute for
Occupational Safety and Health (NIOSH) through respiratory diseases mapping. Structured
telephone interviews assessed demographics, health status, smoking exposures, and
occupational histories. High risk jobs were coded using a job matrix system independent of
subject report of specific exposures. Two hundred thirty-four of those with COPD, with
over-sampling of those with greater severity, were followed at 12-14 months to assess health
status and health services utilization, as well as decrements in quality of life.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
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N/A
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