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Volume 360:2678-2679 June 18, 2009 Number 25
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Pulmonary Rehabilitation

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by Casaburi, R.
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To the Editor: In their Clinical Therapeutics article, Casaburi and ZuWallack (March 26 issue)1 do not discuss the BODE index and its role in evaluating the effect of pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD). The BODE index incorporates the body-mass index (BMI), the severity of airflow obstruction and dyspnea, and exercise tolerance in a 10-point scale in which higher scores indicate a higher risk of death. This index has been shown to be a better predictor of mortality than Global Initiative for Chronic Obstructive Lung Disease (GOLD) staging, which classifies only the severity of obstruction.2 Changes in the . . . [Full Text of this Article]



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