Interim baseline lung function and cytometry of induced sputum in the treatment group from RIDTLEC lung study

W. Marek, B. Meiler, M. Abdul-Wahed, Z. Atay, K. H. Jöckel, J. A. Nakhosteen (Bochum, Hannover, Essen, Germany)

Source: Annual Congress 2002 - Lung cancer: epidemiology and clinical characteristics
Session: Lung cancer: epidemiology and clinical characteristics
Session type: Thematic Poster Session
Number: 574
Disease area: Airway diseases

Congress or journal article abstract

Abstract

Is there a correlation between cytometric sputum abnormality and impairment of lung function? Methods: For the treatment group of heavy smokers in the RIDTELC Lung Study, spirometric results (VC, FVC, FEV1, FEV1%FVC, PEF, MEF50) from 541 male smokers (57.8 ±] 7.1 yrs, 62 ±] 27 pack*yrs cigarette consumption) were correlated with malignancy grade (MG), a measure of DNA distribution of epithelial nuclei, as the outcome of automated sputum cytometry (ASC). Results: 467 smokers with ASC normal sputa and 74 subjects with ASC suspicious sputa had significantly (p < 0.005) decreased lung function when compared to normal predicted values of the European Community, but there was no significant difference between both groups (p>0,05). In addition, no correlation was found between lung function parameters and MG (r< 0.17).

MGVC(%pred.)FVC(%pred.)FEV1(%red.)FEV1%VC(%pred)PEF (% pred.)MEF50 (%pred.)
ASC normal0.071±] 0.01689.3±] 12.9 92.4 ±] 15.189.2 ±] 19.695.5 ±] 13.789.0 ±] 23.465.6 ±] 31.6
ASC suspicious0.138 ±]0.04190.1 ±] 13.990.9 ±] 15.987.1 ±] 20.995.1 ±] 15.286.4 ±] 20.160.3 ±] 29.5


Conclusion: In RIDTELC Lung Study participants, interim static and dynamic lung volumes were almost 10% lower than predicted, while mid- and late expiratory flows were reduced to nearly 60%. Thus far we could observe no correlation between reduced lung volumes and airflow limitation and malignancy grade in ASC.


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W. Marek, B. Meiler, M. Abdul-Wahed, Z. Atay, K. H. Jöckel, J. A. Nakhosteen (Bochum, Hannover, Essen, Germany). Interim baseline lung function and cytometry of induced sputum in the treatment group from RIDTLEC lung study. Eur Respir J 2002; 20: Suppl. 38, 574

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