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Retrieved June 8, 2017

While spirometric evidence of airflow obstruction is required to make a COPD diagnosis, spirometry is underutilized in clinical settings, 20,54,55 and the lack of spirometry in the PATH Study along with the potential of diagnostic and recall bias associated with self-report may introduce imprecision in the COPD diagnosis

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Cross-Sectional Association of Wave 5 Tobacco Product Use With Health-Related Quality of Life at Wave 5 Reference group: P30D Exclusive Cigarette Use at Wave 5: When compared to P30D exclusive cigarette use, never use was associated with significantly better HRQoL as measured by all PROMIS components (physical health beta=1.20, confidence interval [CI] [0.44, 1.97])