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Defining Chronic Obstructive Pulmonary Disease

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Book cover Chronic Obstructive Pulmonary Disease

Abstract

That the initial chapter of this book is on the definition of chronic obstructive pulmonary disease (COPD) reflects not only the confusion that exists in the field of the obstructive airflow diseases [2], but also the confusion in nosology and definitions that has historically pervaded all of medicine. There is not even a generally accepted definition of the widely used term ‘disease’. In this essay, I shall first deal with the concept and definition of the term ‘disease’ and how it is generally used in medical discourse. I shall then turn to a treatment of the issues associated with the definition and use of the term ‘COPD’. Before proceeding, I would like to pay tribute to J.G. Scadding, whose thoughtful, rigorous work on the meaning of terms used in medicine, published over the last 3 decades, has helped enormously to clarify my thinking in this area [3–8].

‘Then you should say what you mean,’ the March Hare went on.

‘I do,’ Alice hastily replied; ‘at least — at least I mean what I say — that’s the same thing, you know.’

‘Not the same thing a bit!’ said the Hatter.

‘You might just as well say that “I see what I eat” is the same thing as “I eat what I see”!’

A Mad Tea Party Alice’s Adventures in Wonderland Lewis Carroll [1]

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References

  1. Carroll, Lewis (pseudonym of C.L. Dodgson) (1865) Alice’s Adventures in Wonderland, R. Clay, Son, and Taylor, London, pp. 98.

    Google Scholar 

  2. Pride, N.B., Vermiere, P. and Allegra, L. (1989) Diagnostic labels applied to model case histories of chronic airflow obstruction. Responses to a questionnaire in 11 North American and Western European countries. Eur. Resp. J., 2, 702–9.

    CAS  Google Scholar 

  3. Scadding, J.G. (1959) Principles of definition in medicine. Lancet, 1, 323–5.

    Article  PubMed  CAS  Google Scholar 

  4. Scadding, J.G. (1963) Meaning of diagnostic terms in bronchopulmonary disease. Br. Med. J., 2, 1425–30.

    Article  PubMed  CAS  Google Scholar 

  5. Scadding, J.G. (1972) The semantics of medical diagnosis. Biomedical Computing, 3, 83–90.

    Article  CAS  Google Scholar 

  6. Scadding, J.G. (1981) Talking clearly about bronchopulmonary diseases, in Scientific Foundations of Respiratory Medicine (eds J.G. Scadding and G. Cummings), Heinemann Medical Books, London, pp. 727–34.

    Google Scholar 

  7. Scadding, J.G. (1988) Health and disease: what can medicine do for philosophy? J. Med. Ethics, 14, 118–24.

    Article  PubMed  CAS  Google Scholar 

  8. Scadding, J.G. (1993) Definition of asthma, in Bronchial Asthma, Mechanisms and Therapeutics, 3rd edn (eds E.B. Weiss and M. Stein), Little Brown, Boston, pp. 1–13.

    Google Scholar 

  9. Garrison, F.H. (1929) An Introduction to the History of Medicine, Saunders, Philadelphia, pp. 269–71.

    Google Scholar 

  10. Feinstein, A.R. (1973) An analysis of diagnostic reasoning; 1. The domains and disorders of clinical macrobiology. Yale J. Biol. Med., 46, 212–32.

    PubMed  CAS  Google Scholar 

  11. Allbutt, T.C. (1896) Introduction, in A System of Medicine (ed. T.C. Allbutt), Macmillan, New York, pp. xxi–xxxix.

    Google Scholar 

  12. Crookshank, F.G. (1956) The importance of a theory of signs and a critique of language in the study of medicine, in The Meaning of Meaning (first published in 1923) (eds C.K. Ogden and I.A. Richards), Harcourt Brace Jovanovich, New York, pp. 327–55.

    Google Scholar 

  13. Adams, F. (1849) The Genuine Works of Hippocrates, Translated from the Greek, With a Preliminary Discourse and Annotations, Vol. II, Aphorisms iii — 12 and 31, Sydenham Society, London, pp. 717–772.

    Google Scholar 

  14. Floyer, J. (1726) A Treatise of the Asthma, 3rd edn, Wilkin, London, pp. 201–2.

    Google Scholar 

  15. Garrison, F.H. (1929) History of Medicine, Saunders, Philadelphia, pp. 352–3.

    Google Scholar 

  16. Laennec, R.T.H. (1819) De L’Auscultation Médiate, ou Traité du Diagnostic des Maladies des Poumons et du Coeur, Tome Premier, J.-A Brosson et J.-S. Chaudé, Paris.

    Google Scholar 

  17. Laennec, R.T.H. (1835) A Treatise on the Diseases of the Chest and on Mediate Auscultation. Translated by John Forbes. From the Fourth London Edition, Desilver, Thomas & Co, Philadelphia, pp. 135–63.

    Google Scholar 

  18. Badham, C. (1814) An Essay on Bronchitis with a Supplement Containing Remarks on Simple Pulmonary Abscess, 2nd edn, Callow, London, pp. 25–45.

    Google Scholar 

  19. Snider, G.L. (1992) Emphysema: the first two centuries — and beyond; a historical overview, with suggestions for future research. Am. Rev. Respir. Dis., 146, Part 1, 1334–44; Part 2, 1613-14.

    Article  PubMed  CAS  Google Scholar 

  20. Ciba Foundation Guest Symposium (1959) Terminology, definitions and classification of chronic pulmonary emphysema and related conditions. Thorax, 14, 286–99.

    Article  Google Scholar 

  21. American Thoracic Society (1962) Chronic bronchitis, asthma and pulmonary emphysema. A statement by the Committee on Diagnostic Standards for Nontuberculous Respiratory Diseases. Am. Rev. Respir. Dis., 85, 762–8.

    Google Scholar 

  22. Samet, J.M. (1989) Definitions and methodology in COPD research, in Clinical Epidemiology of Chronic Obstructive Pulmonary Disease (eds M.J. Hensley and N.A. Saunders), Marcel Dekker, New York, pp. 1–22.

    Google Scholar 

  23. Jeffery, P.K. (1991) Morphology of the airway wall in asthma and in chronic obstructive pulmonary disease. Am. Rev. Respir. Dis., 143, 1152–8.

    Article  PubMed  CAS  Google Scholar 

  24. US Surgeon General (1984) The Health Consequences of Smoking: Chronic Obstructive Lung Disease. USDHHS Publ No 84-50205, US Department of Human Services, Washington DC.

    Google Scholar 

  25. Hensley, M.J. and Saunders, N.A. (1989) Clinical Epidemiology of Chronic Obstructive Pulmonary Disease, Marcel Dekker, New York.

    Google Scholar 

  26. Sherrill, D.L., Lebowitz, M.D. and Burrows, B. (1990) Epidemiology of chronic obstructive pulmonary disease. Clin. Chest Med., 11, 375–88.

    PubMed  CAS  Google Scholar 

  27. Higgins, M. (1991) Risk factors associated with chronic obstructive lung disease. Ann. N.Y. Acad. Sci., 624, 7–17.

    Article  PubMed  CAS  Google Scholar 

  28. Snider, G.L. (1989) Chronic obstructive pulmonary disease: a definition and implications of structural determinants of airflow obstruction for epidemiology. Am. Rev. Resp. Dis., 140, S3–S8.

    Article  PubMed  CAS  Google Scholar 

  29. American College of Chest Physicians/American Thoracic Society (1975) Pulmonary terms and symbols. Chest, 67, 583–93.

    Article  Google Scholar 

  30. World Health Organization (1975) Epidemiology of chronic non-specific lung diseases. Bull. WHO, 52, 251–60.

    Google Scholar 

  31. Snider, G.L., Kleinerman, J., Thurlbeck, W.M. and Bengali, Z.K. (1985) The definition of emphysema: Report of a National Heart, Lung and Blood Institute, Division of Lung Diseases, Workshop. Am. Rev. Respir. Dis., 132, 182–5.

    Google Scholar 

  32. Petty, T.L., Silvers, W. and Stanford, R.E. (1987) Mild emphysema is associated with reduced elastic recoil and increased lung size, but not with airflow limitation. Am. Rev. Respir. Dis., 136, 867–76.

    Article  PubMed  CAS  Google Scholar 

  33. Burrows, B. (1990) Airways obstructive diseases: pathogenetic mechanisms and natural histories of the disorders. Med. Clin. North Am., 74, 547–60.

    PubMed  CAS  Google Scholar 

  34. Dosman, J.A., Gomez, S.R. and Zhou, C. (1990) Relationship between airways responsiveness and the development of chronic obstructive pulmonary disease. Med. Clin. North Am., 74, 561–9.

    PubMed  CAS  Google Scholar 

  35. Cherniack, N.S. (1991) Introduction, in Chronic Obstructive Pulmonary Disease (ed. N.S. Cherniack), Saunders, Philadelphia, pp. ix.

    Google Scholar 

  36. Feinlieb, M., Rosenberg, H.M., Collins, J.G. et al. (1989) Trends in COPD morbidity and mortality in the United States. Am. Rev. Respir. Dis., 140, S9–S18.

    Article  Google Scholar 

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© 1995 Springer Science+Business Media Dordrecht

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Snider, G.L. (1995). Defining Chronic Obstructive Pulmonary Disease. In: Calverley, P.M.A., Pride, N.B. (eds) Chronic Obstructive Pulmonary Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-4525-9_1

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  • DOI: https://doi.org/10.1007/978-1-4899-4525-9_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-46450-8

  • Online ISBN: 978-1-4899-4525-9

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