TABLE 1

Baseline characteristics of randomised patients

TreatmentControlp-value
Subjects n6134
Demographics
 Age years65 (58–69)64 (58–69)0.69
 Male35 (57)21 (62)0.68
 White#58 (95)33 (97)0.99
 BMI kg·m-225.2 (21.9–27.9)25.7 (21.4–28.3)0.90
 Smoking pack-years50 (37–77)50 (39–65)0.97
 Supplemental oxygen41 (67)25 (74)0.52
Lung function
 FEV1 L0.78 (0.65–1.02)0.90 (0.70–1.06)0.274
 FEV1 % pred29 (23–35)30 (27–38)0.132
 FVC L2.39 (1.97–3.02)2.52 (2.02–3.18)0.630
 TLC L7.42 (6.18–8.58)6.99 (6.16–7.94)0.338
 TLC % pred124 (115–139)120 (108–133)0.088
 RV L4.35 (3.73–5.19)4.04 (3.70–4.53)0.159
 RV % pred200 (168–231)179 (168–215)0.140
DLCO mL·min-1·mmHg-17.90 (6.13–10.36)8.06 (7.18–10.91)0.378
DLCO % pred33 (26–39)36 (28–46)0.235
Arterial blood gases+
PaO2 mmHg70 (64–78)71 (63–78)0.917
PaCO2 mmHg41 (37–45)41 (37–44)0.837
Exercise performance
 6MWD m313 (236–363)293 (247–420)0.277
CT§
 Emphysema %34.5 (27.8–44.4)30.0 (20.6–39.3)0.052
 Heterogeneity index1.45 (1.27–1.72)1.60 (1.40–2.06)0.035
Questionnaires
 mMRC U3.0 (2.0–3.0)2.0 (2.0–3.0)0.452
 SGRQ U54 (46–65)58 (45–74)0.508
Medication use
 Short-acting bronchodilator51 (84)26 (77)0.395
 Long-acting bronchodilatorƒ48 (79)23 (68)0.235
 Inhaled corticosteroid47 (77)21 (62)0.113
 Oral corticosteroid9 (15)3 (9)0.623
  • Data are presented as median (interquartile range) or n (%), unless otherwise stated. BMI: body mass index; FEV1: forced expiratory volume in 1 s; % pred: % predicted; FVC: forced vital capacity; TLC: total lung capacity; RV: residual volume; DLCO: single breath diffusing capacity of the lung for carbon monoxide; PaO2: arterial oxygen tension; PaCO2: arterial carbon dioxide tension; 6MWD: 6-min walking distance; CT: computed tomography; mMRC: modified Medical Research Council dyspnoea scale; SGRQ: St George's Respiratory Questionnaire. #: race was self-reported. : all lung function measures were obtained post-bronchodilator. +: arterial blood gas measurements were performed while patients were breathing ambient air. §: per cent emphysema was defined as the percentage of total lung tissue with a density <-950 HU. Heterogeneity index = [% voxels in the right upper lobe+left upper lobe <-910 HU]/[% voxels in the right lower lobe+left lower lobe <-910 HU] [10], with higher indices indicating more pronounced upper lobe predominant emphysema. ƒ: long-acting bronchodilator includes long-acting β-agonists, long-acting anticholinergics or both.