Overview
Chronic obstructive pulmonary disease (COPD) is a progressive, largely irreversible airflow limitation arising from chronic inflammation of the airways and lung parenchyma, encompassing chronic bronchitis and emphysema as its principal phenotypes. The obstruction reflects a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction with loss of elastic recoil, driven predominantly by cigarette smoke and other noxious particulate exposures. Pathophysiologically, neutrophilic and macrophage-mediated inflammation, protease-antiprotease imbalance, and oxidative stress remodel the airways, producing dyspnea, chronic cough, sputum production, and recurrent acute exacerbations. Spirometry confirming a reduced post-bronchodilator FEV1/FVC ratio underpins diagnosis and severity grading. Clinically, COPD is heterogeneous: phenotypes differ in symptom burden, exacerbation frequency, and comorbidity profile, including cardiovascular disease, metabolic dysfunction, and overlap with bronchiectasis. Research in this area spans the impact of bronchiectasis on exacerbation rates, characterization of comorbidities across phenotypes, claims-database approaches to severity classification, microalbuminuria and hypoxemia as systemic markers, and interventional strategies such as bronchoscopic lung volume reduction with endobronchial valves in severe emphysema. The International Journal of Thorax publishes peer-reviewed clinical and translational studies examining COPD phenotyping, comorbidity, functional assessment, and management across diverse patient populations.
Research published in this journal
12 peer-reviewed articles, ranked by relevance. Each links to its DOI.
Evaluation of Co-morbidities among Different Chronic Obstructive Pulmonary Disease Phenotypes
Microalbuminuria and the Presence of Hypoxemia in Patients with Chronic Obstructive Pulmonary Disease
Development of a Chronic Obstructive Pulmonary Disease Severity Classification System Using A Japanese Health Insurance Claims Database
Results of Bronchoscopic Lung Volume Reduction with One-way Valve in Patients with Severe Emphysema in Vietnam
Spirometric profile of people living with HIV on antiretroviral drugs in Abidjan
Validity of PIRO Score as an Assessment Tool for Mortality Risk of COVID-19 Pneumonia among Patients Admitted to World Citi Medical Center from March to August 2020. A Retrospective Observational Cohort Study
Profile of Patients Who Died During One Year in the Pneumophthisiology Department of the Hospital National Ignace Deen CHU in Conakry
Evaluation of Anti-Aging Activity of the Biofield Energy Treated Novel Test Formulation Using SIRT1 and Telomerase Activity in in Vitro Model
Cardiorenal Signaling Pathways in Heart Failure: Good and Bad News
Clinical Evaluation of Significance of 25(Oh)D (Vitamin D) Status in Swine Flu (H1N1)
Predictors of Averse Events After Total Laryngectomy: An Analysis of the 2005-2011 NSQIP Datasets
How this research is being cited
The 12 articles above have been cited 9 times in the scholarly literature. Citation data via OpenAlex and Crossref, updated Jun 2026.
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2022 · Current Applied Science and Technology
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2021 · Journal of Antioxidant Activity
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2021 · Journal of Antioxidant Activity
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2019 · Surgery
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Amber B. Tang et al. · 2019 · Surgery
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2016 · JAMA Otolaryngology–Head & Neck Surgery
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2016 · Journal of Hypertension and Cardiology
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Alexander L. Schneider et al. · 2016 · JAMA Otolaryngology - Head and Neck Surgery
A sample of recent works citing this journal's research on Copd, linking to each citing work.