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Table 2 Mean difference (effect size) for device exposure (Accuhaler use versus MDI/s) on lung function, quality of life measures and 6MWT, including relevant interactions

From: Does device matter for inhaled therapies in advanced chronic obstructive pulmonary disease (COPD)? A comparative trial of two devices

Covariate

Dependent variable

FEV1 (%)

FVC (%)

RV (%)

MIP(%)

Impact score

Symptom score

Activity score

SGRQ total score

6MWT (m)

Accuhaler (versus MDI/s)

1.47 (0.1438)

2.82 (− 0.2099)

− 2.60 (− 0.0825)

8.10 (0.3656)

− 4.56 (− 0.3667)

− 0.90 (− 0.0653)

− 0.75 (− 0.0559)

− 2.46 (− 0.2189)

8.3 (0.0907)

P value

0.53

0.45

0.77

0.31

0.24

0.86

0.89

0.52

0.74

Inhaler technique (adequate versus inadequate)

2.95 (0.2945)

6.00 (0.5203)

− 2.57 (− 0.0822)

9.87 (0.4625)

− 5.87 (− 0.4643)

− 0.90 (− 0.0654)

− 1.60 (− 0.1195)

− 4.11 (− 0.3615)

3.02 (0.0333)

P value

0.42

0.24

0.85

0.36

0.42

0.86

0.84

0.52

0.95

Accuhaler adequate inhaler technique

2.63 (0.2556)

3.87 (0.3183)

− 15.02 (− 0.4907)

1.41 (0.0690)

− 6.38 (− 0.4897)

− 0.70 (− 0.0523)

− 4.72 (0.3125)

− 5.00 (− 0.4051)

− 9.07 (− 0.1004)

P value

0.67

0.58

0.46

0.93

0.60

0.96

0.69

0.68

0.91

  1. All models were adjusted for period, sequence, subject (sequence) effects to account for design and baseline FEV1, RV and inhaler technique. The t-test was used to test the significance of an individual or interaction effect
  2. MDI/s metered dose inhaler and spacer, FEV1 forced expiratory volume in 1 s, FVC forced vital capacity, RV residual volume, MIP maximal inspiratory pressure, SGRQ Saint George Respiratory Questionnaire score, 6MWT 6 min walk test distance