Barely Significant
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Chronic obstructive pulmonary disease phenotypes: imprint on pharmacological and non-pharmacological therapy.

Ann Transl Med · 2020 · PMC7723612 · PMID 33313217

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may be significantno p-value reported
Spirometry is required to make the diagnosis, however there may be significant lung pathology (e.g., emphysema) in the absence of airflow limitation that needs further evaluation.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.