Objectives: To compare the clinical diagnosis of chronic obstructive pulmonary disease (COPD) with results of post‐bronchodilator spirometry in general practice, and examine practitioner, practice and patient characteristics associated with agreement between clinical and spirometric diagnoses.

General practitioners' clinical diagnosis of COPD is more accurate than spirometric results, with practitioner, practice, and patient characteristics influencing the agreement between the two methods.

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Predictors of accuracy of diagnosis of chronic obstructive pulmonary disease in general practice

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