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While spirometric evidence of airflow obstruction is required to make a COPD diagnosis, spirometry is underutilized in clinical settings, 20,54,55 and the lack of spirometry in the PATH Study along with the potential of diagnostic and recall bias associated with self-report may introduce imprecision in the COPD diagnosis

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Remember, this Gallup Poll only polled successful ex-smokers

However, because it sometimes gives false negatives, doctors may perform a throat culture if symptoms strongly suggest strep

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