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  1. P-O Bridevaux,
  2. M W Gerbase,
  3. T Rochat
  1. Division of Pulmonary Medicine, Geneva University Hospitals and University of Geneva, Switzerland
  1. Dr P-O Bridevaux, University Hospitals of Geneva, Division of Pulmonary Medicine, 24 rue Micheli-du-Crest, 1211 Geneva, Switzerland; pierre-olivier.bridevaux{at}hcuge.ch

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We would like to thank Dr Enright for his comments regarding our article.1 He suggests that the fixed forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC) ratio as proposed by the GOLD guidelines largely misclassifies subjects in population studies. Many subjects labelled as mildly obstructive would have normal spirometry and thus had no chronic obstructive pulmonary disease (COPD) if the lower limit of normal (LLN) range for FEV1/FVC …

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  • Competing interests: None.

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