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To date, the application of this classification has been limited, perhaps because it requires a histological diagnosis, which is normally obtained during cardiac surgery and is not readily available for most clinical AF patients

[DOI] [PMC free article] [PubMed] [Google Scholar] 148.Balkau B., et al

Additionally, two sensitivity analyses were conducted: one assessing the impact of including only studies with objective COPD diagnoses (e.g., spirometry) while excluding self-reported cases, and another including only studies with a NOS score 7 to evaluate the effect of study quality on the results