BackgroundGuideline recommendations for chronic obstructive pulmonary disease (COPD) are based on the results of large pharmaceutically-sponsored COPD studies (LPCS). There is a paucity of data on disease characteristics at the primary care level. while the majority of COPD patients are treated in primary care. ObjectiveWe aimed to evaluate the external validity of six LPCS (ISOLDE. https://www.lightemupsequences.com/flash-pick-Tiki-Luau-Shaped-Thank-You-Cards-Tropical-Hawaiian-Summer-Party-Thank-You-Note-Cards-with-Envelopes-Set-of-12-top-super