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However, sensitivity analyses were conducted to investigate the impact on the main results of additional exclusion of individuals with a history of admission to hospital with chronic obstructive pulmonary disease or other respiratory illnesses (defined as an admission to hospital with ICD-10-AM diagnosis codes J40 to J44 and J47 in any of the 55 diagnostic fields) in the 6 years prior to completing the baseline 45 and Up Study questionnaire

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It may be that 5 years was not a long enough exposure to compare to the risk from smoking ( Murray et al ., 2009) and that the overall length of the study may not be enough time to observe manifestation of lung cancer at all