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All analyses were performed using R version 4.3.1 (R Foundation for Statistical Computing), with a two-sided p 12 years), Marital status (never married, married/cohabiting, and widowed/divorced/separated), annual family income ( 30 kg/m 2 ), estimated glomerular filtration rate (mL/min/1.73 m), glycohemoglobin (%), uric acid (mg/dL), total cholesterol (mg/dL), systolic blood pressure (mmHg), past 30 days prescription medications use (yes, no), depressive symptoms (evaluated by Patient Health Questionnaire-9), and self-reported physician-diagnosed conditions [hypertension, cardiovascular diseases (hypercholesterolemia, congestive heart failure, coronary heart disease, angina, heart attack, or stroke), diabetes, cancer, arthritis, liver diseases, weak/failing kidneys, and respiratory diseases (bronchitis, asthma, or emphysema)]

Chronic conditions that affect the patient's condition or are treated during the encounter must be coded, but not COPD

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