Respiratory function in Aboriginal children

Watson, David S.; Watson, Ruth Marguerite; Siskind, Victor

doi:10.5694/j.1326-5377.1986.tb115955.x

Cited by 10 publications

(11 citation statements)

References 4 publications

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“…Comparison of the reference equations developed in the studies highlights the potential for misinterpreting and misdiagnosing respiratory disease in the Indigenous population (Box 5). For example, in a hypothetical scenario, the reference equation for children generated by Watson and colleagues 19 predicted FEV 1 and FVC values up to 500 mL greater than those in the other three studies that developed reference equations for children 16 , 17 , 21 . Results for predicted FEV 1 and FVC values were also markedly different between the three studies that developed adult reference equations.…”

Section: Discussionmentioning

confidence: 86%

“…Comparisons of spirometry values of the Indigenous cohorts with other data are summarised in Box 3. Of the nine studies, only two 16 , 19 directly compared results for Indigenous Australian participants with those of non‐Indigenous Australians recruited to the study. The remaining seven studies compared results with previously published data; however, two studies 13 , 14 did not specify the reference sets used.…”

Section: Resultsmentioning

confidence: 99%

“…The aims of the studies differed and included observing lung function, 20 examining influencing factors 13 ‐ 15 and developing reference equations for spirometry in Indigenous Australians ( n = 5) 16 . ‐ 19 , 21 None of the included studies followed all the ATS–ERS and GLI criteria needed to develop reference equations or validate the spirometry results (Box 4). Only two studies 14 , 17 recruited more than 300 participants, the minimum number required to validate new reference values for an ethnic population, according to GLI criteria 12 …”

Section: Resultsmentioning

confidence: 99%

“…Validated ethnic‐appropriate reference values are essential for correct interpretation of spirometry results, which subsequently influences the diagnosis of disease (eg, COPD) and the severity of disease (eg, asthma). We found five studies 16 ‐ 19 , 21 that developed reference equations for Aboriginal Australians. However, these studies lacked the rigorous exclusion criteria and appropriate participant numbers essential for developing or validating reference values for spirometry.…”

Section: Discussionmentioning

confidence: 99%

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Spirometry reference values in Indigenous Australians: a systematic review

Blake

Chang

Petsky

et al. 2016

Medical Journal of Australia

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PrefaceWhile the Council of Australian Governments (COAG) has committed to improve health outcomes and wellbeing of Indigenous 1 Australians, the principal measurable targets, for both adults and children, have been based on reductions in mortality. The adult target -to close the gap in life expectancy within a generation (25 years) -requires robust estimates of life expectancy across population groups. Life tables are essential to the calculation of these estimates.The life tables provided here have been developed in order to:• Produce retrospective mortality indices and life expectancy estimates in order to reconstruct recent mortality trends and establish trajectories to guide future policy interventions;• Understand patterns of Indigenous mortality at sub-State level, particularly by remoteness, to help focus resources where they are needed most;• Measure the gaps in life expectancy between the Indigenous and non-Indigenous people in Queensland by remoteness and the recent trends; and• Examine the sources of improvements in life expectancy, in respect of age groups, gender and leading causes of deaths that have contributed to these improvements.This work will contribute significantly to the above objectives, as life tables provide the most robust summary mortality indices. For the first time, Indigenous life tables are now available to enable direct comparison between the life expectancies of Indigenous people in urban and non-urban areas of the state, as well as with those of nonIndigenous Queenslanders.

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Section: Discussionmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Spirometry reference values in Indigenous Australians: a systematic review

Blake

Chang

Petsky

et al. 2016

Medical Journal of Australia

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show abstract

“…Although there are six published studies of lung function in Aboriginal children 3–8 the factors that influence lung function in this population, and their effect on long‐term respiratory health, are largely unknown.…”

mentioning

confidence: 99%