Spirometry in Primary Care

Coates, Allan L.; Graham, Brian L.; McFadden, Robin G.; McParland, Colm; Moosa, Dilshad; Provencher, Steeve; Road, Jeremy

doi:10.1155/2013/615281

Cited by 64 publications

(51 citation statements)

References 22 publications

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“…1 Ei- Figure 3 shows a sample spirometry report for pre-and post-bronchodilator studies, as suggested by the Canadian Thoracic Society. 85 Only the FEV 1 , FVC, and FEV 1 /FVC are reported. Both the lower limit of normal and percent of predicted are displayed for pre-bronchodilator measurements.…”

Section: Performance Of Spirometry In Primary Carementioning

confidence: 99%

Office Spirometry in Primary Care for the Diagnosis and Management of COPD: National Lung Health Education Program Update

et al. 2018

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The use of office spirometry was recommended by the National Lung Health Education Program (NLHEP) consensus conference in 1999 for detection and management of COPD. Since that time, spirometry utilization has increased, but its role in the diagnosis of COPD is still evolving. This update reviews the role of spirometry for screening and case finding in COPD as well as for asthma. Spirometry has been used for disease management in patients with airway obstruction, with varying results. The diagnostic criteria for COPD using spirometry have also evolved in the past 17 years, with differences arising between the Global Initiative for Chronic Obstructive Lung Disease and NLHEP recommendations. More sophisticated spirometers as well as new reference equations are widely available. Standardization guidelines from the American Thoracic Society/European Respiratory Society published in 2005 provide a robust framework for performing and interpreting spirometry, but clinicians still need hands-on training and meaningful feedback to perform high-quality spirometry in the office setting.

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Section: Performance Of Spirometry In Primary Carementioning

confidence: 99%

Office Spirometry in Primary Care for the Diagnosis and Management of COPD: National Lung Health Education Program Update

et al. 2018

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“…Post bronchodilator improvement in FEV 1 can document the degree of reversibility of airway obstruction. All these tests are widely available and well standardized [32,33]. Forced expiratory flow between 25 and 75% of vital capacity (FEF ) is considered to reflect small airways obstruction, but it is more variable.…”

Section: Physiological Measuresmentioning

confidence: 99%

Clinically relevant outcome measures for new therapies of asthma using pharmaceutical and biologic agents

Boulet

Chanez

2015

Current Opinion in Allergy &Amp; Clinical Immunology

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“…The test consisted of maximal inspiratory and expiratory maneuvers, which were conducted in the device, until it was possible to register three reproducible maneuvers according to the recommendations 8 . All of the tests were conducted in a climatized environment, by means of previously calibrated PFT KoKo® spirometer.…”

Section: Spirometrymentioning

confidence: 99%

Assessment of body composition, functional capacity and pulmonary function in patients with Chronic Obstructive Pulmonary Disease

et al. 2014

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Chronic obstructive pulmonary disease (COPD) is related to a low body mass index (BMI), reduced functional capacity and reduced bone density, thus justifying the importance of evaluating all of these parameters in the patients with the disease. This is a cross-sectional study, with sample consisting of 20 patients who performed measurement of body composition by bioelectrical impedance, evaluation of functional capacity by the distance traveled in the Incremental Shuttle Walk Test (ISWT) and assessment of severity of obstruction by spirometry. Significant differences were found between the travelled and scheduled distance in the ISWT (p<0.01), positive correlations between muscle mass and distance walked in ISWT (r=0.54 with p=0.01), with FEV1 (r=0.488 with p=0.02), FEV1 and bone mass (r=0.497 with p=0.02) and distance traveled with FEV1 (r=0,541 with p=0.01). The correlations found in this study, besides confirming the hypothesis that the severity of the obstruction presented by the change in the lung parenchyma in patients with COPD is related to changes in body composition and functional capacity reduction, also highlight the correlation with bone mass.

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Spirometry in Primary Care

Cited by 64 publications

References 22 publications

Office Spirometry in Primary Care for the Diagnosis and Management of COPD: National Lung Health Education Program Update

Office Spirometry in Primary Care for the Diagnosis and Management of COPD: National Lung Health Education Program Update

Clinically relevant outcome measures for new therapies of asthma using pharmaceutical and biologic agents

Assessment of body composition, functional capacity and pulmonary function in patients with Chronic Obstructive Pulmonary Disease

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