.png){kind=icon}
Return
Primary care spirometry
.png){kind=icon}
OA
AI
DOI：10.1183/09031936.00066607.png)
.png){kind=icon}
.png){kind=icon}
Share.png){kind=icon}
Save
Abstract
En 中文
Primary care spirometry is a uniquely valuable tool in the evaluation of patients with respiratory symptoms, allowing the general practitioner to diagnose or exclude chronic obstructive pulmonary disease (COPD), sometimes to confirm asthma, to determine the efficacy of asthma treatment and to correctly stage patients with COPD. The use of spirometry for case finding in asymptomatic COPD patients might become an option, once early intervention studies have shown it to be beneficial in these patients. The diagnosis of airway obstruction requires accurate and reproducible spirometric measurements, which should comply with the American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines. Low acceptability of spirometric manoeuvres has been reported in primary care practices. This may hamper the validity of the results and affect clinical decision making. Training and refresher courses may produce and maintain good-quality testing, promote the use of spirometric results in clinical practice and enhance the quality of interpretation. Softening the stringent ATS/ERS criteria could enhance the acceptability rates of spirometry when used in a general practice. However, the implications of potential simplifications on the quality of the data and clinical decision making remain to be investigated. Hand-held office spirometers have been developed in recent years, with a global quality and user-friendliness that makes them acceptable for use in general practices. The precision of the forced vital capacity measurements could be improved in some of the available models.
Keywords:
airways obstruction
American Thoracic Society/European Respiratory Society criteria
chronic obstructive pulmonary disease
flow-volume loop
forced expiratory volume in one second
pulmonary function
AI Summary
Key information extracted from the uploaded paper, including a brief overview, abstract, background, key highlights, visual analysis, and future outlook.
Journal
IF:
21
Papers:
5.3W
Citations:
5.4W
Organization
Cited Papers
ShareSaveShareSaveB7-2–positive myeloma: incidence, clinical characteristics, prognostic significance, and implications for tumor immunotherapy.png)
Blood
OAAI
BloodIF0
OAAIShareSaveShareSaveTechnical and functional assessment of 10 office spirometers - A multicenter comparative studyCHEST
CHESTIF8.6
PREAI
ShareSaveSpirometry in the primary care setting - Influence on clinical diagnosis and management of airflow obstructionCHEST
CHESTIF8.6
PREAI
ShareSaveUnrecognized heart failure in elderly patients with stable chronic obstructive pulmonary diseaseEUROPEAN HEART JOURNALOAAI
EUROPEAN HEART JOURNALIF35.6
OAAIShareSaveNongenomic activation of phosphatidylinositol 3-kinase signaling by thyroid hormone receptorsSteroidsOAAI
SteroidsIF0
OAAIShareSaveShareSave
View more