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Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting.

Barnes TA, Fromer L - Clin Interv Aging (2011)

Bottom Line: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiopulmonary Sciences, Northeastern University, Boston, MA 02115-5000, USA. t.barnes@neu.edu

ABSTRACT

Objective: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.

Methods: This is a review of the lessons learned from evaluations of the use of office spirometry in the primary care setting to identify best practices using the most recent published evaluations of office spirometry and the analysis of preliminary data from a recent spirometry mass screening project. A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.

Results: A simple three-step method is described to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD: COPD questionnaire, measurement of peak expiratory flow, and office spirometry. Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.

Conclusion: Spirometry can be undertaken in primary care offices with acceptable levels of technical expertise. Using office spirometry, primary care physicians can diagnose the presence and severity of COPD. Spirometry can guide therapies for COPD and predict outcomes when used in general practice.

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Related in: MedlinePlus

Three-step method to identify people with a high pre-test probability for moderate to severe COPD.29Abbreviations: COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in the first second; PEF, peak expiratory flow measurement.
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f1-cia-6-047: Three-step method to identify people with a high pre-test probability for moderate to severe COPD.29Abbreviations: COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in the first second; PEF, peak expiratory flow measurement.

Mentions: The AARC, the COPD Foundation, and Columbia University have completed a pilot study,29 which screened 4901 people for COPD using a shortened version of the Martinez et al population screening questionnaire,30 peak expiratory flow measurement (PEF), and spirometry. The study used a three-step method (Figure 1)29 to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD.28,29


Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting.

Barnes TA, Fromer L - Clin Interv Aging (2011)

Three-step method to identify people with a high pre-test probability for moderate to severe COPD.29Abbreviations: COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in the first second; PEF, peak expiratory flow measurement.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3066252&req=5

f1-cia-6-047: Three-step method to identify people with a high pre-test probability for moderate to severe COPD.29Abbreviations: COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in the first second; PEF, peak expiratory flow measurement.
Mentions: The AARC, the COPD Foundation, and Columbia University have completed a pilot study,29 which screened 4901 people for COPD using a shortened version of the Martinez et al population screening questionnaire,30 peak expiratory flow measurement (PEF), and spirometry. The study used a three-step method (Figure 1)29 to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD.28,29

Bottom Line: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiopulmonary Sciences, Northeastern University, Boston, MA 02115-5000, USA. t.barnes@neu.edu

ABSTRACT

Objective: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.

Methods: This is a review of the lessons learned from evaluations of the use of office spirometry in the primary care setting to identify best practices using the most recent published evaluations of office spirometry and the analysis of preliminary data from a recent spirometry mass screening project. A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.

Results: A simple three-step method is described to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD: COPD questionnaire, measurement of peak expiratory flow, and office spirometry. Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.

Conclusion: Spirometry can be undertaken in primary care offices with acceptable levels of technical expertise. Using office spirometry, primary care physicians can diagnose the presence and severity of COPD. Spirometry can guide therapies for COPD and predict outcomes when used in general practice.

Show MeSH
Related in: MedlinePlus