Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
نویسندگان
چکیده
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.
منابع مشابه
Should we use spirometry in the early detection of COPD?
ENRIGHT et al. [1] in the European Respiratory Monograph, promote office spirometry as the way forward in the routine assessment of asthma and chronic obstructive pulmonary disease (COPD), and in the early detection of COPD. They define office spirometry as ‘spirometry performed in the primary care setting’. There is an unwelcome ambiguity in their paper when it comes to both of these subjects,...
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عنوان ژورنال:
دوره 6 شماره
صفحات -
تاریخ انتشار 2011