RT Journal Article
SR Electronic
T1 Strategies for Screening for Chronic Obstructive Pulmonary Disease
JF Respiratory Care
FD American Association for Respiratory Care
SP 1194
OP 1203
VO 48
IS 12
A1 Enright, Paul L
A1 Kaminsky, David A
YR 2003
UL http://rc.rcjournal.com/content/48/12/1194.abstract
AB Chronic obstructive pulmonary disease is easily detected in its preclinical phase, using office spirometry. Successful smoking cessation prevents further disease progression in most patients. Spirometry measures the ratio of the forced expiratory volume in the first second to the forced vital capacity (FEV1/FVC), which is the most sensitive and specific test for detecting airflow limitation. Primary care practitioners see the majority of adult smokers, but few primary care practitioners currently have spirometers or regularly order spirometry for their smoker patients. Improvements in spirometry software have made it much easier to obtain good quality spirometry test sessions, thereby reducing the misclassification rate. Respiratory therapists and pulmonary function technologists can help primary care practitioners select good office spirometers for identifying chronic obstructive pulmonary disease and teach staff how to use spirometers correctly.