In Reply:
I thank Mr Haynes and Dr Kaminsky for their interest and comments on our study exploring spirometric standards in relation to subject characteristics in routine clinical practice.1 Regarding the comments about the American Thoracic Society/European Respiratory Society (ATS/ERS) acceptability criteria for spirometry, I share the authors' concerns about the failure to achieve maximal inhalation during the spirometry maneuver; it is also my experience. In addition, I also agree with the proposal to add the term submaximal inhalation error to the ATS/ERS spirometry acceptability criteria.
Footnotes
Mr Giner has disclosed no conflicts of interest.
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