The American Thoracic Society/European Respiratory Society Acceptability Criteria for Spirometry: Asking Too Much or Not Enough?–Reply

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.

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