RT Journal Article
SR Electronic
T1 Perspectives on Using Race in Pulmonary Function Testing: A National Survey of Fellows and Program Directors
JF Respiratory Care
FD American Association for Respiratory Care
SP 1371
OP 1379
DO 10.4187/respcare.11734
VO 69
IS 11
A1 Banerjee, Debasree
A1 Aijaz, Sara
A1 Nassikas, Nicholas J
A1 Singh, Parvati
A1 Lakshman, Sneha
A1 Boyd, Chelsea
A1 Brown, Quincy
A1 Mathew, Amy
A1 Rosen, Rochelle K
A1 Lantini, Ryan
A1 Andrea, Sarah B
A1 Walsh, Stephen R
A1 Gartman, Eric J
A1 Levinson, Andrew
A1 Carino, Gerardo
A1 Braun, Lundy
YR 2024
UL http://rc.rcjournal.com/content/69/11/1371.abstract
AB BACKGROUND: Pulmonary function tests (PFTs) have historically used race-specific prediction equations. The recent American Thoracic Society guidelines recommend the use of a race-neutral approach in prediction equations. There are limited studies centering the opinions of practicing pulmonologists on the use of race in spirometry. Provider opinion will impact adoption of the new guideline. The aim of this study was to ascertain the beliefs of academic pulmonary and critical care providers regarding the use of race as a variable in spirometry prediction equations.METHODS: We report data from 151 open-ended responses from a voluntary, nationwide survey (distributed by the Association of Pulmonary Critical Care Medicine Program Directors) of academic pulmonary and critical care providers regarding the use of race in PFT prediction equations. Responses were coded using inductive and deductive methods, and a thematic content analysis was conducted.RESULTS: There was a balanced distribution of opinions among respondents supporting, opposing, or being unsure about the incorporation of race in spirometry prediction equations. Responses demonstrated a wide array of understanding related to the concept and definition of race and its relationship to physiology.CONCLUSIONS: There was no consensus among providers regarding the use of race in spirometry prediction equations. Concepts of race having biologic implications persist among pulmonary providers and will likely affect the uptake of the Global Lung Function Initiative per the American Thoracic Society guidelines.