Office spirometry for lung health assessment in adults: A consensus statement from the national lung health education program

Gary T. Ferguson, Paul L. Enright, A (Sonia) Buist, Millicent W. Higgins

Research output: Contribution to journalArticle

369 Citations (Scopus)

Abstract

COPD is easily detected in its preclinical phase using spirometry, and successful smoking cessation (a cost-effective intervention) prevents further disease progression. This consensus statement recommends the widespread use of office spirometry by primary-care providers for patients ≥ 45 years old who smoke cigarettes. Discussion of the spirometry results with current smokers should be accompanied by strong advice to quit smoking and referral to local smoking cessation resources. Spirometry also is recommended for patients with respiratory symptoms such as chronic cough, episodic wheezing, and exertional dyspnea in order to detect airways obstruction due to asthma or COPD. Although diagnostic-quality spirometry may be used to detect COPD, we recommend the development, validation, and implementation of a new type of spirometry - office spirometry - for this purpose in the primary-care setting. In order to encourage the widespread use of office spirometers, their specifications differ somewhat from those for diagnostic spirometers, allowing lower instrument cost, smaller size, less effort to perform the test, improved ease of calibration checks, and an improved quality-assurance program.

Original languageEnglish (US)
Pages (from-to)1146-1161
Number of pages16
JournalChest
Volume117
Issue number4
StatePublished - 2000

Fingerprint

Spirometry
Health Education
Consensus
Lung
Health
Chronic Obstructive Pulmonary Disease
Smoking Cessation
Primary Health Care
Costs and Cost Analysis
Respiratory Sounds
Airway Obstruction
Cough
Smoke
Tobacco Products
Dyspnea
Calibration
Disease Progression
Referral and Consultation
Asthma
Smoking

Keywords

  • COPD
  • Risk assessment
  • Smoking
  • Spirometry

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Office spirometry for lung health assessment in adults : A consensus statement from the national lung health education program. / Ferguson, Gary T.; Enright, Paul L.; Buist, A (Sonia); Higgins, Millicent W.

In: Chest, Vol. 117, No. 4, 2000, p. 1146-1161.

Research output: Contribution to journalArticle

Ferguson, Gary T. ; Enright, Paul L. ; Buist, A (Sonia) ; Higgins, Millicent W. / Office spirometry for lung health assessment in adults : A consensus statement from the national lung health education program. In: Chest. 2000 ; Vol. 117, No. 4. pp. 1146-1161.
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