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The objective of this paper was to examine a possible association between education, income, labour market affiliation, cohabitation status and having spirometry performed when initiating medication targeting obstructive pulmonary disease. Socioeconomic status is known to influence the prevalence, severity and mortality of obstructive lung diseases, but it is uncertain whether it affects the use of diagnostic spirometry in patients initiating treatment for these conditions. Koefoed, Mette M Søndergaard, Jens Christensen, René dePont Jarbøl, Dorte E Influence of socioeconomic and demographic status on spirometry testing in patients initiating medication targeting obstructive lung disease: a population-based cohort study. Absolute changes in FEV(1) rather than percent change should be used to determine whether patients with chronic obstructive pulmonary disease have improved or worsened between test sessions. Over 90% of participants had an intersession FEV(1) difference of less than 225 ml irrespective of the severity of obstruction. However, the absolute difference between tests remained relatively constant despite the severity of obstruction (0.106 +/- 0.10 L). As the degree of obstruction increased, the intersession percent difference of FEV(1) increased. The mean +/- SD number of days between test sessions was 24.9 +/- 17.1 for the LHS and 85.7 +/- 21.7 for the NETT. We analyzed varying criteria for absolute and percent change of FEV(1) and FVC to determine which criterion was met by 90% of the participants. A total of 5,886 participants from the LHS and 1,215 participants from the NETT performed prebronchodilator spirometry during two baseline sessions. This may be applied to determine criteria that can be used to assess a clinically meaningful change in spirometry.
#Mac classic emulator failed to install on 10.4 kayak trial
Our goal is to determine short-term intraindividual biologic and measurement variability in spirometry of patients with a wide range of stable chronic obstructive pulmonary disease severity, using datasets from the National Emphysema Treatment Trial (NETT) and the Lung Health Study (LHS).
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Herpel, Laura B Kanner, Richard E Lee, Shing M Fessler, Henry E Sciurba, Frank C Connett, John E Wise, Robert A Variability of spirometry in chronic obstructive pulmonary disease: results from two clinical trials.
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The quality of primary care spirometry was so unsatisfactory that remote reporting of tests may be a means of establishing adequate spirometry. Its usefulness was confirmed by the high rate of additional clinically significant information to the reports of primary care clinicians. Conclusion Remote reporting of primary care spirometry was feasible. Mean predicted forced expiratory volume in the first second (FEV1) was 69%. Mean age of patients tested was 65 years and 52% were female. Forty-nine tests sent without indices or curves (flow volume and time volume) were excluded. Results Six practices emailed 312 tests over 3 months. Clinically significant disagreements were analysed with respect to test quality, diagnosis, and severity. Usefulness was assessed by measuring agreement (κ) between primary care reports and those of specialists. Usefulness of remote reporting was defined by the frequency that specialist reports made a clinically significant addition. Method Feasibility of remote reporting of spirometry was assessed by the frequency of electronic mailing of tests. Setting South London primary care teams with patient lists ≥6000. Design of study Comparison of reporting by primary care clinicians and respiratory specialists of consecutive primary care spirometry tests. Aim To assess the feasibility and usefulness of remote specialist reporting of primary care spirometry. Effective spirometry requires that tests and interpretations meet international criteria. White, Patrick Wong, Wun Fleming, Tracey Gray, Barryīackground Provision of spirometry for chronic obstructive pulmonary disease (COPD) is a new requirement in primary care. Primary care spirometry: test quality and the feasibility and usefulness of specialist reporting