ArticleCanadian respiratory journal
Spirometry in primary care: an analysis of spirometery test quality in a regional primary care asthma program.
Article in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Spirometry in primary care.Canadian respiratory journalGuideline
- The impact of integrated disease management in high-risk COPD patients in primary care.NPJ primary care respiratory medicine · 2019Trial
- Low-Effort Respiratory Function Estimation with a Soft Wearable Digital Spirometry Patch.Biosensors · 2026Article
- Viability of a new home program of forced spirometry with bronchodilator response measurement in the assessment of patients with asthma.Multidisciplinary respiratory medicine · 2025Article
- Quality of spirometry tests in the field of occupational health.BMC research notes · 2024Article
- Comparative Study on Chronic Obstructive Pulmonary Disease Screening Tools in Primary Healthcare Institutions in Beijing, China.International journal of chronic obstructive pulmonary disease · 2023Article
- A framework to support the progressive implementation of integrated team-based care for the management of COPD: a collective case study.BMC health services research · 2022Article
- Exploring the 175-year history of spirometry and the vital lessons it can teach us today.European respiratory review : an official journal of the European Respiratory Society · 2021Review
- Pharmacist Provided Spirometry Services: A Scoping Review.Integrated pharmacy research & practice · 2021Article
- Improving primary care management of asthma: do we know what really works?NPJ primary care respiratory medicine · 2020Review
- Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement.American journal of respiratory and critical care medicine · 2019Article
- Quality and learning aspects of the first 9000 spirometries of the LifeGene study.NPJ primary care respiratory medicine · 2018Article
- A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2018Article
- A retrospective study of two populations to test a simple rule for spirometry.BMC family practice · 2016Article
- Effects of a 12-month multi-faceted mentoring intervention on knowledge, quality, and usage of spirometry in primary care: a before-and-after study.BMC pulmonary medicine · 2016Article
- Feasibility of spirometry in primary care to screen for COPD: a pilot study.International journal of chronic obstructive pulmonary disease · 2016Article
- Pharmacists performing quality spirometry testing: an evidence based review.International journal of clinical pharmacy · 2015Review
- Coaching patients during pulmonary function testing: A practical guide.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2015Review
- Don't pay for poor quality spirometry tests.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Article
- Impact of a Pharmacist-driven Spirometry Clinic Service within a Community Family Health Center: A 5-year Retrospective Review.Journal of research in pharmacy practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care office spirometry can improve access to testing and concordance between clinical practice and asthma guidelines. Compliance with test quality standards is essential to implementation.
objectiveTo evaluate the quality of spirometry performed onsite in a regional primary care asthma program (RAP) by health care professionals with limited training.
methodsAsthma educators were trained to perform spirometry during two 2 h workshops and supervised during up to six patient encounters. Quality was analyzed using American Thoracic Society (ATS) 1994 and ATS⁄European Respiratory Society (ERS) 2003 (ATS⁄ERS) standards. These results were compared with two regional reference sites: a primary care group practice (Family Medical Centre [FMC], Windsor, Ontario) and a teaching hospital pulmonary function laboratory (London Health Sciences Centre [LHSC], London, Ontario).
resultsA total of 12,815 flow-volume loops (FVL) were evaluated: RAP - 1606 FVL in 472 patient sessions; reference sites - FMC 4013 FVL in 573 sessions; and LHSC - 7196 in 1151 sessions. RAP: There were three acceptable FVL in 392 of 472 (83%) sessions, two reproducible FVL according to ATS criteria in 428 of 469 (91%) sessions, and 395 of 469 (84%) according to ATS⁄ERS criteria. All quality criteria - minimum of three acceptable and two reproducible FVL according to ATS criteria in 361 of 472 (77%) sessions and according to ATS⁄ERS criteria in 337 of 472 (71%) sessions. RAP met ATS criteria more often than the FMC (388 of 573 [68%]); however, less often than LHSC (1050 of 1151 [91%]; P<0.001).
conclusionsHealth care providers with limited training and experience operating within a simple quality program achieved ATS⁄ERS quality spirometry in the majority of sessions in a primary care setting. The quality performance approached pulmonary function laboratory standards.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.