Evidence map›Paper›PMID 26201999›Full record

Observational studyNPJ primary care respiratory medicine2015

Predictors of poor-quality spirometry in two cohorts of older adults in Russia and Belgium: a cross-sectional study.

Eralda Turkeshi, Dmitry Zelenukha, Bert Vaes, Elena Andreeva, Elena Frolova, Jean-Marie Degryse

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in NPJ primary care respiratory medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. The association between spirometry measurement quality, cognitive function, and mortality.Archives of public health = Archives belges de sante publique · 2025
    Article
  5. Article
  6. Article
  7. Evaluating the extremely elderly at a pulmonary function clinic for the diagnosis of respiratory disease: frequency and technical quality of spirometry.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2019
    Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Eralda TurkeshiInstitute of Health and Society, Université Catholique de Louvain, Brussels, Belgium.
Dmitry ZelenukhaDepartment of Family Medicine, North-Western State Medical University, St Petersburg, Russia.
Bert Vaes1] Institute of Health and Society, Université Catholique de Louvain, Brussels, Belgium [2] Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.
Elena AndreevaInstitute of Health and Society, Université Catholique de Louvain, Brussels, Belgium.
Elena FrolovaDepartment of Family Medicine, North-Western State Medical University, St Petersburg, Russia.
Jean-Marie Degryse1] Institute of Health and Society, Université Catholique de Louvain, Brussels, Belgium [2] Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.
UCLouvain · BENorth-Western State Medical University named after I.I. Mechnikov · RUKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpirometry is an important test for the diagnosis of respiratory diseases, yet it is underused especially in older adults. Several predictors of good-quality spirometry in this age group have been reported, based mainly on in/outpatients of geriatric and/or respiratory units.

aimsThis study aims to assess predictors of poor-quality spirometry in community-dwelling older adults from two primary care cohorts in Russia and Belgium.

methodsSpirograms from two population-based cohort studies in Russia (CRYSTAL) and Belgium (BELFRAIL) were assessed in accordance with the American Thoracic Society/European Respiratory Society (ATS/ERS) acceptability and repeatability criteria and grouped into good and poor quality. Multivariable analysis assessed the association of poor-quality spirometry with socio-demographics, functional dependency, physical and mental functioning and co-morbidities.

resultsIn all, 43.3% of the 522 BELFRAIL participants (84.71 ± 3.67 years old) and 57.7% of the 605 CRYSTAL participants (75.11 ± 5.97 years old) achieved all ATS/ERS acceptability and repeatability criteria. In both cohorts, those with poor-quality spirometry had lower cognitive function (mini-mental state examination (MMSE) ⩽ 24). After adjustment in multivariable analysis, MMSE ⩽ 24 had an odds ratio for poor-quality spirometry of 1.33 (95% CI = 0.78-2.28) in the BELFRAIL and 1.30 (95% CI = 0.88-1.91) in the CRYSTAL cohort.

conclusionsIn community-dwelling older adults, including those over 80 years old, impaired cognition measured by the MMSE may not be an independent predictor of poor-quality spirometry. Further research is needed in this area, and spirometry should be used more often in older adults in primary care.

Indexed as

Primary Health CareAgedAged, 80 and overAsthmaBelgiumCognitionCognition DisordersCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansIndependent LivingMaleMental Status ScheduleProspective Studies

Identifiers

PMID26201999
PMCPMC4532161
OpenAlexW1725468176

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.