ArticleNPJ primary care respiratory medicine2016
Use of spirometry among chest physicians and primary care physicians in India.
Article in NPJ primary care respiratory medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Asthma in African children and adolescents: Burden, barriers, and management strategies.African journal of thoracic and critical care medicine · 2026Review
- A frugal arduino-based spirometer for low-resource settings: design, development and validation of a preliminary prototype.Frontiers in bioengineering and biotechnology · 2025Article
- A qualitative study of the palliative care needs of primary care patients with COPD: Experiences of COPD patients, their families and healthcare professionals.Palliative care and social practice · 2025Article
- Using machine learning for early detection of chronic obstructive pulmonary disease: a narrative review.Respiratory research · 2024Review
- Gold 2023: Highlights for primary care.NPJ primary care respiratory medicine · 2023Article
- Current Progress of COPD Early Detection: Key Points and Novel Strategies.International journal of chronic obstructive pulmonary disease · 2023Review
- Gaps in asthma diagnosis and treatment in low- and middle-income countries.Frontiers in allergy · 2023Article
- Reference equations for evaluation of spirometry function tests in South Asia, and among South Asians living in other countries.The European respiratory journal · 2022Article
- Secular trends in chronic respiratory diseases mortality in Brazil, Russia, China, and South Africa: a comparative study across main BRICS countries from 1990 to 2019.BMC public health · 2022Article
- Characteristics of Patients with Chronic Obstructive Pulmonary Disease Treated with Long-Acting Bronchodilators in a Real-World Setting in Singapore: A Single-Center Observational Study.International journal of chronic obstructive pulmonary disease · 2022Observational
- Revamping of Chronic Respiratory Diseases in Low- and Middle-Income Countries.Frontiers in public health · 2021Review
- Chronic respiratory diseases: a global view.The Lancet. Respiratory medicine · 2020Article
- Quality of spirometry testing in a community setting: A study among elderly persons in a rural area of Haryana.Journal of family medicine and primary care · 2019Article
- Assessing health-seeking behavior among Asthma and COPD patients in urban South India.Journal of family medicine and primary care · 2019Article
- The burden of chronic respiratory diseases and their heterogeneity across the states of India: the Global Burden of Disease Study 1990-2016.The Lancet. Global health · 2018Article
- Peak flow meter with a questionnaire and mini-spirometer to help detect asthma and COPD in real-life clinical practice: a cross-sectional study.NPJ primary care respiratory medicine · 2017Article
- What is the true burden of chronic obstructive pulmonary disease in India and what are its implications at a national level?Lung India : official organ of Indian Chest SocietyArticle
- Diagnostic Accuracy of a Two-Stage Sequential Screening Strategy Implemented by Community Health Workers (CHWs) to Identify Individuals with COPD in Rural India.International journal of chronic obstructive pulmonary diseaseArticle
- Policy-Practice Gaps in the Management of Asthma in Children in a Developing Country: Indonesia Experience.Sage open pediatricsArticle
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6 authors.
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Abstract
Although spirometry is the gold-standard diagnostic test for obstructive airways diseases, it remains poorly utilised in clinical practice. We aimed to investigate the use of spirometry across India, the change in its usage over a period of time and to understand the reasons for its under-utilisation. Two nationwide surveys were conducted in the years 2005 and 2013, among four groups of doctors: chest physicians (CPs), general physicians (GenPs), general practitioners (GPs) and paediatricians (Ps). A total of 1,000 physicians from each of the four groups were randomly selected from our database in the years 2005 and 2013. These surveys were conducted in 52 cities and towns across 15 states in India. A questionnaire was administered to the physicians, which captured information about their demographic details, type of practice and use of spirometry. The overall response rates of the physicians in 2005 and 2013 were 42.8% and 54.9%, respectively. Spirometry was reported to be used by 55% CPs, 20% GenPs, 10% GPs and 5% Ps in 2005, and this increased by 30.9% among CPs (P value <0.01), 18% among GenPs (P value=0.01), 20% among GPs (P value: not significant) and 224% among Ps (P value <0.01). The reasons for not using spirometry varied between 2005 and 2013. In all, 32.2% of physicians were unaware of which predicted equation they were using. The use of spirometry in India is low, although it seems to have improved over the years. The reasons identified in this study for under-utilisation should be used to address initiatives to improve the use of spirometry in clinical practice.
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