Evidence map›Paper›PMID 31900421›Full record

ArticleNPJ primary care respiratory medicine2020

Accuracy of Vitalograph lung monitor as a screening test for COPD in primary care.

A P Dickens, D A Fitzmaurice, P Adab, A Sitch, R D Riley, A Enocson, R E Jordan

Abstract read
In one paragraph

Article in NPJ primary care respiratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Performance of alternative COPD case-finding tools: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2021
    Pooled it
  3. Trial
  4. Observational
  5. Article
  6. Article
  7. Implementation of a screening and management pathway for chronic obstructive pulmonary disease in patients with atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  8. Current Progress of COPD Early Detection: Key Points and Novel Strategies.International journal of chronic obstructive pulmonary disease · 2023
    Review
  9. Article
  10. Article
  11. Validity of the Handheld Expiratory Flowmeter for COPD Screening in the Primary Care Setting of China.International journal of chronic obstructive pulmonary disease · 2021
    Article
  12. Article
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

7 authors.

A P DickensInstitute of Applied Health Research, University of Birmingham, Birmingham, UK. a.p.dickens@bham.ac.uk.ORCID http://orcid.org/0000-0002-7591-8129
D A FitzmauriceWarwick Medical School - Health Sciences, University of Warwick, Coventry, UK.
P AdabInstitute of Applied Health Research, University of Birmingham, Birmingham, UK. p.adab@bham.ac.uk.
A SitchInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
R D RileyCentre for Prognosis Research, Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK.
A EnocsonInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
R E JordanInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.

Funding

Department of Health RP-PG-0109-10061
6 · The paper itself

Abstract

Microspirometry may be useful as the second stage of a screening pathway among patients reporting respiratory symptoms. We assessed sensitivity and specificity of the Vitalograph® lung monitor compared with post-bronchodilator confirmatory spirometry (ndd Easy on-PC) among primary care chronic obstructive pulmonary disease (COPD) patients within the Birmingham COPD cohort. We report a case-control analysis within 71 general practices in the UK. Eligible patients were aged ≥40 years who were either on a clinical COPD register or reported chronic respiratory symptoms on a questionnaire. Participants performed pre- and post-bronchodilator microspirometry, prior to confirmatory spirometry. Out of the 544 participants, COPD was confirmed in 337 according to post-bronchodilator confirmatory spirometry. Pre-bronchodilator, using the LLN as a cut-point, the lung monitor had a sensitivity of 50.5% (95% CI 45.0%, 55.9%) and a specificity of 99.0% (95% CI 96.6%, 99.9%) in our sample. Using a fixed ratio of FEV

Indexed as

Primary Health CareAgedCase-Control StudiesFemaleForced Expiratory VolumeHumansMaleMass ScreeningMiddle AgedPulmonary Disease, Chronic ObstructiveSensitivity and SpecificitySpirometry

Identifiers

PMID31900421
PMCPMC6941963

What OpenQuestion holds

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Registered trials

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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.