ArticleNPJ primary care respiratory medicine2020
Quality of spirometry and related diagnosis in primary care with a focus on clinical use.
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 19 papers.
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Who cites it
19 citing papers in PubMed.
- Comparing Approaches to Teaching Patients How to Use an App-Based Home Spirometer: Randomized Controlled Trial.JMIR formative research · 2025Trial
- Reliability and usability of a portable spirometer compared to a laboratory spirometer.BMC pulmonary medicine · 2025Trial
- COPD Management in Primary Care: Underutilisation of Nursing Consultations.Journal of clinical nursing · 2026Observational
- Within-individual variation of spirometry measurements in primary care: a retrospective cohort study.BMJ open respiratory research · 2026Article
- Challenges in translating GINA asthma recommendations into practice: a qualitative study of healthcare professionals in Jordan.BMJ open · 2026Article
- The importance of office spirometry in guiding the management of patients with chronic airway disorders in primary care.BMC primary care · 2026Article
- Feasibility, quality and added value of unsupervised at-home spirometry in primary care.NPJ primary care respiratory medicine · 2025Article
- Assessment of forced spirometry quality in healthy adults at 2,700 meters above sea levelBiomedica : revista del Instituto Nacional de Salud · 2025Article
- COMPAIR: a comparison of directly supervised clinicERJ open research · 2025Article
- Validation of artificial intelligence spirometry diagnostic support software in primary care: a blinded diagnostic accuracy study.ERJ open research · 2025Article
- Single-Inhaler Triple Therapy in Primary Care Across Europe: Expert Panel Consensus on the Consequences of Payer-Driven Access Rules and Call to Action.International journal of chronic obstructive pulmonary disease · 2025Review
- Article
- Remotely supervised spirometry versus laboratory-based spirometry during the COVID-19 pandemic: a retrospective analysis.Respiratory research · 2024Article
- [Repeatability of spirometry's expiratory flows].Revista medica del Instituto Mexicano del Seguro Social · 2024Observational
- Disease Burden, Treatment Patterns and Asthma Control in Adult Patients with Asthma in China: A Real-World Study.Journal of asthma and allergy · 2024Article
- Medium-term repeatability for airwave oscillometry in patients with severe asthma taking benralizumab.The journal of allergy and clinical immunology. Global · 2023Article
- Development of a tool to detect small airways dysfunction in asthma clinical practice.The European respiratory journal · 2023Article
- 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
- Spotlight on primary care management of COPD: Electronic health records.Chronic respiratory diseaseArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
American and European societies' (ATS/ERS) criteria for spirometry are often not met in primary care. Yet, it is unknown if quality is sufficient for daily clinical use. We evaluated quality of spirometry in primary care based on clinical usefulness, meeting ATS/ERS criteria and agreement on diagnosis between general practitioners (GPs) and pulmonologists. GPs included ten consecutive spirometry tests and detailed history questionnaires of patients who underwent spirometry as part of usual care. GPs and two pulmonologists assessed the spirometry tests and questionnaires on clinical usefulness and formulated a diagnosis. In total, 149 participants covering 15 GPs were included. Low agreements were found on diagnosis between GPs and pulmonologists 1 (κ = 0.39) and 2 (κ = 0.44). GPs and pulmonologists rated >88% of the tests as clinically useful, although 13% met ATS/ERS criteria. This real-life study demonstrated that clinical usefulness of routine primary care spirometry tests was high, although agreement on diagnosis was low.
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