ReviewChest2022
Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence With Practice and Perception.
Review in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled 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.
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
62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- Race-Based Pulmonary Function Testing Correction in COPD Inhaler Therapy Trials: A Systematic Review.International journal of chronic obstructive pulmonary disease · 2024Pooled it
- Guideline
- Validity of the Childhood Asthma Control Test in diverse populations: A systematic review.Pediatric pulmonology · 2023Pooled it
- Clinical Implications of Removing Race-Corrected Pulmonary Function Tests for African American Patients Requiring Surgery for Lung Cancer.JAMA surgery · 2023Trial
- Diagnostic outcomes of the 2023 race-neutral and 2012 race-specific global lung function initiative spirometry equations in healthy Algerian adults: a cross-sectional comparative analysis.The Libyan journal of medicine · 2026Article
- From Recommendation to Reality: Implementing Global Lung Initiative (GLI) Global Amid Uncertainty.CHEST pulmonary · 2026Article
- Engagement and Intersectionality in Digital Self-Management Interventions for Asthma and Chronic Obstructive Pulmonary Disease: Scoping Review.Journal of medical Internet research · 2026Article
- Complications during interventional rigid bronchoscopy with general anaesthesia and high-frequency jet ventilation: a 5-year retrospective pilot study.European journal of anaesthesiology and intensive care · 2026Article
- The role of objective testing in urban adolescents with asthma symptoms in an African centre.BMC pediatrics · 2026Article
- Characterizing Race-Based Differences in Antisynthetase Syndrome Interstitial Lung Disease.Biomedicines · 2026Article
- Implications of removing race from spirometry reference equations in children with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025Article
- Bronchodilator Response in COPD: Definitions, Reference Equations, and Race.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Pediatric Pulmonology Year in Review 2024: Physiology.Pediatric pulmonology · 2025Review
- Race-neutral versus race-specific GLI reference equations on spirometry interpretation in the general population.Scientific reports · 2025Article
- Spirometry interpretation in Africa: bridging the gap with relevant reference equations.ERJ open research · 2025Article
- Associations of ethnicity, skin tone, and genome-wide sequencing with bone mineral density in adolescents.Pediatric research · 2025Article
- Associations between in-home environmental exposures and lung function in a safety net population of children with asthma using electronic health records and geospatial data.Annals of epidemiology · 2025Article
- Examining discordance in spirometry reference equations: A retrospective study.Physiological reports · 2025Article
- Comparison of Race-Neutral versus Race-Specific Spirometry Equations for Evaluation of Child Asthma.American journal of respiratory and critical care medicine · 2025Article
- The evolving burden of drug use disorders: a comprehensive epidemiological analysis from the 2021 Global Burden of Disease study.Frontiers in psychiatry · 2025Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 6 institutions in 3 countries.
Funding
Abstract
The practice of using race or ethnicity in medicine to explain differences between individuals is being called into question because it may contribute to biased medical care and research that perpetuates health disparities and structural racism. A commonly cited example is the use of race or ethnicity in the interpretation of pulmonary function test (PFT) results, yet the perspectives of practicing pulmonologists and physiologists are missing from this discussion. This discussion has global relevance for increasingly multicultural communities in which the range of values that represent normal lung function is uncertain. We review the underlying sources of differences in lung function, including those that may be captured by race or ethnicity, and demonstrate how the current practice of PFT measurement and interpretation is imperfect in its ability to describe accurately the relationship between function and health outcomes. We summarize the arguments against using race-specific equations as well as address concerns about removing race from the interpretation of PFT results. Further, we outline knowledge gaps and critical questions that need to be answered to change the current approach of including race or ethnicity in PFT results interpretation thoughtfully. Finally, we propose changes in interpretation strategies and future research to reduce health disparities.
Indexed as
Identifiers
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.