Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting

Thomas A Barnes1, Len Fromer21Department of Cardiopulmonary Sciences, Northeastern University, Boston, MA, USA; 2David Geffen School of Medicine at UCLA, Los Angeles, CA, USAObjective: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by th...

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Autores principales:	Thomas A Barnes, Len Fromer
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Keywords: chronic obstructive pulmonary disease (COPD) spirometry family practice primary care physician Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/10cdb827225244558a1dfd9cd492c147
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spelling	oai:doaj.org-article:10cdb827225244558a1dfd9cd492c1472021-12-02T10:51:45ZSpirometry use: detection of chronic obstructive pulmonary disease in the primary care setting1178-1998https://doaj.org/article/10cdb827225244558a1dfd9cd492c1472011-01-01T00:00:00Zhttps://www.dovepress.com/spirometry-use-detection-of-chronic-obstructive-pulmonary-disease-in-t-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Thomas A Barnes1, Len Fromer21Department of Cardiopulmonary Sciences, Northeastern University, Boston, MA, USA; 2David Geffen School of Medicine at UCLA, Los Angeles, CA, USAObjective: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.Methods: This is a review of the lessons learned from evaluations of the use of office spirometry in the primary care setting to identify best practices using the most recent published evaluations of office spirometry and the analysis of preliminary data from a recent spirometry mass screening project. A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.Results: A simple three-step method is described to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD: COPD questionnaire, measurement of peak expiratory flow, and office spirometry. Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.Conclusion: Spirometry can be undertaken in primary care offices with acceptable levels of technical expertise. Using office spirometry, primary care physicians can diagnose the presence and severity of COPD. Spirometry can guide therapies for COPD and predict outcomes when used in general practice.Keywords: chronic obstructive pulmonary disease, spirometry, family practice, primary care physicianThomas A BarnesLen FromerDove Medical PressarticleKeywords: chronic obstructive pulmonary disease (COPD)spirometryfamily practiceprimary care physicianGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 6, Pp 47-52 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Keywords: chronic obstructive pulmonary disease (COPD) spirometry family practice primary care physician Geriatrics RC952-954.6
spellingShingle	Keywords: chronic obstructive pulmonary disease (COPD) spirometry family practice primary care physician Geriatrics RC952-954.6 Thomas A Barnes Len Fromer Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
description	Thomas A Barnes1, Len Fromer21Department of Cardiopulmonary Sciences, Northeastern University, Boston, MA, USA; 2David Geffen School of Medicine at UCLA, Los Angeles, CA, USAObjective: To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.Methods: This is a review of the lessons learned from evaluations of the use of office spirometry in the primary care setting to identify best practices using the most recent published evaluations of office spirometry and the analysis of preliminary data from a recent spirometry mass screening project. A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.Results: A simple three-step method is described to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD: COPD questionnaire, measurement of peak expiratory flow, and office spirometry. Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.Conclusion: Spirometry can be undertaken in primary care offices with acceptable levels of technical expertise. Using office spirometry, primary care physicians can diagnose the presence and severity of COPD. Spirometry can guide therapies for COPD and predict outcomes when used in general practice.Keywords: chronic obstructive pulmonary disease, spirometry, family practice, primary care physician
format	article
author	Thomas A Barnes Len Fromer
author_facet	Thomas A Barnes Len Fromer
author_sort	Thomas A Barnes
title	Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
title_short	Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
title_full	Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
title_fullStr	Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
title_full_unstemmed	Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
title_sort	spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/10cdb827225244558a1dfd9cd492c147
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Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting

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