The Global Lung Function Initiative: dispelling some myths of lung function test interpretation

被引：51

作者：

Stanojevic, Sanja ^{[1
]}

Quanjer, Philip ^{[2
]}

Miller, Martin R. ^{[3
]}

Stocks, Janet ^{[4
]}

机构：

[1] Hosp Sick Children, Div Resp Med, Toronto, ON, Canada

[2] Erasmus Univ, Erasmus Med Ctr, Dept Pulm Dis & Dept Paediat, Rotterdam, Netherlands

[3] Univ Birmingham, Inst Occupat & Environm Med, Birmingham B15 2TT, W Midlands, England

[4] UCL, Inst Child Hlth, Portex Resp Unit, London, England

来源：

BREATHE | 2013年 / 9卷 / 06期

关键词：

D O I：

10.1183/20734735.012113

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Educational Aims To summarise limitations and implications associated with using outdated spirometry reference equations to interpret lung function. To describe the Quanjer et al., 2012 "Global Lung Function Initiative" (GLI) spirometry equations and the advantages of using these in both clinical practice and research studies. To discuss the necessary steps and challenges when switching to the GLI, including adjustment for ethnicity, re-calculation of previous results for accurate trend reports and education of both patients and professionals. Lung function results can help with establishing a diagnosis, with assessment of treatment effects and with making a prognosis. However, arbitrary differences in the way lung function is expressed and interpreted may result in mismanagement of patients as well as hindering our understanding of the global burden of lung disease. In this article, we summarise the Global Lung Function Initiative spirometry reference equations and dispel some common myths related to the use and interpretation of spirometry results.

引用

页码：463 / 474

页数：12

共 48 条

[11]

Quanjer P.H., Hall G.L., Stanojevic S., Et al., Age-and height-based prediction bias in spirometry reference equations, Eur Respir J, 40, pp. 190-197, (2012)

[12]

Vaz Fragoso C.A., McAvay G., Gill T.M., Et al., Ethnic differences in respiratory impairment, Thorax, (2013)

[13]

Schultz E.S., Gruzieva O., Bellander T., Et al., Trafficrelated air pollution and lung function in children at 8 years of age: A birth cohort study, Am J Respir Crit Care Med, 186, pp. 1286-1291, (2012)

[14]

Coates A.L., Graham B.L., McFadden R.G., Et al., Spirometry in primary care, Can Respir J, 20, pp. 13-21, (2013)

[15]

Quanjer P.H., Pretto J.J., Brazzale D.J., Et al., Grading the severity of airways obstruction: New wine in new bottles, Eur Respir J, (2013)

[16]

Vaz Fragoso C.A., Gill T.M., McAvay G., Et al., Respiratory impairment in older persons: When less means more, Am J Med, 126, pp. 49-57, (2013)

[17]

Vandevanter D.R., Pasta D.J., Evidence of diminished FEV and FVC in 6-year-olds followed in the European cystic fibrosis patient registry, 2007-2009, J Cyst Fibros, (2013)

[18]

Pellegrino R., Viegi G., Brusasco V., Et al., Interpretative strategies for lung function tests, Eur Respir J, 26, pp. 948-968, (2005)

[19]

Steenbruggen I., Mitchell S., Severin T., Et al., Harmonising spirometry education with HERMES: Training a new generation of qualified spirometry practitioners across Europe, Eur Respir J, 37, pp. 479-481, (2011)

[20]

Merrill R.M., Richardson J.S., Validity of self-reported height, weight, and body mass index: Findings from the National Health and Nutrition Examination Survey, 2001-2006, Prev Chronic Dis, 6, (2009)

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