EDITORIAL
Spirometric screening
Spirometric screening: does it work?
Correspondence to:
Correspondence to:
Dr D M Mannino
Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky Medical Center, 800 Rose Street, MN 614, Lexington, KY 40536, USA; dmannino@uky.edu
Role of spirometric testing in smoking cessation
Keywords: lung function testing; counselling; smoking cessation; chronic obstructive pulmonary disease
| The first 150 words of the full text of this article appear below. |
Pulmonary function testing offers an easy, inexpensive, and non-invasive means of diagnosing and staging chronic lung disease.1,2 It provides information on both the presence of obstructive lung disease and restrictive lung disease and can provide insights on how patients might respond to treatment.3,4 Spirometric testing also provides prognostic information, with lung function measures predicting mortality and the development of lung cancer.5,6
Despite the valuable information that spirometric testing provides, it is underused in medical practices in much of the world. There are several reasons for this, including (1) problems with doing the procedure,7 (2) problems related to compensation, and (3) the absence of "evidence" that spirometric testing actually makes a difference in the diagnosis and treatment of patients. Advances in the design of spirometric tests that provide quality control feedback are addressing the first reason. The second reason varies between locales and health plans. Addressing the final reason
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