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Interpretation of occupational peak flow records: level of agreement between expert clinicians and Oasys-2
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  • Published on:
    Response to David Fishwick
    • P Sherwood Burge, Chest Physician
    • Other Contributors:
      • David baldwin, R.D.Barker, Charles Pantin

    Dear Editor

    Experts were given no clinical details except for times of waking and sleeping, and times of starting and leaving work. They were asked to make judgements based on the peak expiratory flow record alone, similar to the judgements made by the Oasys program. Oasys-2 has been shown to have a sensitivity of around 70%, when tested against independent objective diagnoses (mostly specific bronchial provocation t...

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    Conflict of Interest:
    None declared.
  • Published on:
    Man versus machine
    • David Fishwick, Respiratory Physician
    • Other Contributors:
      • Lisa M Bradshaw, Paul A Tate and Andrew D Curran

    Dear Editor

    We read with interest the article by Baldwin et al.[1] relating to the level of agreement between expert clinicians and OASYS software when making a diagnosis of occupational asthma. Our clinical unit uses OASYS plotting regularly, and find this of great use as one element of the diagnostic toolkit available for the confirmation of a diagnosis of occupational asthma.

    We were interested...

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    Conflict of Interest:
    None declared.