Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement

By B. Graham, I. Steenbruggen, Martin R Miller, I. Barjaktarevic, B. Cooper, G. Hall, T. Hallstrand, D. Kaminsky, K. McCarthy, M. McCormack and 5 more. American Journal of Respiratory and Critical Care Medicine, 2019

3,286 citations recorded by the source corpus.

Background: Spirometry is the most common pulmonary function test. It is widely used in the assessment of lung function to provide objective information used in the diagnosis of lung diseases and monitoring lung health. In 2005, the American Thoracic Society and the European Respiratory Society jointly adopted technical standards for conducting spirometry. Improvements in instrumentation and computational capabilities, together with new research studies and enhanced quality assurance approaches, have led to the need to update the 2005 technical standards for spirometry to take full advantage of current technical capabilities. Methods: This spirometry technical standards document was developed by an international joint task force, appointed by the American Thoracic Society and the European Respiratory Society, with expertise in conducting and analyzing pulmonary function tests, laboratory quality assurance, and developing international standards. A comprehensive review of published evidence was performed. A patient survey was developed to capture patients’ experiences. Results: Revisions to the 2005 technical standards for spirometry were made, including the addition of factors that were not previously considered. Evidence to support the revisions was cited when applicable. The experience and expertise of task force members were used to develop recommended best practices. Conclusions: Standards and consensus recommendations are presented for manufacturers, clinicians, operators, and researchers with the aims of increasing the accuracy, precision, and quality of spirometric measurements and improving the patient experience. A comprehensive guide to aid in the implementation of these standards was developed as an online supplement.

Subfields: Pulmonary and Respiratory Medicine

View Paper: https://www.semanticscholar.org/paper/08a31ae3e1574768479271c2bed025513f5ba515

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D. Kaminsky
S. Stanojevic
J. Leung
Martin R. Miller
Yu-miao Zhao
B. Thompson
A. Aliverti
B. Cooper

Citations in the corpus

ACE-2 expression in the small airway epithelia of smokers and COPD patients: implications for COVID-19 (2020, methodology): “All patients were required to be 19 years of age or older, who underwent spirometry according to international guidelines[8].”
Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery (2020, positive): “Spirometry and pulmonary diffusion capacity test was conducted using the spirometry (Masterscreen PFT, Jaeger, Germany) and the procedure was followed by the ATS-ERS guidelines [16].”
ERS/ATS technical standard on interpretive strategies for routine lung function tests (2021, background): “Recommended BDR protocols are included in the 2019 ATS-ERS Spirometry standard (5).”