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Article: Issues in pulmonary function testing for the screening and diagnosis of chronic obstructive pulmonary disease

TitleIssues in pulmonary function testing for the screening and diagnosis of chronic obstructive pulmonary disease
Authors
Issue Date2012
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.co-pulmonarymedicine.com
Citation
Current Opinion In Pulmonary Medicine, 2012, v. 18 n. 2, p. 104-111 How to Cite?
AbstractPURPOSE OF REVIEW: The purpose of this review article is to provide an up-to-date summary on the current evidence for or against the use of lung function tests as screening and diagnostic tools for airflow obstruction in chronic obstructive pulmonary disease (COPD), and to consider the relevant issues in context. RECENT FINDINGS: COPD is characterized by chronic respiratory symptoms and airflow limitation with only partial reversibility on lung function testing. However, screening on a population basis or of an enriched 'at-risk' subset like chronic smokers is not supported by findings from previous epidemiological studies, screening trials or in currently published clinical management guidelines by professional societies and review bodies. The definition of airflow obstruction and the classification of disease severity of COPD also differ slightly between guidelines and statements from different professional societies. SUMMARY: Given the experience from previous screening trials and controversial classification of airflow obstruction by severity, it is impossible to have accurate screening results for COPD based on lung function tests alone. Clinical respiratory symptoms should be taken into consideration in terms of the diagnosis and management of COPD, as well as in any screening trial or programme that is to be attempted or implemented. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/163454
ISSN
2015 Impact Factor: 3.079
2015 SCImago Journal Rankings: 1.397
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLam, DCLen_US
dc.contributor.authorHui, CKMen_US
dc.contributor.authorIp, MSMen_US
dc.date.accessioned2012-09-05T05:31:36Z-
dc.date.available2012-09-05T05:31:36Z-
dc.date.issued2012en_US
dc.identifier.citationCurrent Opinion In Pulmonary Medicine, 2012, v. 18 n. 2, p. 104-111en_US
dc.identifier.issn1070-5287en_US
dc.identifier.urihttp://hdl.handle.net/10722/163454-
dc.description.abstractPURPOSE OF REVIEW: The purpose of this review article is to provide an up-to-date summary on the current evidence for or against the use of lung function tests as screening and diagnostic tools for airflow obstruction in chronic obstructive pulmonary disease (COPD), and to consider the relevant issues in context. RECENT FINDINGS: COPD is characterized by chronic respiratory symptoms and airflow limitation with only partial reversibility on lung function testing. However, screening on a population basis or of an enriched 'at-risk' subset like chronic smokers is not supported by findings from previous epidemiological studies, screening trials or in currently published clinical management guidelines by professional societies and review bodies. The definition of airflow obstruction and the classification of disease severity of COPD also differ slightly between guidelines and statements from different professional societies. SUMMARY: Given the experience from previous screening trials and controversial classification of airflow obstruction by severity, it is impossible to have accurate screening results for COPD based on lung function tests alone. Clinical respiratory symptoms should be taken into consideration in terms of the diagnosis and management of COPD, as well as in any screening trial or programme that is to be attempted or implemented. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.co-pulmonarymedicine.comen_US
dc.relation.ispartofCurrent Opinion in Pulmonary Medicineen_US
dc.titleIssues in pulmonary function testing for the screening and diagnosis of chronic obstructive pulmonary diseaseen_US
dc.typeArticleen_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/MCP.0b013e32834feae7en_US
dc.identifier.pmid22262139-
dc.identifier.scopuseid_2-s2.0-84856634404en_US
dc.identifier.hkuros202196-
dc.identifier.volume18en_US
dc.identifier.issue2en_US
dc.identifier.spage104en_US
dc.identifier.epage111en_US
dc.identifier.isiWOS:000300187200003-
dc.publisher.placeUnited Statesen_US

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