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

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          Abstract

          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.

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          Most cited references150

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          Standardisation of the measurement of lung volumes.

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            Standardization of Spirometry, 1994 Update. American Thoracic Society.

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              • Record: found
              • Abstract: found
              • Article: not found

              2017 ERS/ATS standards for single-breath carbon monoxide uptake in the lung

              This document provides an update to the European Respiratory Society (ERS)/American Thoracic Society (ATS) technical standards for single-breath carbon monoxide uptake in the lung that was last updated in 2005. Although both DLCO (diffusing capacity) and TLCO (transfer factor) are valid terms to describe the uptake of carbon monoxide in the lung, the term DLCO is used in this document. A joint taskforce appointed by the ERS and ATS reviewed the recent literature on the measurement of DLCO and surveyed the current technical capabilities of instrumentation being manufactured around the world. The recommendations in this document represent the consensus of the taskforce members in regard to the evidence available for various aspects of DLCO measurement. Furthermore, it reflects the expert opinion of the taskforce members on areas in which peer-reviewed evidence was either not available or was incomplete. The major changes in these technical standards relate to DLCO measurement with systems using rapidly responding gas analysers for carbon monoxide and the tracer gas, which are now the most common type of DLCO instrumentation being manufactured. Technical improvements and the increased capability afforded by these new systems permit enhanced measurement of DLCO and the opportunity to include other optional measures of lung function.
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                Author and article information

                Journal
                Am J Respir Crit Care Med
                Am. J. Respir. Crit. Care Med
                ajrccm
                American Journal of Respiratory and Critical Care Medicine
                American Thoracic Society
                1073-449X
                1535-4970
                15 October 2019
                15 October 2019
                15 October 2019
                : 200
                : 8
                : e70-e88
                Author notes
                Correspondence and requests for reprints should be addressed to Brian L. Graham, Ph.D., Division of Respirology, Critical Care and Sleep Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8 Canada. E-mail: brian.graham@ 123456usask.ca .
                [†]

                Deceased February 17, 2019.

                Author information
                http://orcid.org/0000-0003-1794-7682
                http://orcid.org/0000-0001-9971-5759
                http://orcid.org/0000-0002-8096-0858
                http://orcid.org/0000-0003-0785-1038
                http://orcid.org/0000-0002-6217-9494
                http://orcid.org/0000-0002-5059-6872
                http://orcid.org/0000-0002-6515-8023
                http://orcid.org/0000-0003-1702-3201
                http://orcid.org/0000-0001-7931-8051
                Article
                201908-1590ST
                10.1164/rccm.201908-1590ST
                6794117
                31613151
                0838c858-398f-4ad9-94fe-9974ec571653
                Copyright © 2019 by the American Thoracic Society

                You may print one copy of this document at no charge. However, if you require more than one copy, you must place a reprint order. Domestic reprint orders: amy.schriver@ 123456sheridan.com ; international reprint orders: louisa.mott@ 123456springer.com .

                History
                Page count
                Figures: 4, Tables: 10, Pages: 19
                Categories
                American Thoracic Society Documents
                Open Access

                spirometry,spirometer,pulmonary function,technical standards

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