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ERS/ATS technical standard on interpretive strategies for routine lung function tests.

Publication ,  Journal Article
Stanojevic, S; Kaminsky, DA; Miller, MR; Thompson, B; Aliverti, A; Barjaktarevic, I; Cooper, BG; Culver, B; Derom, E; Hall, GL; Hallstrand, TS ...
Published in: Eur Respir J
July 2022

BACKGROUND: Appropriate interpretation of pulmonary function tests (PFTs) involves the classification of observed values as within/outside the normal range based on a reference population of healthy individuals, integrating knowledge of physiological determinants of test results into functional classifications and integrating patterns with other clinical data to estimate prognosis. In 2005, the American Thoracic Society (ATS) and European Respiratory Society (ERS) jointly adopted technical standards for the interpretation of PFTs. We aimed to update the 2005 recommendations and incorporate evidence from recent literature to establish new standards for PFT interpretation. METHODS: This technical standards document was developed by an international joint Task Force, appointed by the ERS/ATS with multidisciplinary expertise in conducting and interpreting PFTs and developing international standards. A comprehensive literature review was conducted and published evidence was reviewed. RESULTS: Recommendations for the choice of reference equations and limits of normal of the healthy population to identify individuals with unusually low or high results are discussed. Interpretation strategies for bronchodilator responsiveness testing, limits of natural changes over time and severity are also updated. Interpretation of measurements made by spirometry, lung volumes and gas transfer are described as they relate to underlying pathophysiology with updated classification protocols of common impairments. CONCLUSIONS: Interpretation of PFTs must be complemented with clinical expertise and consideration of the inherent biological variability of the test and the uncertainty of the test result to ensure appropriate interpretation of an individual's lung function measurements.

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Published In

Eur Respir J

DOI

EISSN

1399-3003

Publication Date

July 2022

Volume

60

Issue

1

Location

England

Related Subject Headings

  • United States
  • Spirometry
  • Respiratory System
  • Respiratory System
  • Respiratory Function Tests
  • Lung Volume Measurements
  • Humans
  • Bronchodilator Agents
  • 3201 Cardiovascular medicine and haematology
  • 11 Medical and Health Sciences
 

Citation

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ICMJE
MLA
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Stanojevic, S., Kaminsky, D. A., Miller, M. R., Thompson, B., Aliverti, A., Barjaktarevic, I., … Swenson, E. R. (2022). ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J, 60(1). https://doi.org/10.1183/13993003.01499-2021
Stanojevic, Sanja, David A. Kaminsky, Martin R. Miller, Bruce Thompson, Andrea Aliverti, Igor Barjaktarevic, Brendan G. Cooper, et al. “ERS/ATS technical standard on interpretive strategies for routine lung function tests.Eur Respir J 60, no. 1 (July 2022). https://doi.org/10.1183/13993003.01499-2021.
Stanojevic S, Kaminsky DA, Miller MR, Thompson B, Aliverti A, Barjaktarevic I, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J. 2022 Jul;60(1).
Stanojevic, Sanja, et al. “ERS/ATS technical standard on interpretive strategies for routine lung function tests.Eur Respir J, vol. 60, no. 1, July 2022. Pubmed, doi:10.1183/13993003.01499-2021.
Stanojevic S, Kaminsky DA, Miller MR, Thompson B, Aliverti A, Barjaktarevic I, Cooper BG, Culver B, Derom E, Hall GL, Hallstrand TS, Leuppi JD, MacIntyre N, McCormack M, Rosenfeld M, Swenson ER. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J. 2022 Jul;60(1).

Published In

Eur Respir J

DOI

EISSN

1399-3003

Publication Date

July 2022

Volume

60

Issue

1

Location

England

Related Subject Headings

  • United States
  • Spirometry
  • Respiratory System
  • Respiratory System
  • Respiratory Function Tests
  • Lung Volume Measurements
  • Humans
  • Bronchodilator Agents
  • 3201 Cardiovascular medicine and haematology
  • 11 Medical and Health Sciences