Controversies in the use of spirometry for early recognition and diagnosis of chronic obstructive pulmonary disease in cigarette smokers

被引：42

作者：

Enright, PL

Crapo, RO

机构：

[1] Univ Arizona, Dept Med, Tucson, AZ USA

[2] Univ Utah, Dept Med, Salt Lake City, UT 84112 USA

来源：

CLINICS IN CHEST MEDICINE | 2000年 / 21卷 / 04期

关键词：

D O I：

10.1016/S0272-5231(05)70174-X

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

The National Lung Health Education Program recently recommended the widespread use of office spirometry by primary care providers to detect early chronic obstructive pulmonary disease in patients older than 45 years who smoke cigarettes and have a respiratory symptom. Previous reviews and guidelines do not support such a recommendation. Few primary care physicians currently perform spirometry testing, and for those who do the quality of testing is often suboptimal. Smokers with normal spirometry results may feel justified to continue smoking. Is the 100 million dollar cost of testing the 9 million eligible patients in the United States justified?

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页码：645 / +

页数：10

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