Publication

Quality of spirometry and related diagnosis in primary care with a focus on clinical use

van de Hei, S. J., Flokstra-de Blok, B. M. J., Baretta, H. J., Doornewaard, N. E., van der Molen, T., Patberg, K. W., Ruberg, E. C. M., Schermer, T. R. J., Steenbruggen, T. G., van den Berg, J. W. K. & Kocks, J. W. H., 15-May-2020, In : npj Primary Care Respiratory Medicine. 30, 1, 7 p., 22.

Research output: Contribution to journalArticleAcademicpeer-review

APA

van de Hei, S. J., Flokstra-de Blok, B. M. J., Baretta, H. J., Doornewaard, N. E., van der Molen, T., Patberg, K. W., ... Kocks, J. W. H. (2020). Quality of spirometry and related diagnosis in primary care with a focus on clinical use. npj Primary Care Respiratory Medicine, 30(1), [22]. https://doi.org/10.1038/s41533-020-0177-z

Author

van de Hei, S. J. ; Flokstra-de Blok, B. M. J. ; Baretta, H. J. ; Doornewaard, N. E. ; van der Molen, T. ; Patberg, K. W. ; Ruberg, E. C. M. ; Schermer, T. R. J. ; Steenbruggen, Tessa G ; van den Berg, J. W. K. ; Kocks, J. W. H. / Quality of spirometry and related diagnosis in primary care with a focus on clinical use. In: npj Primary Care Respiratory Medicine. 2020 ; Vol. 30, No. 1.

Harvard

van de Hei, SJ, Flokstra-de Blok, BMJ, Baretta, HJ, Doornewaard, NE, van der Molen, T, Patberg, KW, Ruberg, ECM, Schermer, TRJ, Steenbruggen, TG, van den Berg, JWK & Kocks, JWH 2020, 'Quality of spirometry and related diagnosis in primary care with a focus on clinical use', npj Primary Care Respiratory Medicine, vol. 30, no. 1, 22. https://doi.org/10.1038/s41533-020-0177-z

Standard

Quality of spirometry and related diagnosis in primary care with a focus on clinical use. / van de Hei, S. J.; Flokstra-de Blok, B. M. J.; Baretta, H. J.; Doornewaard, N. E.; van der Molen, T.; Patberg, K. W.; Ruberg, E. C. M.; Schermer, T. R. J.; Steenbruggen, Tessa G; van den Berg, J. W. K.; Kocks, J. W. H.

In: npj Primary Care Respiratory Medicine, Vol. 30, No. 1, 22, 15.05.2020.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

van de Hei SJ, Flokstra-de Blok BMJ, Baretta HJ, Doornewaard NE, van der Molen T, Patberg KW et al. Quality of spirometry and related diagnosis in primary care with a focus on clinical use. npj Primary Care Respiratory Medicine. 2020 May 15;30(1). 22. https://doi.org/10.1038/s41533-020-0177-z


BibTeX

@article{df902479246f4d9da486e1c51bbc231c,
title = "Quality of spirometry and related diagnosis in primary care with a focus on clinical use",
abstract = "American and European societies' (ATS/ERS) criteria for spirometry are often not met in primary care. Yet, it is unknown if quality is sufficient for daily clinical use. We evaluated quality of spirometry in primary care based on clinical usefulness, meeting ATS/ERS criteria and agreement on diagnosis between general practitioners (GPs) and pulmonologists. GPs included ten consecutive spirometry tests and detailed history questionnaires of patients who underwent spirometry as part of usual care. GPs and two pulmonologists assessed the spirometry tests and questionnaires on clinical usefulness and formulated a diagnosis. In total, 149 participants covering 15 GPs were included. Low agreements were found on diagnosis between GPs and pulmonologists 1 (kappa = 0.39) and 2 (kappa = 0.44). GPs and pulmonologists rated >88{\%} of the tests as clinically useful, although 13{\%} met ATS/ERS criteria. This real-life study demonstrated that clinical usefulness of routine primary care spirometry tests was high, although agreement on diagnosis was low.",
keywords = "DISABILITY, STATEMENT, ASTHMA, IMPACT",
author = "{van de Hei}, {S. J.} and {Flokstra-de Blok}, {B. M. J.} and Baretta, {H. J.} and Doornewaard, {N. E.} and {van der Molen}, T. and Patberg, {K. W.} and Ruberg, {E. C. M.} and Schermer, {T. R. J.} and Steenbruggen, {Tessa G} and {van den Berg}, {J. W. K.} and Kocks, {J. W. H.}",
year = "2020",
month = "5",
day = "15",
doi = "10.1038/s41533-020-0177-z",
language = "English",
volume = "30",
journal = "npj Primary Care Respiratory Medicine",
issn = "2055-1010",
publisher = "SPRINGERNATURE",
number = "1",

}

RIS

TY - JOUR

T1 - Quality of spirometry and related diagnosis in primary care with a focus on clinical use

AU - van de Hei, S. J.

AU - Flokstra-de Blok, B. M. J.

AU - Baretta, H. J.

AU - Doornewaard, N. E.

AU - van der Molen, T.

AU - Patberg, K. W.

AU - Ruberg, E. C. M.

AU - Schermer, T. R. J.

AU - Steenbruggen, Tessa G

AU - van den Berg, J. W. K.

AU - Kocks, J. W. H.

PY - 2020/5/15

Y1 - 2020/5/15

N2 - American and European societies' (ATS/ERS) criteria for spirometry are often not met in primary care. Yet, it is unknown if quality is sufficient for daily clinical use. We evaluated quality of spirometry in primary care based on clinical usefulness, meeting ATS/ERS criteria and agreement on diagnosis between general practitioners (GPs) and pulmonologists. GPs included ten consecutive spirometry tests and detailed history questionnaires of patients who underwent spirometry as part of usual care. GPs and two pulmonologists assessed the spirometry tests and questionnaires on clinical usefulness and formulated a diagnosis. In total, 149 participants covering 15 GPs were included. Low agreements were found on diagnosis between GPs and pulmonologists 1 (kappa = 0.39) and 2 (kappa = 0.44). GPs and pulmonologists rated >88% of the tests as clinically useful, although 13% met ATS/ERS criteria. This real-life study demonstrated that clinical usefulness of routine primary care spirometry tests was high, although agreement on diagnosis was low.

AB - American and European societies' (ATS/ERS) criteria for spirometry are often not met in primary care. Yet, it is unknown if quality is sufficient for daily clinical use. We evaluated quality of spirometry in primary care based on clinical usefulness, meeting ATS/ERS criteria and agreement on diagnosis between general practitioners (GPs) and pulmonologists. GPs included ten consecutive spirometry tests and detailed history questionnaires of patients who underwent spirometry as part of usual care. GPs and two pulmonologists assessed the spirometry tests and questionnaires on clinical usefulness and formulated a diagnosis. In total, 149 participants covering 15 GPs were included. Low agreements were found on diagnosis between GPs and pulmonologists 1 (kappa = 0.39) and 2 (kappa = 0.44). GPs and pulmonologists rated >88% of the tests as clinically useful, although 13% met ATS/ERS criteria. This real-life study demonstrated that clinical usefulness of routine primary care spirometry tests was high, although agreement on diagnosis was low.

KW - DISABILITY

KW - STATEMENT

KW - ASTHMA

KW - IMPACT

U2 - 10.1038/s41533-020-0177-z

DO - 10.1038/s41533-020-0177-z

M3 - Article

C2 - 32415077

VL - 30

JO - npj Primary Care Respiratory Medicine

JF - npj Primary Care Respiratory Medicine

SN - 2055-1010

IS - 1

M1 - 22

ER -

ID: 125952068