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Effect of Race and Ethnicity on Pulmonary Function Testing Interpretation An American College of Chest Physicians (CHEST), American Association for Respiratory Care (AARC), American Thoracic Society (ATS), and Canadian Thoracic Society (CTS) Evidence Review and Research Statement

CHEST (2023)

相关参考文献

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Article Critical Care Medicine

A Race-neutral Approach to the Interpretation of Lung Function Measurements

Cole Bowerman et al.

Summary: This study aims to develop a race-neutral reference equation for interpreting lung function measurements. By reanalyzing the NHANES III data and GLI data, it was found that incorporating sitting height and Cormic index slightly improved the statistical precision of the reference equations but did not explain the differences in lung function between racial and ethnic groups. Therefore, the use of GLI global equations can better reflect the variations in lung function among different populations.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2023)

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Article Critical Care Medicine

Reconsidering the Utility of Race-Specific Lung Function Prediction Equations

Aaron D. Baugh et al.

Summary: This study found that using race-specific approaches for estimating lung function may underestimate the severity of COPD in African American individuals.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2022)

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Letter Critical Care Medicine

Race, Lung Function, and Long-Term Mortality in the National Health and Nutrition Examination Survey III

Meredith C. McCormack et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2022)

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Article Critical Care Medicine

Race/Ethnicity, Spirometry Reference Equations, and Prediction of Incident Clinical Events The Multi-Ethnic Study of Atherosclerosis (MESA) Lung Study

Arielle Elmaleh-Sachs et al.

Summary: This study found no evidence that race/ethnicity-based spirometry reference equations improved the prediction of CLRD events and mortality compared with race/ethnicity-neutral equations. The inclusion of race/ethnicity in spirometry reference equations should be reconsidered.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2022)

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Article Respiratory System

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

Sanja Stanojevic et al.

Summary: This article emphasizes the importance of accurately interpreting pulmonary function test results and updates the new standards and strategies for interpreting pulmonary function tests. It is necessary to combine clinical expertise and biological variability for interpretation to ensure an accurate understanding of individual pulmonary function measurements.

EUROPEAN RESPIRATORY JOURNAL (2022)

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Review Pediatrics

Adverse early-life environmental exposures and their repercussions on adult respiratory health

Helena Teresinha Mocelin et al.

Summary: This review examines the impact of early life environmental problems on adult respiratory health. The authors discuss the exposure pathways and effects on child development, as well as the main environmental pollutants such as tobacco smoke, particulate matter, air pollution from traffic, adverse childhood experiences, and socioeconomic status. They present studies that demonstrate the increased incidence of respiratory diseases in adults, including COPD, asthma, allergies, and decreased lung function, due to exposure to adverse environmental factors during childhood. The authors emphasize the importance of health professionals knowing, diagnosing, monitoring, and preventing toxic exposure in children and women. Ultimately, they conclude that recognizing and intervening in vulnerable periods can prevent or delay the onset of lung disease throughout life.

JORNAL DE PEDIATRIA (2022)

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Article Critical Care Medicine

Changes in lung function in European adults born between 1884 and 1996 and implications for the diagnosis of lung disease: a cross-sectional analysis of ten population-based studies

James P. Allinson et al.

Summary: Socioeconomic and scientific advances have led to improvements in lung function among European populations, which may impact the interpretation of lung function measurements and the diagnosis of lung diseases. Analysis of cross-sectional data from ten European population-based studies revealed an increase in FEV1 and FVC values over the past century, while the FEV1/FVC ratio decreased.

LANCET RESPIRATORY MEDICINE (2022)

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Article Critical Care Medicine

Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence With Practice and Perception

Nirav R. Bhakta et al.

Summary: The practice of using race or ethnicity in medicine to explain differences between individuals is being questioned due to its potential contribution to biased medical care, research, and perpetuation of health disparities and structural racism. This article focuses on the interpretation of pulmonary function test (PFT) results and highlights the need to examine the perspectives of practicing pulmonologists and physiologists. It discusses the limitations of current PFT measurement and interpretation practices and proposes changes in interpretation strategies and future research to address health disparities.

CHEST (2022)

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Article Medicine, General & Internal

Comparing Racial Differences in Emphysema Prevalence Among Adults With Normal Spirometry: A Secondary Data Analysis of the CARDIA Lung Study

Gabrielle Y. Liu et al.

Summary: There are differences in the prevalence of emphysema between Black and White adults with different measures of normal spirometry results, particularly among Black men.

ANNALS OF INTERNAL MEDICINE (2022)

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Article Respiratory System

Research race-specific reference values and lung function impairment, breathlessness and prognosis: Analysis of NHANES 2007-2012

Magnus Ekstrom et al.

Summary: This study evaluated the impact of race-specific reference values on the prevalence of lung function impairment and its relation to breathlessness and mortality. The findings suggest that using race-specific spirometry references did not improve the prediction of breathlessness and prognosis compared to using a common reference, potentially misclassifying lung function as normal despite worse outcomes in black people.

RESPIRATORY RESEARCH (2022)

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Article Respiratory System

The applicability of the global lung initiative equations and other regional equations on a sample of healthy Middle Eastern adolescents

Walid Al-Qerem et al.

Summary: This study evaluated the suitability of GLI-2012 equations and regional equations for Jordanian adolescents, revealing differences in pulmonary function performance between boys and girls using GLI-2012 and Other equations. Formulating spirometry reference equations for Jordanian adolescents may improve the diagnosis and treatment of asthma in the region.

CLINICAL RESPIRATORY JOURNAL (2021)

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Article Respiratory System

Lung function parameters among Australian Aboriginal 'apparently healthy' adults: an Australian Caucasian and Global Lung Function Initiative (GLI-2012) various ethnic norms comparative study

Subash S. Heraganahally et al.

Summary: The study found that Australian Aboriginal adults have lower lung function parameters compared to Australian Caucasians, even after adjustments in multivariate regression. The GLI-2012 spirometric norms do not appear to fit well for Australian Aboriginal adults.

EXPERT REVIEW OF RESPIRATORY MEDICINE (2021)

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Article Respiratory System

Reduction n TLCO and survival in a clinical population

Martin Raymond Miller et al.

Summary: The study explored the best way to express T-LCO function in relation to survival using clinical data from 13,829 patients, finding the need for ethnicity-appropriate equations and a new four-tier z-score grading system. This new grading system showed better separation of risk with increasing severity, providing a more accurate prediction of survival outcomes.

EUROPEAN RESPIRATORY JOURNAL (2021)

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Article Multidisciplinary Sciences

PM2.5 polluters disproportionately and systemically affect people of color in the United States

Christopher W. Tessum et al.

Summary: In the United States, racial-ethnic minorities are disproportionately exposed to high levels of ambient fine particulate air pollution (PM2.5), with nearly all major emission categories contributing to the systemic PM2.5 exposure disparity experienced by people of color. By identifying the most inequitable emission source types by state and city, potential opportunities for addressing this persistent environmental inequity are highlighted.

SCIENCE ADVANCES (2021)

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Editorial Material Medicine, General & Internal

Updated Guidance on the Reporting of Race and Ethnicity in Medical and Science Journals

Annette Flanagin et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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Article Medicine, General & Internal

Prognostic implications of differences in forced vital capacity in black and white US adults: Findings from NHANES III with long-term mortality follow-up

Adam W. Gaffney et al.

Summary: This study found that lower FVC in Black individuals is associated with increased risk of all-cause mortality, challenging the standard assumption about race-based normal limits. The Black-White disparities in FVC may be attributed to social/environmental factors rather than innate differences.

ECLINICALMEDICINE (2021)

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Article Public, Environmental & Occupational Health

Life-course socioeconomic status and lung function in adulthood: a study in the EPIPorto cohort

Vania Rocha et al.

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH (2020)

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Article Medicine, General & Internal

From race-based to race-conscious medicine: how anti-racist uprisings call us to act

Jessica P Cerdeña et al.

LANCET (2020)

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Article Cardiac & Cardiovascular Systems

Call to Action: Structural Racism as a Fundamental Driver of Health Disparities: A Presidential Advisory From the American Heart Association

Keith Churchwell et al.

CIRCULATION (2020)

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Review Medicine, General & Internal

Socioeconomic circumstances and respiratory function from childhood to early adulthood: a systematic review and meta-analysis

Vania Rocha et al.

BMJ OPEN (2019)

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Article Critical Care Medicine

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

Brian L. Graham et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2019)

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Article Infectious Diseases

Impact of switching from Caucasian to Indian reference equations for spirometry interpretation

S. K. Chhabra et al.

INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE (2018)

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Article Critical Care Medicine

Disparities in Pulmonary Function in Healthy Children across the Indian Urban-Rural Continuum

Samatha Sonnappa et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2015)

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Article Respiratory System

Lung function in children in relation to ethnicity, physique and socioeconomic factors

Sooky Lum et al.

EUROPEAN RESPIRATORY JOURNAL (2015)

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Article Public, Environmental & Occupational Health

The effect of applying ethnicity-specific spirometric reference equations to Asian migrant workers in Korea

Nami Kim et al.

ANNALS OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE (2015)

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Article Pediatrics

Interpretative Consequences of Adopting the Global Lungs 2012 Reference Equations for Spirometry for Children and Adolescents

Philip H. Quanjer et al.

PEDIATRIC PULMONOLOGY (2014)

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Article Cardiac & Cardiovascular Systems

The recent multi-ethnic global lung initiative 2012 (GLI2012) reference values don't reflect contemporary adult's North African spirometry

Helmi Ben Saad et al.

RESPIRATORY MEDICINE (2013)

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Article Respiratory System

Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations

Philip H. Quanjer et al.

EUROPEAN RESPIRATORY JOURNAL (2012)

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Article Public, Environmental & Occupational Health

The use of ethnically specific norms for ventilatory function in African-American and white populations

P. G. J. Burney et al.

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY (2012)

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Article Allergy

African ancestry and lung function in Puerto Rican children

John M. Brehm et al.

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY (2012)

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Article Public, Environmental & Occupational Health

Similar Relation of Age and Height to Lung Function Among Whites, African Americans, and Hispanics

Elizabeth M. Kiefer et al.

AMERICAN JOURNAL OF EPIDEMIOLOGY (2011)

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Article Critical Care Medicine

Understanding Socioeconomic and Racial Differences in Adult Lung Function

David Van Sickle et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2011)

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Article Respiratory System

Influence of secular trends and sample size on reference equations for lung function tests

P. H. Quanjer et al.

EUROPEAN RESPIRATORY JOURNAL (2011)

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Article Critical Care Medicine

Performance of American Thoracic Society-Recommended Spirometry Reference Values in a Multiethnic Sample of Adults The Multi-Ethnic Study of Atherosclerosis (MESA) Lung Study

John L. Hankinson et al.

CHEST (2010)

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Article Cardiac & Cardiovascular Systems

Racial discordance in spirometry comparing four commonly used reference equations to the National Health and Nutrition Examination Study III

Jacob Collen et al.

RESPIRATORY MEDICINE (2010)

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Article Pediatrics

Spirometry Reference Values for Navajo Children Ages 6-14 Years

David A. Arnall et al.

PEDIATRIC PULMONOLOGY (2009)

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Article Critical Care Medicine

Ethnic differences in adolescent lung function - Anthropometric, socioeconomic, and psychosocial factors

Melissa J. Whitrow et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2008)

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Article Pediatrics

Lung volumes in healthy Afro-Caribbean children aged 4-17 years

KP Sylvester et al.

PEDIATRIC PULMONOLOGY (2005)

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Article Public, Environmental & Occupational Health

Racial difference in lung function in African-American and White children: Effect of anthropometric, socioeconomic, nutritional, and environmental factors

RI Harik-Khan et al.

AMERICAN JOURNAL OF EPIDEMIOLOGY (2004)

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Article Respiratory System

Spirometric reference values in a large Middle Eastern population

M Golshan et al.

EUROPEAN RESPIRATORY JOURNAL (2003)

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Article Critical Care Medicine

The effect of anthropometric and socioeconomic factors on the racial difference in lung function

RI Harik-Khan et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2001)

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