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Assessing bronchodilator reversibility: agreed standards are urgently needed

Christine Jenkins and Iven Young
Med J Aust 2004; 180 (12): . || doi: 10.5694/j.1326-5377.2004.tb06119.x
Published online: 21 June 2004

Only when spirometry is performed in a uniform way can we expect its widespread use in primary care


  • 1 Department of Thoracic Medicine, Concord Hospital, Concord, NSW.
  • 2 Department of Respiratory Medicine, Royal Prince Alfred Hospital, Camperdown, NSW.


Correspondence: 

  • 1. Frith P, Crockett A, Esterman A, McKenzie D. Airflow limitation and respiratory symptoms in a general practice population sample [abstract]. Respirology 2004; 9: A9.
  • 2. Adams RJ, Wilson DH, Appleton S, et al. Underdiagnosed asthma in South Australia. Thorax 2003; 58: 846-850.
  • 3. Eaton T, Withy S, Garrett JE, et al. Spirometry in primary care practice: the importance of quality assurance and the impact of spirometry workshops. Chest 1999; 116: 416-423.
  • 4. Schermer TR, Jacobs JE, Chavannes NH, et al. Validity of spirometric testing in a general practice population of patients with chronic obstructive pulmonary disease (COPD). Thorax 2003; 58: 861-866.
  • 5. Asthma Management Handbook 2002. Melbourne: National Asthma Council Australia Ltd, 2002. Available at: www.nationalasthma.org.au/publications/amh/amhcont.htm (accessed May 2004).
  • 6. Thoracic Society of Australia and New Zealand and The Australian Lung Foundation. The COPDX Plan: Australian and New Zealand guidelines for the management of chronic obstructive pulmonary disease 2003. Med J Aust 2003; 178 (6 Suppl): S1-S39. <MJA full text>
  • 7. Borg BM, Reid DW, Walters EH, Johns DP. Bronchodilator reversibility testing: laboratory practices in Australia and New Zealand. Med J Aust 2004; 180: 610-613. <MJA full text>
  • 8. Lung function testing: selection of reference values and interpretive strategies. American Thoracic Society. Am Rev Respir Dis 1991; 144: 1202-1218.
  • 9. Standardization of spirometry. 1994 update. American Thoracic Society. Am J Respir Crit Care Med 1995; 152: 1107-1136.
  • 10. Pierce RJ, Hillman D, Young IH, et al. Respiratory function tests — and their application. Thoracic Society of Australia and New Zealand position paper. Available at: www.thoracic.org.au/rft.pdf (accessed Mar 2004).
  • 11. Nisar M, Earis JE, Pearson MG, Calverley PM. Acute bronchodilator trials in chronic obstructive pulmonary disease. Am Rev Respir Dis 1992; 146: 555-559.
  • 12. Ferguson GT, Enright PL, Buist AS, Higgins MW. Office spirometry for lung health assessment in adults: a consensus statement from the National Lung Health Education Program. Chest 2000; 117: 1146-1161.

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