Navigation Links
Task Force Recommends Against Screening for Chronic Obstructive Pulmonary Disease Using Spirometry
Date:3/3/2008

ROCKVILLE, Md., March 3 /PRNewswire-USNewswire/ -- Adults without symptoms of chronic obstructive pulmonary disease (COPD) should not be screened for the disease using spirometry, according to a new recommendation from the U.S. Preventive Services Task Force. The recommendation and the accompanying summary of evidence are posted online in the Annals of Internal Medicine. It will appear in the April 1, 2008, print edition of the journal.

COPD is a lung disease in which the airways in the lungs are damaged, making it hard to breathe. COPD is the fourth leading cause of death and affects more than 5 percent of the U.S. population. Current or past cigarette smoking is the most common cause of COPD. Breathing in chemicals or other kinds of lung irritants over a long period of time may also cause or contribute to COPD, and individuals over the age of 40 are also at higher risk for the disease.

Screening for COPD is most often performed using spirometry, a lung function test that uses a spirometer machine. Spirometry is performed by having a patient breathe into a tube attached to a spirometer machine, which calculates the amount of air the lungs can hold and the rate that air can be inhaled and exhaled. The results of the test are compared with those of healthy individuals of similar height and age and of the same gender and race.

The Task Force found that the benefits of screening individuals without symptoms of COPD were very small. Approximately 400 adults between the ages of 60-69 would need to be screened in order to identify a single patient who may later develop COPD symptoms severe enough to require immediate medical care. The Task Force also found that spirometry can substantially overdiagnose COPD in people over the age of 70 who have never smoked and can produce some false positives in younger adults.

In those patients experiencing symptoms of COPD, including coughing that doesn't go away, coughing up large amounts of mucus, shortness of breath, wheezing and chest tightness, spirometry may be used to confirm a diagnosis of COPD. The Task Force found evidence that the diagnosis did not have an impact on the number of patients who quit smoking, nor could they find evidence that it increased the number of patients who received the flu vaccine. Quitting smoking is the single most important thing a patient can do to slow the progression of the disease, and there is some evidence that getting vaccinated against the flu can prevent worsening of COPD symptoms.

"Our review of the evidence found that screening for COPD with spirometry in patients who report no symptoms provides very little or no benefit to individuals, even in those who are eventually diagnosed with the disease," said Task Force Chair Ned Calonge, M.D., who is also Chief Medical Officer for the Colorado Department of Public Health and Environment. "We encourage clinicians to focus on screening all adults for tobacco use and helping individuals who smoke to choose evidence-based therapies that can help them to quit."

The Task Force is the leading independent panel of experts in prevention and primary care. The Task Force, which is supported by AHRQ, conducts rigorous, impartial assessments of the scientific evidence for the effectiveness of a broad range of clinical preventive services, including screening, counseling, and preventive medications. Its recommendations are considered the gold standard for clinical preventive services. The Task Force recommends against screening adults for COPD using spirometry. (D recommendation)

The recommendations and materials for clinicians are available on the AHRQ Web site at http://www.ahrq.gov/clinic/uspstf/uspscopd.htm. Previous Task Force recommendations, summaries of the evidence, and related materials are available from the AHRQ Publications Clearinghouse by calling (800) 358-9295 or sending an e-mail to ahrqpubs@ahrq.gov. Clinical information is also available from AHRQ's National Guideline Clearinghouse at http://www.guideline.gov.

AHRQ Public Affairs

(301) 427-1246

(301) 427-1258


'/>"/>
SOURCE Agency for Healthcare Research & Quality
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Farm Bill Provision Will Disrupt Arizona Child Support Enforcement Program
2. Nationwide Health Properties and Pacific Medical Buildings Join Forces in up to $2 Billion, Multi-Year Transaction
3. New Assessment Highlights Breadth and Depth of Looming Public Health Workforce Crisis
4. Microsoft Joins Forces with SAP America for Healthcare IT
5. Avaya Unified Communications Solutions Help Healthcare Organizations Address Multi-Site, Mobile Workforce Challenges
6. Building an Effective Sales Force to Serve the U.S. Hospital Market
7. Founding CEOS of SureScripts(R) and RxHub(R) Join Forces to Deliver Clinical Information Technology Services to Physician Practices
8. Best Practice Database: Complimentary Excerpt of Three Sales Force Excellence Studies
9. Scripps scientists peg wind as the force behind fish booms and busts
10. Anesiva Announces Hiring of Sales Force for FDA-Approved Product Zingo(TM)
11. Nine Miami Defendants in Strike Force Cases Sentenced for $56.5 Million in Medicare Fraud
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... ... ... More than a third of American adults are considered obese, says the ... increased attention in recent years, as an article published May 18th on ... people are familiar with the basic requirements of maintaining a healthy diet and exercise ...
(Date:5/27/2016)... ... ... With over 60 percent of acute stroke survivors being left unable to ... in the rehabilitation process has steadily increased. Ekso Bionics had been working to help ... stroke. , Ekso Bionics has now received clearance from the U.S. Food and Drug ...
(Date:5/27/2016)... ... May 27, 2016 , ... ... is bolstered by inspiring human interest stories, courtesy of leaders in the nursing ... tech within the industry, from leading advocates and associations—namely Jones & Bartlett Learning. ...
(Date:5/26/2016)... ... 2016 , ... There are many ways to cook a hot dog, but ... Americans prefer their dogs straight off the grill. Of the 90 percent of Americans ... to cook a hot dog, far outpacing other cooking methods such as steaming (12 ...
(Date:5/26/2016)... ... ... Connor Sports, through its Connor Cares initiative, will continue to expand ... Tour that will commemorate the Indiana Fever legend’s hall-of-fame career and final WNBA ... levels of the game, Connor Sports has committed to a significantly increased focus on ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... -- The healthcare sector is large and ... falling under its umbrella.  A rather overlooked sector are ... about, these healthcare companies are still trying to prove ... by far the largest consumer of the healthcare market ... Nutranomics Inc. (OTC: NNRX), KollagenX Corp. (OTCQB: KGNX), Bioelectronics ...
(Date:5/26/2016)... , May 26, 2016 Since ... matured into an essential life science tool for conducting ... applications. BCC Research reveals in its new report that ... growth phase, one powered by a range of new ...      (Logo: http://photos.prnewswire.com/prnh/20140723/694805 ) , ...
(Date:5/25/2016)... , May 25, 2016  Zymo Research Corp. ... their new reference materials that help researchers obtain ... collection to analyses. The rapid growth of the ... researchers to have standard methods to improve the ... Biases inherently exist at every step of the ...
Breaking Medicine Technology: