Unsupervised home spirometry
Journal
European respiratory review : an official journal of the European Respiratory Society
ISSN: 1600-0617
Titre abrégé: Eur Respir Rev
Pays: England
ID NLM: 9111391
Informations de publication
Date de publication:
30 Sep 2023
30 Sep 2023
Historique:
received:
16
12
2022
accepted:
31
05
2023
medline:
8
9
2023
pubmed:
7
9
2023
entrez:
6
9
2023
Statut:
epublish
Résumé
The number of patients completing unsupervised home spirometry has recently increased due to more widely available portable technology and the COVID-19 pandemic, despite a lack of solid evidence to support it. This systematic methodology review and meta-analysis explores quantitative differences in unsupervised spirometry compared with spirometry completed under professional supervision. We searched four databases to find studies that directly compared unsupervised home spirometry with supervised clinic spirometry using a quantitative comparison ( 3607 records were identified and screened, with 155 full texts assessed for eligibility. We included 28 studies that quantitatively compared spirometry measurements, 17 of which reported a Bland-Altman analysis for FEV Analysis under the conditions of the included studies indicated that unsupervised spirometry is not interchangeable with supervised spirometry for individual patients owing to variability and underestimation.
Sections du résumé
BACKGROUND
BACKGROUND
The number of patients completing unsupervised home spirometry has recently increased due to more widely available portable technology and the COVID-19 pandemic, despite a lack of solid evidence to support it. This systematic methodology review and meta-analysis explores quantitative differences in unsupervised spirometry compared with spirometry completed under professional supervision.
METHODS
METHODS
We searched four databases to find studies that directly compared unsupervised home spirometry with supervised clinic spirometry using a quantitative comparison (
RESULTS
RESULTS
3607 records were identified and screened, with 155 full texts assessed for eligibility. We included 28 studies that quantitatively compared spirometry measurements, 17 of which reported a Bland-Altman analysis for FEV
CONCLUSIONS
CONCLUSIONS
Analysis under the conditions of the included studies indicated that unsupervised spirometry is not interchangeable with supervised spirometry for individual patients owing to variability and underestimation.
Identifiants
pubmed: 37673426
pii: 32/169/220248
doi: 10.1183/16000617.0248-2022
pmc: PMC10481332
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright ©The authors 2023.
Déclaration de conflit d'intérêts
Conflict of interest: R. Anand, M. Clarke and J. Bradley declare that they are investigators on an ongoing clinical trial investigating bronchiectasis in which patients complete home and clinic spirometry that is funded by the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme and supported by PARI Pharma; outside the submitted work. J. Busby has received personal fees from NuvoAir for advisory board attendance, outside the submitted work. W.D-C. Man is part-funded by a NIHR Artificial Intelligence Award exploring the use of artificial intelligence software in the interpretation of primary care spirometry and is Honorary President of the Association of Respiratory Physiology and Technology (ARTP), outside the submitted work. All other authors have nothing to disclose.
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