Considerations in the use of different spirometers in epidemiological studies
| Autor: | Ulrike Gehring, Martijn P. Farenhorst, Edith B. Milanzi, Bert Brunekreef, Sonja W S Augustijn, Marieke Oldenwening, Bernadette Aalders-de Ruijter, Gerard H. Koppelman, Judith M. Vonk, Marjan Tewis |
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| Přispěvatelé: | Groningen Research Institute for Asthma and COPD (GRIAC) |
| Rok vydání: | 2018 |
| Předmět: |
Spirometry
Male Vital capacity medicine.medical_specialty Regression calibration Adolescent Calibration (statistics) ACCURACY Health Toxicology and Mutagenesis Vital Capacity SELF-REPORT law.invention Cohort Studies lcsh:RC963-969 03 medical and health sciences FEV1/FVC ratio HEIGHT law Forced Expiratory Volume Epidemiology Statistics Medicine Humans COHORT VALIDITY Lung function Netherlands Epidemiological studies 0303 health sciences medicine.diagnostic_test business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health 030311 toxicology lcsh:RA1-1270 BODY-MASS INDEX LUNG-FUNCTION AGREEMENT Calibration Systematic difference lcsh:Industrial medicine. Industrial hygiene Female WEIGHT HEALTH business Spirometer |
| Zdroj: | Environmental Health, Vol 18, Iss 1, Pp 1-8 (2019) Environmental health, 18(1):39. BMC |
| ISSN: | 1476-069X |
| Popis: | BACKGROUND: Spirometric lung function measurements have been proven to be excellent objective markers of respiratory morbidity. The use of different types of spirometers in epidemiological and clinical studies may present systematically different results affecting interpretation and implication of results. We aimed to explore considerations in the use of different spirometers in epidemiological studies by comparing forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) measurements between the Masterscreen pneumotachograph and EasyOne spirometers. We also provide a correction equation for correcting systematic differences using regression calibration.METHODS: Forty-nine volunteers had lung function measured on two different spirometers in random order with at least three attempts on each spirometer. Data were analysed using correlation plots, Bland and Altman plots and formal paired t-tests. We used regression calibration to provide a correction equation.RESULTS: The mean (SD) FEV1 and FVC was 3.78 (0.63) L and 4.78 (0.63) L for the Masterscreen pneumotachograph and 3.54 (0.60) L and 4.41 (0.83) L for the EasyOne spirometer. The mean FEV1 difference of 0.24 L and mean FVC difference of 0.37 L between the spirometers (corresponding to 6.3 and 8.4% difference, respectively) were statistically significant and consistent between younger ( 30 years) and between males and females. Regression calibration indicated that an increase of 1 L in the EasyOne measurements corresponded to an average increase of 1.032 L in FEV1 and 1.005 L in FVC in the Masterscreen measurements.CONCLUSION: Use of different types of spirometers may result in significant systematic differences in lung function values. Epidemiological researchers need to be aware of these potential systematic differences and correct for them in analyses using methods such as regression calibration. |
| Databáze: | OpenAIRE |
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