Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence With Practice and Perception
| Autor: | Graham L. Hall, Christian Bime, David A. Kaminsky, Neeta Thakur, Sanja Stanojevic, Nirav R. Bhakta, Meredith C. McCormack |
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| Rok vydání: | 2022 |
| Předmět: |
Pulmonary and Respiratory Medicine
Lung Diseases media_common.quotation_subject Clinical Sciences Respiratory System Ethnic group Black People Critical Care and Intensive Care Medicine Racism White People Race (biology) pulmonary function test Asian People Reference Values race or ethnicity Clinical Research Perception Ethnicity Relevance (law) Medicine Humans Function (engineering) Lung media_common business.industry Interpretation (philosophy) Racial Groups Health Status Disparities Health equity PFT pulmonary function test Respiratory Function Tests Good Health and Well Being Spirometry Humanities Special Features racial disparities reference equations Respiratory Generic health relevance Cardiology and Cardiovascular Medicine business Cognitive psychology |
| Zdroj: | Chest, vol 161, iss 1 Chest |
| Popis: | The practice of using race or ethnicity in medicine to explain differences between individuals is being called into question because it may contribute to biased medical care and research that perpetuates health disparities and structural racism. A commonly cited example is the use of race or ethnicity in the interpretation of pulmonary function test (PFT) results, yet the perspectives of practicing pulmonologists and physiologists are missing from this discussion. This discussion has global relevance for increasingly multicultural communities in which the range of values that represent normal lung function is uncertain. We review the underlying sources of differences in lung function, including those that may be captured by race or ethnicity, and demonstrate how the current practice of PFT measurement and interpretation is imperfect in its ability to describe accurately the relationship between function and health outcomes. We summarize the arguments against using race-specific equations as well as address concerns about removing race from the interpretation of PFT results. Further, we outline knowledge gaps and critical questions that need to be answered to change the current approach of including race or ethnicity in PFT results interpretation thoughtfully. Finally, we propose changes in interpretation strategies and future research to reduce health disparities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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