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Race, ethnicity and lung function: A brief history
1Department of Pathology and Laboratory Medicine and Africana Studies, Brown University, Providence, Rhode Island, USA.
Summary
Spirometry, a key lung function test, faces standardization challenges due to variability and historical "race correction" practices. This analysis explores the evolution and implications of these long-held beliefs in respiratory disease management.
Area of Science:
- Pulmonary Medicine
- Medical History
- Health Equity
Background:
- Spirometry is the primary diagnostic tool for chronic respiratory diseases.
- Standardizing spirometry is complicated by measurement variability and temporal trends.
- The practice of 'race correction' in spirometry presents significant challenges.
Purpose of the Study:
- To examine the historical context of 'race correction' in spirometry.
- To analyze the dilemmas faced by researchers regarding spirometry standardization.
- To discuss the implications of current practices and the need for updated frameworks.
Main Methods:
- Historical analysis of spirometry practices.
- Literature review on temporal trends and variability in lung function measurements.
- Examination of ethical and scientific dilemmas in applying race-based adjustments.
Main Results:
- The practice of 'race correction' in spirometry has a complex and often contested history.
- Variability in lung function measurements complicates standardization efforts.
- Adherence to outdated practices may perpetuate health inequities.
Conclusions:
- Re-evaluating the historical basis of spirometry adjustments is crucial.
- The need for more inclusive and scientifically robust frameworks for lung function assessment is evident.
- Addressing the implications of 'race correction' is vital for equitable respiratory care.
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