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Related Concept Videos

Pulmonary Function Tests01:25

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Pulmonary Function Tests (PFTs)
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Pulmonary Tuberculosis IV01:26

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Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
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Changes in Skin Color: Clinical Perspectives01:14

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Author Spotlight: Integrating Alveolar-Capillary Reserve Measurements in Exercise Adaptation and Therapeutic Strategies
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Perspectives on Using Race in Pulmonary Function Testing: A National Survey Fellows and Program Directors.

Debasree Banerjee1, Sara Aijaz2, Nicholas J Nassikas3

  • 1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Brown University, Providence, Rhode Island. debasree_banerjee@brown.edu.

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Summary
This summary is machine-generated.

Pulmonary function tests (PFTs) historically used race-specific equations. A recent survey found no consensus among pulmonologists on using race in spirometry, impacting new guideline adoption.

Keywords:
diversityequitygraduate medical educationpulmonary function testracism

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Area of Science:

  • Pulmonary Medicine
  • Medical Ethics
  • Health Equity

Background:

  • Pulmonary function tests (PFTs) traditionally relied on race-specific prediction equations.
  • Recent American Thoracic Society guidelines advocate for race-neutral spirometry prediction equations.
  • Limited research exists on pulmonologists' views regarding race in spirometry.

Purpose of the Study:

  • To investigate academic pulmonary and critical care providers' beliefs on using race in spirometry prediction equations.
  • To understand provider perspectives on the impact of race in pulmonary function testing.
  • To assess potential barriers to adopting new race-neutral guidelines.

Main Methods:

  • A nationwide survey of academic pulmonary and critical care providers was conducted.
  • 151 open-ended responses were collected and analyzed using thematic content analysis.
  • Inductive and deductive coding methods were employed to categorize responses.

Main Results:

  • Provider opinions on incorporating race in spirometry prediction equations were balanced, with support, opposition, and uncertainty.
  • Respondents showed varied understanding of race's definition and its physiological relevance.
  • A lack of consensus was observed among participants.

Conclusions:

  • No consensus exists among pulmonary providers regarding the use of race in spirometry.
  • Persistent beliefs about the biological implications of race may hinder the adoption of new race-neutral guidelines.
  • Provider opinions are crucial for the successful implementation of updated PFT guidelines.