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Transitioning From Race-Specific to Race-Neutral Reference Equations for Pulmonary Function Test Interpretation at a
Amos Wu1, Tatyana Nguyen1, Hyunji Do1
1Department of Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.
None:
In April 2023, the American Thoracic Society (ATS) published an official ATS statement entitled "Race and Ethnicity in Pulmonary Function Test Interpretation" recommending the adoption of race-neutral reference equations for pulmonary function test results interpretation. However, lack of a clear roadmap to implement this recommendation effectively remains a challenge. This article outlines how our large safety net hospital systematically transitioned from race-specific to race-neutral reference equations. Our approach, guided by the Kotter change model, can serve as a framework for other institutions.
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