Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Adherence to established guidelines for preoperative pulmonary function testing

O W Hnatiuk1, T A Dillard, K G Torrington

  • 1Department of Medicine, Walter Reed Army Medical Center, Washington DC, USA.

Chest
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The use of pulmonary function testing in piloting, air travel, mountain climbing, and diving.

Clinics in chest medicine·2002
Same author

Intensive care air transport: The sky is the limit; or is it?

Critical care medicine·2001
Same author

Spirometry in surgery for anterior mediastinal masses.

Chest·2001
Same author

Endobronchial involvement and airway hyperreactivity in patients with sarcoidosis.

Chest·2001
Same author

Endobronchial biopsy for sarcoidosis: a prospective study.

Chest·2001
Same author

Chest radiography following thoracentesis.

Chest·2001
Same journal

The effect of a two-day stay at high altitude (2500 m) on right ventricular afterload and oxygen delivery in patients with pulmonary vascular disease A randomized controlled crossover trial.

Chest·2026
Same journal

A Comparative Study of Radiation Exposure in Conventional and Robotic Bronchoscopy.

Chest·2026
Same journal

Independent Prognostic Contributions of Anti-Ro52 and Anti-MDA5 in Autoimmune-Associated Interstitial Lung Disease.

Chest·2026
Same journal

Lung aeration and gas exchange in SGA or AGA infants with moderate-severe BPD: secondary analysis of the PATH-BPD study.

Chest·2026
Same journal

Lung Cancer Incidence and Mortality after Negative Low-Dose CT Screening Results.

Chest·2026
Same journal

Symptom prevalence and impact on lung cancer risk in the SUMMIT study.

Chest·2026
See all related articles

Nearly 40% of preoperative spirometry tests did not meet American College of Physicians (ACP) guidelines. Many tests were ordered for patients over 70, with morbid obesity, or smoking history, which are not supported indications.

Area of Science:

  • Pulmonary Medicine
  • Medical Guidelines
  • Health Services Research

Background:

  • Preoperative spirometry is frequently requested, consuming significant resources.
  • Existing guidelines from Tisi (1979) and the American College of Physicians (ACP) aim to standardize these requests.
  • The necessity and appropriateness of current preoperative spirometry ordering practices require evaluation.

Purpose of the Study:

  • To determine the percentage of preoperative spirometry requests that do not adhere to ACP guidelines.
  • To identify the reasons behind non-compliant preoperative spirometry requests.
  • To assess the clinical yield of spirometry when guidelines are not met.

Main Methods:

  • A retrospective review of 441 screening spirometries was conducted over a 4-week period.

Related Experiment Videos

  • Data from 135 preoperative spirometries meeting inclusion criteria were analyzed.
  • Requests were evaluated against ACP guidelines, with additional comparison to Tisi's criteria.

    • Main Results:

    • 39% (52 out of 135) of preoperative spirometry requests did not meet ACP guidelines.
    • Most non-compliant requests were for patients with normal or mild spirometric abnormalities.
    • Non-indicated spirometries rarely identified significant pulmonary issues like severe obstruction, restrictive patterns, or upper airway obstruction.

    Conclusions:

    • A significant proportion of preoperative spirometry orders do not align with current ACP guidelines.
    • Common reasons for non-compliance include advanced age (>70), morbid obesity, and smoking history, which lack strong evidence for routine preoperative spirometry.
    • Stricter adherence to ACP guidelines is recommended to reduce unnecessary testing and associated costs.