U.S. Preventive Services Task Force *
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
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New U.S. Preventive Services Task Force (USPSTF) recommendation about screening for chronic obstructive pulmonary disease (COPD) using spirometry.
The USPSTF weighed the benefits (prevention of ≥1 exacerbation and improvement in respiratory-related health status measures) and harms (time and effort required by both patients and the health care system, false-positive screening tests, and adverse effects of subsequent unnecessary therapy) of COPD screening identified in the accompanying review of the evidence. The USPSTF did not consider the financial costs of spirometry testing or COPD therapies.
Do not screen adults for COPD using spirometry. (Grade D recommendation)
Screening for chronic obstructive pulmonary disease (COPD) using spirometry: clinical summary of a U.S. Preventive Services Task Force (USPSTF) recommendation statement.
For a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement of Screening for Chronic Obstructive Pulmonary Disease Using Spirometry, and supporting documents, please go to www.preventiveservices.ahrq.gov. *The potential benefit of spirometry-based screening for COPD is prevention of 1 or more exacerbations by treating patients found to have previously undetected airflow obstruction. However, even in groups with the greatest prevalence of airflow obstruction, hundreds of patients would need to be screened with spirometry to defer 1 exacerbation.
Table 1. What the U.S. Preventive Services Task Force Grades Mean and Suggestions for Practice
Table 2. U.S. Preventive Services Task Force Levels of Certainty Regarding Net Benefit
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U.S. Preventive Services Task Force. Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. ;148:529–534. doi: 10.7326/0003-4819-148-7-200804010-00212
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Published: Ann Intern Med. 2008;148(7):529-534.
Chronic Obstructive Airway Disease, Guidelines, Prevention/Screening, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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