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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I read with interest the article by C&#46; Represas-Represas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> analyzing the short-term &#40;1 and 2 months&#41; and long-term &#40;1 year&#41; effectiveness of a tutored training program on the performance and interpretation of spirometry&#44; from which very good results are being obtained&#46; I am completely in agreement with the authors in their organization of joint training sessions with the operators carrying out the spirometries&#44; and the clinicians who interpret them&#46; This is important because knowledge of the technique and the requirements is fundamental to prevent clinicians from merely reporting numbers&#44; while for the operators it is essential that they understand what they are trying to achieve&#46; However&#44; I am rather surprised that on analyzing the results&#44; they use the performance and interpretation of the spirometry as a single parameter&#46; These are in fact two different aspects&#44; which while related&#44; should be evaluated separately&#44; since each of them has specific connotations&#46; Additionally&#44; in the article no definition is offered of a correct spirometry&#46; When describing the training phase&#44; the authors refer to the recommendations of the ERS&#47;ATS&#47;2005<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#59; these recommendations state that for a spirometry to be considered of quality&#44; a minimum of three acceptable&#44; error-free maneuvers must be achieved and the differences between the two best FVC and FEV<span class="elsevierStyleInf">1</span> readings must be less than 150<span class="elsevierStyleHsp" style=""></span>ml&#46; One important limitation of this study&#44; as mentioned by the authors&#44; is that the &#8220;reproducibility of the spirometries was not analyzed&#8221;&#44; since only one single maneuver was analyzed&#44; and that was done graphically&#46; Thus&#44; it is impossible to speak of the quality of the spirometry&#44; either from the point of view of reproducibility &#40;3 maneuvers are necessary&#41; or from the point of view of obtaining at least 3 acceptable maneuvers&#44; as indicated in the current recommendations&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> A review of the literature reveals that when describing quality&#44; other authors<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a> studying the degree of compliance with the recommendations for performing spirometry use a classification scale ranging from A to F&#44; in which only grades A and B are accepted as quality spirometries &#40;at least 3 acceptable&#44; error-free maneuvers and a maximum difference between the two best FVC and FEV<span class="elsevierStyleInf">1</span> of up to 200<span class="elsevierStyleHsp" style=""></span>ml&#41;&#59; quality indexes of between 71&#37; and 90&#37; are obtained from the spirometries evaluated&#46; Recently&#44; Borg et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> published a 5-year study in which quality indexes of between 61&#37; and 92&#37; were obtained&#46; In all the cases mentioned&#44; the indexes reported are within the range obtained by Dr&#46; C&#46; Represas-Represas and colleagues&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> This begs the question&#44; then&#44; whether the criteria they used in the training sessions were followed for evaluating the spirometries&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> If this is the case&#44; congratulations are in order&#59; however&#44; if these criteria were not followed&#44; they should state clearly what they understand by a quality spirometry&#46; This is the fundamental element upon which their results are based&#44; and accordingly&#44; these results could be either excellent or misleading to the reader&#46; It is obvious that all efforts to train personnel working with spirometries are laudable&#44; but when these efforts are evaluated&#44; it is essential that clear criteria are followed&#44; in line with current recommendations&#46;</p></span>"
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                            4 => "R&#46; Casaburi"
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                        "paginaFinal" => "338"
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                        "paginaFinal" => "1026"
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Letter to the Editor
Quality Spirometry: What Do We Base Our Definition On?
Calidad en la espirometría, ¿en qué nos basamos para definirla?
Jordi Giner Donaire
Servei de Pneumologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I read with interest the article by C&#46; Represas-Represas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> analyzing the short-term &#40;1 and 2 months&#41; and long-term &#40;1 year&#41; effectiveness of a tutored training program on the performance and interpretation of spirometry&#44; from which very good results are being obtained&#46; I am completely in agreement with the authors in their organization of joint training sessions with the operators carrying out the spirometries&#44; and the clinicians who interpret them&#46; This is important because knowledge of the technique and the requirements is fundamental to prevent clinicians from merely reporting numbers&#44; while for the operators it is essential that they understand what they are trying to achieve&#46; However&#44; I am rather surprised that on analyzing the results&#44; they use the performance and interpretation of the spirometry as a single parameter&#46; These are in fact two different aspects&#44; which while related&#44; should be evaluated separately&#44; since each of them has specific connotations&#46; Additionally&#44; in the article no definition is offered of a correct spirometry&#46; When describing the training phase&#44; the authors refer to the recommendations of the ERS&#47;ATS&#47;2005<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#59; these recommendations state that for a spirometry to be considered of quality&#44; a minimum of three acceptable&#44; error-free maneuvers must be achieved and the differences between the two best FVC and FEV<span class="elsevierStyleInf">1</span> readings must be less than 150<span class="elsevierStyleHsp" style=""></span>ml&#46; One important limitation of this study&#44; as mentioned by the authors&#44; is that the &#8220;reproducibility of the spirometries was not analyzed&#8221;&#44; since only one single maneuver was analyzed&#44; and that was done graphically&#46; Thus&#44; it is impossible to speak of the quality of the spirometry&#44; either from the point of view of reproducibility &#40;3 maneuvers are necessary&#41; or from the point of view of obtaining at least 3 acceptable maneuvers&#44; as indicated in the current recommendations&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> A review of the literature reveals that when describing quality&#44; other authors<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a> studying the degree of compliance with the recommendations for performing spirometry use a classification scale ranging from A to F&#44; in which only grades A and B are accepted as quality spirometries &#40;at least 3 acceptable&#44; error-free maneuvers and a maximum difference between the two best FVC and FEV<span class="elsevierStyleInf">1</span> of up to 200<span class="elsevierStyleHsp" style=""></span>ml&#41;&#59; quality indexes of between 71&#37; and 90&#37; are obtained from the spirometries evaluated&#46; Recently&#44; Borg et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> published a 5-year study in which quality indexes of between 61&#37; and 92&#37; were obtained&#46; In all the cases mentioned&#44; the indexes reported are within the range obtained by Dr&#46; C&#46; Represas-Represas and colleagues&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> This begs the question&#44; then&#44; whether the criteria they used in the training sessions were followed for evaluating the spirometries&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> If this is the case&#44; congratulations are in order&#59; however&#44; if these criteria were not followed&#44; they should state clearly what they understand by a quality spirometry&#46; This is the fundamental element upon which their results are based&#44; and accordingly&#44; these results could be either excellent or misleading to the reader&#46; It is obvious that all efforts to train personnel working with spirometries are laudable&#44; but when these efforts are evaluated&#44; it is essential that clear criteria are followed&#44; in line with current recommendations&#46;</p></span>"
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Article information
ISSN: 15792129
Original language: English
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2023 January 26 34 60
2022 December 37 35 72
2022 November 34 24 58
2022 October 37 32 69
2022 September 25 27 52
2022 August 29 50 79
2022 July 23 40 63
2022 June 29 51 80
2022 May 30 33 63
2022 April 31 26 57
2022 March 34 37 71
2022 February 36 39 75
2022 January 20 39 59
2021 December 33 39 72
2021 November 21 34 55
2021 October 33 43 76
2021 September 24 51 75
2021 August 21 40 61
2021 July 17 27 44
2021 June 40 52 92
2021 May 36 34 70
2021 April 81 93 174
2021 March 48 28 76
2021 February 33 21 54
2021 January 25 22 47
2020 December 30 25 55
2020 November 15 13 28
2020 October 22 19 41
2020 September 29 14 43
2020 August 32 16 48
2020 July 19 37 56
2020 June 21 10 31
2020 May 29 16 45
2020 April 28 28 56
2020 March 25 15 40
2020 February 33 18 51
2020 January 25 15 40
2019 December 27 19 46
2019 November 24 13 37
2019 October 17 7 24
2019 September 25 13 38
2019 August 23 13 36
2019 July 19 13 32
2019 June 29 11 40
2019 May 38 27 65
2019 April 50 26 76
2019 March 43 21 64
2019 February 40 24 64
2019 January 26 14 40
2018 December 39 21 60
2018 November 54 19 73
2018 October 79 26 105
2018 September 39 7 46
2018 May 14 0 14
2018 April 21 7 28
2018 March 24 2 26
2018 February 27 6 33
2018 January 36 5 41
2017 December 37 9 46
2017 November 23 4 27
2017 October 23 6 29
2017 September 29 6 35
2017 August 32 16 48
2017 July 27 2 29
2017 June 44 10 54
2017 May 35 11 46
2017 April 29 5 34
2017 March 27 2 29
2017 February 8 2 10
2017 January 18 5 23
2016 December 30 6 36
2016 November 45 11 56
2016 October 34 12 46
2016 September 37 10 47
2016 August 41 8 49
2016 July 14 7 21
2016 March 2 0 2
2015 December 3 0 3
2015 October 35 3 38
2015 September 34 14 48
2015 August 29 9 38
2015 July 34 6 40
2015 June 34 11 45
2015 May 44 15 59
2015 April 22 12 34
2015 March 24 8 32
2015 February 24 7 31
2015 January 29 9 38
2014 December 22 11 33
2014 November 21 11 32
2014 October 37 11 48
2014 September 30 16 46
2014 July 0 1 1
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