Letter to the Editor
Quality of Spirometric Data in Spain: The 3E Study
Calidad de los datos de las espirometrías en España: estudio 3E
Jose Luis Lopez-Camposa,b,
, Joan B. Sorianoc, Myriam Callea,d, en representación del Proyecto 3E ◊
Corresponding author
a Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBiS), Sevilla, Spain
b Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
c Fundación de Investigación Sanitaria de las Islas Baleares (FISIB), Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, Spain
d Servicio de Neumología, Hospital Universitario San Carlos, Madrid, Spain
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Soriano, Myriam Calle" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Jose Luis" "apellidos" => "Lopez-Campos" "email" => array:1 [ 0 => "lcampos@separ.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Joan B." "apellidos" => "Soriano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "Myriam" "apellidos" => "Calle" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 3 => array:2 [ "colaborador" => "en representación del Proyecto 3E" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">◊</span>" "identificador" => "fn0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBiS), Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Fundación de Investigación Sanitaria de las Islas Baleares (FISIB), Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario San Carlos, Madrid, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calidad de los datos de las espirometrías en España: estudio 3E" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We would like to thank Dr Hueto and his colleagues for their interest in our article on the situation of spirometry of Spain, and for the comparative analysis they make with their own survey, conducted in 2012,<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> on the quality of spirometry in specialized care centers in the public health sector of their region. As they mention, when both surveys are compared, the results vary considerably. Moreover, Hueto et al. suggest that the methodology section of our 3E inter-regional study<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a> does not give information on the types of centers polled, nor on the specialty being evaluated. They also say that there is no mention of the criteria used in the 3E study to determine the quality of the bronchodilator tests and the spirometries. We would like to make 3 points in this regard:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><p id="par0010" class="elsevierStylePara elsevierViewall">First, it is no surprise that our results are different from those published by Dr Hueto and his colleagues.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">1,3</span></a> Different results often emerge if the same problem is examined using different methodologies. Dr Hueto and his co-workers evaluated the use of spirometry in public hospitals with specialist care units. In contrast, as we explain in the methodology sections of the principal research article<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> and the subsequent studies,<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2,5</span></a> the 3E study included all healthcare centers seeing adult patients with respiratory disease. In other words, our aim was not give an overview of the situation in public hospitals, but rather to give an idea of the wider reality of how this diagnostic technique is applied in Spain.</p></li><li class="elsevierStyleListItem" id="lsti0010"><p id="par0015" class="elsevierStylePara elsevierViewall">Second, our spirometry and bronchodilator test quality criteria are explicitly detailed in the article they cite,<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a> and in another subsequent publication.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> As we explain in the methodology section of these papers, we used 8 quality criteria for spirometries and 5 for the bronchodilator tests. It is important to remember that the 3E study was a telephone survey, not a clinical audit. Accordingly, we selected quality criteria which could be measured with this method. We did not evaluate the technical quality of the spirometries, but we did refer to previous experiences reported in Spain.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">6</span></a></p></li><li class="elsevierStyleListItem" id="lsti0015"><p id="par0020" class="elsevierStylePara elsevierViewall">Lastly, it is important to remember that many studies and geographical epidemiology reviews have underlined the dangers of using the micro to interpret the macro,<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">7</span></a> particularly in a study with the inherent “noise” typical of an anonymous, third-person telephone survey. We must not forget that any interpretation of a health survey must consider the overall context. In view of the inherent features of the methodology used, such as sample variability, some surprising results may be expected. The solution in this case is to complete the picture by performing further studies from other perspectives or using different methods. For this reason, Dr Hueto's letter is particularly important, since it complements our data and attempts to provide a better understanding of the overall status of spirometry in Spain. We are sure that together these data can improve the follow-up and implementation of the National COPD Strategy in Spain.</p></li></ul></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Lopez-Campos JL, Soriano JB, Calle M, en representación del Proyecto 3E. Calidad de los datos de las espirometrías en España: estudio 3E. Arch Bronconeumol. 2016;52:109.</p>" ] 1 => array:3 [ "etiqueta" => "◊" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">3E Project members are in Appendix A.</p>" "identificador" => "fn0005" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Steering committee:</span> Myriam Calle, Joan B Soriano and Jose Luis Lopez-Campos</p> <p id="par0030" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Working group</span> (by Scientific Society to which each member belongs, in alphabetical order):</p> <p id="par0035" class="elsevierStylePara elsevierViewall">AIRE. Borja Garcia Cosio and Isabel Mir</p> <p id="par0040" class="elsevierStylePara elsevierViewall">ASTURPAR. Cristina Martínez González</p> <p id="par0045" class="elsevierStylePara elsevierViewall">NEUMOCAN. Ana Velázquez</p> <p id="par0050" class="elsevierStylePara elsevierViewall">NEUMOMADRID. Jose Miguel Rodríguez González-Moro</p> <p id="par0055" class="elsevierStylePara elsevierViewall">NEUMOSUR. Aurelio Arnedillo</p> <p id="par0060" class="elsevierStylePara elsevierViewall">SADAR. Luis Borderias Clau</p> <p id="par0065" class="elsevierStylePara elsevierViewall">SEAR. Juan Antonio Riesco Miranda</p> <p id="par0070" class="elsevierStylePara elsevierViewall">SEPAR. Juan Ruiz Manzano (Chairperson) and German Peces Barba</p> <p id="par0075" class="elsevierStylePara elsevierViewall">SOCALPAR. Jose Luis Viejo Bañuelos</p> <p id="par0080" class="elsevierStylePara elsevierViewall">SOCAMPAR. Encarnación López Gabaldón (Chairperson)</p> <p id="par0085" class="elsevierStylePara elsevierViewall">SOCAP. Eduard Monso Molas (Chairperson)</p> <p id="par0090" class="elsevierStylePara elsevierViewall">SOGAPAR. Marina Blanco Aparicio</p> <p id="par0095" class="elsevierStylePara elsevierViewall">SOMUPAR. Juan Luis de la Torre Alvaro (Chairperson)</p> <p id="par0100" class="elsevierStylePara elsevierViewall">SVNEUMO. M. Cruz González Villaescusa</p> <p id="par0105" class="elsevierStylePara elsevierViewall">SVNPR. Juan Bautista Galdiz</p>" "etiqueta" => "Appendix A" "titulo" => "3E Project" "identificador" => "sec0005" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0040" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La espirometría en la Neumología pública en Navarra. Análisis contrastado del estudio 3E" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Cebollero Rivas" 1 => "J. Hueto Pérez de Heredia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2014.12.006" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol." "fecha" => "2015" "volumen" => "51" "paginaInicial" => "527" "paginaFinal" => "528" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25641357" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0045" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inter-regional changes in the performance and interpretation of spirometry in Spain: 3E study [Article in English, Spanish]" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "3E Project" "etal" => false "autores" => array:3 [ 0 => "J.L. Lopez-Campos" 1 => "J.B. Soriano" 2 => "M. Calle" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2014.03.014" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2014" "volumen" => "50" "paginaInicial" => "475" "paginaFinal" => "483" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24816035" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0050" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spirometry in primary care in Navarre, Spain [Article in Spanish]" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Hueto" 1 => "P. Cebollero" 2 => "I. Pascal" 3 => "J.A. Cascante" 4 => "V.M. Eguía" 5 => "F. Teruel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2006" "volumen" => "42" "paginaInicial" => "326" "paginaFinal" => "331" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16945262" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0055" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comprehensive, national survey of spirometry in Spain: current bottlenecks and future directions in primary and secondary care" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Encuesta de Espirometría en España (3E) Project" "etal" => false "autores" => array:3 [ 0 => "J.L. Lopez-Campos" 1 => "J.B. Soriano" 2 => "M. Calle" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.12-2690" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2013" "volumen" => "144" "paginaInicial" => "601" "paginaFinal" => "609" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23411500" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0060" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Determinants of use of the bronchodilator test in primary and secondary care: results of a national survey in Spain" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "3E Project" "etal" => false "autores" => array:3 [ 0 => "J.L. Lopez-Campos" 1 => "J.B. Soriano" 2 => "M. Calle" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/crj.12208" "Revista" => array:2 [ "tituloSerie" => "Clin Respir J" "fecha" => "2014" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0065" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spirometry quality in preschool children [Article in Spanish]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.M. Olaguibel Rivera" 1 => "M.J. Alvarez Puebla" 2 => "C. Cela Vizcaino" 3 => "K. Cambra Contin" 4 => "M.P. Uribe San Martin" 5 => "B. de Esteban Chocarro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Sist Sanit Navar" "fecha" => "2014" "volumen" => "37" "paginaInicial" => "81" "paginaFinal" => "89" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24871113" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0070" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spatial modelling of disease using data- and knowledge-driven approaches" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.B. Stevens" 1 => "D.U. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 1 | 2 |
| 2024 October | 44 | 16 | 60 |
| 2024 September | 42 | 21 | 63 |
| 2024 August | 59 | 38 | 97 |
| 2024 July | 51 | 24 | 75 |
| 2024 June | 48 | 36 | 84 |
| 2024 May | 80 | 31 | 111 |
| 2024 April | 30 | 28 | 58 |
| 2024 March | 36 | 16 | 52 |
| 2024 February | 34 | 22 | 56 |
| 2023 April | 1 | 0 | 1 |
| 2023 March | 6 | 3 | 9 |
| 2023 February | 39 | 21 | 60 |
| 2023 January | 26 | 45 | 71 |
| 2022 December | 31 | 33 | 64 |
| 2022 November | 46 | 19 | 65 |
| 2022 October | 30 | 53 | 83 |
| 2022 September | 23 | 25 | 48 |
| 2022 August | 30 | 34 | 64 |
| 2022 July | 25 | 35 | 60 |
| 2022 June | 24 | 45 | 69 |
| 2022 May | 31 | 33 | 64 |
| 2022 April | 25 | 23 | 48 |
| 2022 March | 23 | 38 | 61 |
| 2022 February | 27 | 29 | 56 |
| 2022 January | 25 | 30 | 55 |
| 2021 December | 24 | 39 | 63 |
| 2021 November | 24 | 40 | 64 |
| 2021 October | 24 | 35 | 59 |
| 2021 September | 23 | 42 | 65 |
| 2021 August | 17 | 26 | 43 |
| 2021 July | 16 | 21 | 37 |
| 2021 June | 23 | 35 | 58 |
| 2021 May | 23 | 33 | 56 |
| 2021 April | 56 | 57 | 113 |
| 2021 March | 28 | 22 | 50 |
| 2021 February | 34 | 23 | 57 |
| 2021 January | 21 | 10 | 31 |
| 2020 December | 24 | 22 | 46 |
| 2020 November | 16 | 13 | 29 |
| 2020 October | 21 | 17 | 38 |
| 2020 September | 20 | 16 | 36 |
| 2020 August | 27 | 17 | 44 |
| 2020 July | 38 | 19 | 57 |
| 2020 June | 19 | 9 | 28 |
| 2020 May | 32 | 19 | 51 |
| 2020 April | 28 | 20 | 48 |
| 2020 March | 18 | 9 | 27 |
| 2020 February | 39 | 18 | 57 |
| 2020 January | 24 | 13 | 37 |
| 2019 December | 24 | 14 | 38 |
| 2019 November | 33 | 21 | 54 |
| 2019 October | 10 | 12 | 22 |
| 2019 September | 14 | 12 | 26 |
| 2019 August | 24 | 15 | 39 |
| 2019 July | 19 | 13 | 32 |
| 2019 June | 19 | 9 | 28 |
| 2019 May | 34 | 14 | 48 |
| 2019 April | 39 | 19 | 58 |
| 2019 March | 32 | 13 | 45 |
| 2019 February | 25 | 16 | 41 |
| 2019 January | 26 | 13 | 39 |
| 2018 December | 22 | 9 | 31 |
| 2018 November | 44 | 20 | 64 |
| 2018 October | 72 | 16 | 88 |
| 2018 September | 36 | 10 | 46 |
| 2018 May | 17 | 1 | 18 |
| 2018 April | 36 | 4 | 40 |
| 2018 March | 55 | 3 | 58 |
| 2018 February | 21 | 6 | 27 |
| 2018 January | 18 | 5 | 23 |
| 2017 December | 25 | 5 | 30 |
| 2017 November | 17 | 4 | 21 |
| 2017 October | 21 | 6 | 27 |
| 2017 September | 20 | 16 | 36 |
| 2017 August | 12 | 6 | 18 |
| 2017 July | 10 | 8 | 18 |
| 2017 June | 25 | 10 | 35 |
| 2017 May | 26 | 10 | 36 |
| 2017 April | 18 | 9 | 27 |
| 2017 March | 9 | 5 | 14 |
| 2017 February | 9 | 5 | 14 |
| 2017 January | 9 | 4 | 13 |
| 2016 December | 18 | 13 | 31 |
| 2016 November | 29 | 14 | 43 |
| 2016 October | 27 | 19 | 46 |
| 2016 September | 30 | 6 | 36 |
| 2016 August | 34 | 3 | 37 |
| 2016 July | 27 | 11 | 38 |
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