For information about an online spirometry training and feedback programme that is being tested as part of our E-Quality Programme, go to www.spirometry360.org produced by the University of Washington.
This website is a rich repository of free resources about employing spirometry successfully in primary care. Our recent trial of the online intervention demonstrated improvement in spirometry quality and in asthma care.
The Spirometry 360 course that resulted from the trial reliably improves the quality of technique by 20-30%. It is available for a license fee.
It has been used in most states in the USA by hundreds of primary care sites. 99% of people rate the training as good to excellent. 99% would recommend to a colleague.
The feedback reporting system enables customized feedback on issues with technique and enables a practice site to view their own reviewed and graded curve file.
Elements have been used in the Netherlands CASPIR programme. Spirometry Fundamentals is part of the mandatory certification process.
As part of E-Quality, led by Jim Stout, it was tested in South Australia, and takes a teach the teacher approach.
Following this scheme, University of Washington enabled its use in Bangladesh and now Sri Lanka and is being incorporated into the FRESH AIR programme, funded by the EU Horizon 2020 research fund.
- E-Quality Round One 2011/12
- Bangladesh success in spirometry
- FRESH AIR
- Latest presentation to WONCA World conference, Rio, 2016
Some selected primary care spirometry papers
Titel and authors
IPCRG Desktop helper
Dr Hilary Pinnock, UK; Mrs Jacqui Cooper, UK
abstracts to IPCRG conferences
Spirometry in primary care case-identification, diagnosis and management of COPD
Price D, Crockett A, Arne M, Garbe B, Jones RCM, Kaplan A, Langhammer A, Williams S, Yawn BP
Prim Care Resp J 2009;18(3):216-223.
Is spirometry essential in diagnosing asthma? No
Mark L Levy
Is spirometry essential in diagnosing asthma? Yes
Ingrid Looijmans–van den Akker, Hans van der Zeijden, Theo JM Verheij
Use of spirometry among chest physicians and primary care physicians in India
Vanjare N, Chhowala S, Madas S, Kodgule R,Gogtay J, Salvi S.
Should the diagnosis of COPD be based on a single spirometry test?
Schermer TR, Robberts B, Crockett AJ, Thoonen BP, Lucas A, Grootens J, et al.
Targeted case finding for chronic obstructive pulmonary disease versus
routine practice in primary care (TargetCOPD): a cluster-randomised controlled trial
RE Jordan, P Adab, A Sitch, A Enocson, D Blissett, S Jowett, JL Marsh, RD Riley, MR Miller, BG Cooper,
AM Turner, K Jolly, JG Ayres, S Haroon, RA Stockley, S Greenfield, S Siebert, A Daley, KK Cheng, D Fitzmaurice.
Lancet Respiratory. 2016; 4(9): 720-730.