The reliability and utility of spirometry performed on people with asthma in community pharmacies
Objective: To investigate the reliability and the utility of spirometry generated by community pharmacists participating in two large asthma intervention trials of 892 people. Methods: The Pharmacy Asthma Care Program (PACP) and the Pharmacy Asthma Management Service (PAMS) involved up to four visit...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Journal Article |
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Taylor and Francis Ltd
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/3654 |
| _version_ | 1848744290443853824 |
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| author | Lei Burton, D. LeMay, K. Saini, B. Smith, L. Bosnic-Anticevich, S. Southwell, P. Cooke, J. Emmerton, Lynne Stewart, K. Krass, I. Reddel, H. Armour, C. |
| author_facet | Lei Burton, D. LeMay, K. Saini, B. Smith, L. Bosnic-Anticevich, S. Southwell, P. Cooke, J. Emmerton, Lynne Stewart, K. Krass, I. Reddel, H. Armour, C. |
| author_sort | Lei Burton, D. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To investigate the reliability and the utility of spirometry generated by community pharmacists participating in two large asthma intervention trials of 892 people. Methods: The Pharmacy Asthma Care Program (PACP) and the Pharmacy Asthma Management Service (PAMS) involved up to four visits to the pharmacy over 6 months for counseling and goal setting. Pharmacists performed spirometry according to ATS/ERS guidelines to inform management. The proportion of A–E, F quality tests, as per EasyOne™ QC grades, were recorded. Lung function results between visits and for participants referred/not referred to their general practitioner on the basis of spirometry were compared. Results: Complete data from 2593 spirometry sessions were recorded, 68.5% of spirometry sessions achieved three acceptable tests with between-test repeatability of 150 ml or less (A or B quality), 96% of spirometry sessions included at least one test that met ATS/ERS acceptability criteria. About 39.1% of participants had FEV1/FVC values below the lower limit of normal (LNN), indicating a respiratory obstruction. As a result of the service, there was a significant increase in FEV1 and FEV1/FVC and asthma control. Lung function values were significantly poorer for participants referred to their general practitioner, compared with those not referred, on the basis of spirometry. Conclusions: Community pharmacists are able to reliably achieve spirometry results meeting ATS/ERS guidelines in people with asthma. Significant improvements in airway obstruction were demonstrated with the pharmacy services. Pharmacists interpreted lung function results to identify airway obstruction for referral, making this a useful technique for review of people with asthma in the community. |
| first_indexed | 2025-11-14T05:59:07Z |
| format | Journal Article |
| id | curtin-20.500.11937-3654 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T05:59:07Z |
| publishDate | 2015 |
| publisher | Taylor and Francis Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-36542017-09-13T14:47:33Z The reliability and utility of spirometry performed on people with asthma in community pharmacies Lei Burton, D. LeMay, K. Saini, B. Smith, L. Bosnic-Anticevich, S. Southwell, P. Cooke, J. Emmerton, Lynne Stewart, K. Krass, I. Reddel, H. Armour, C. Objective: To investigate the reliability and the utility of spirometry generated by community pharmacists participating in two large asthma intervention trials of 892 people. Methods: The Pharmacy Asthma Care Program (PACP) and the Pharmacy Asthma Management Service (PAMS) involved up to four visits to the pharmacy over 6 months for counseling and goal setting. Pharmacists performed spirometry according to ATS/ERS guidelines to inform management. The proportion of A–E, F quality tests, as per EasyOne™ QC grades, were recorded. Lung function results between visits and for participants referred/not referred to their general practitioner on the basis of spirometry were compared. Results: Complete data from 2593 spirometry sessions were recorded, 68.5% of spirometry sessions achieved three acceptable tests with between-test repeatability of 150 ml or less (A or B quality), 96% of spirometry sessions included at least one test that met ATS/ERS acceptability criteria. About 39.1% of participants had FEV1/FVC values below the lower limit of normal (LNN), indicating a respiratory obstruction. As a result of the service, there was a significant increase in FEV1 and FEV1/FVC and asthma control. Lung function values were significantly poorer for participants referred to their general practitioner, compared with those not referred, on the basis of spirometry. Conclusions: Community pharmacists are able to reliably achieve spirometry results meeting ATS/ERS guidelines in people with asthma. Significant improvements in airway obstruction were demonstrated with the pharmacy services. Pharmacists interpreted lung function results to identify airway obstruction for referral, making this a useful technique for review of people with asthma in the community. 2015 Journal Article http://hdl.handle.net/20.500.11937/3654 10.3109/02770903.2015.1004684 Taylor and Francis Ltd restricted |
| spellingShingle | Lei Burton, D. LeMay, K. Saini, B. Smith, L. Bosnic-Anticevich, S. Southwell, P. Cooke, J. Emmerton, Lynne Stewart, K. Krass, I. Reddel, H. Armour, C. The reliability and utility of spirometry performed on people with asthma in community pharmacies |
| title | The reliability and utility of spirometry performed on people with asthma in community pharmacies |
| title_full | The reliability and utility of spirometry performed on people with asthma in community pharmacies |
| title_fullStr | The reliability and utility of spirometry performed on people with asthma in community pharmacies |
| title_full_unstemmed | The reliability and utility of spirometry performed on people with asthma in community pharmacies |
| title_short | The reliability and utility of spirometry performed on people with asthma in community pharmacies |
| title_sort | reliability and utility of spirometry performed on people with asthma in community pharmacies |
| url | http://hdl.handle.net/20.500.11937/3654 |