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Originally published on March 3, 2008.
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CLINICAL GUIDELINES

Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: U.S. Preventive Services Task Force Recommendation Statement

right arrow U.S. Preventive Services Task Force*

1 April 2008 | Volume 148 Issue 7 | Pages 529-534

Description: New U.S. Preventive Services Task Force (USPSTF) recommendation about screening for chronic obstructive pulmonary disease (COPD) using spirometry.

Methods: 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.

Recommendation: Do not screen adults for COPD using spirometry. (Grade D recommendation)

Author and Article Information
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From the U.S. Preventive Services Task Force, Agency for Healthcare Research and Quality, Rockville, Maryland.

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.

Financial Support: The USPSTF is an independent, voluntary body. The U.S. Congress mandates that the Agency for Healthcare Research and Quality support the operations of the USPSTF.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Reprints are available from the USPSTF Web site (http://www.preventiveservices.ahrq.gov).

* For a list of members of the U.S. Preventive Services Task Force, see the Appendix.


Related articles in Annals:

Clinical Guidelines
Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Summary of the Evidence for the U.S. Preventive Services Task Force
Kenneth Lin, Bradley Watkins, Tamara Johnson, Joy Anne Rodriguez, AND Mary B. Barton
Annals 2008 148: 535-543. [ABSTRACT][SUMMARY][Full Text]  

Summaries for Patients
Screening for Chronic Obstructive Pulmonary Disease: U.S. Preventive Services Task Force Recommendations
Annals 2008 148: I-46. [Full Text]  



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Rapid Responses:

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Screening Spirometry In Asymptomatic Copd
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Annals Online, 29 Apr 2008 [Full text]
COPD and the role of Spirometry
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Annals Online, 4 Jun 2008 [Full text]
U.S. Preventive Services Task Force Recommendation on Screening for COPD
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Annals Online, 19 Jun 2008 [Full text]



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