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The diagnosis of COPD and its severity will be confirmed by spirometry.
In a recent Welsh primary care study [ 6], only 49% of the COPD diagnoses could be confirmed by spirometry.
We were quite careful not to use this term because it cannot be confirmed by spirometry alone.
A score of 10 19 seems to be a zone of miscellaneous symptomatic respiratory disease, most probably suggestive of no COPD (77%), and in the latter case, the absence of COPD could only be confirmed by spirometry.
In Norway in 2006, separate reimbursement codes for asthma and COPD were introduced and it became mandatory for drug cost reimbursement that the diagnoses should be confirmed by spirometry.
The diagnosis had to be confirmed by spirometry within 60 days after the index episode at a time when the patient was stable, i.e., the absence of any increase in symptoms or changes in background therapy [ 13].
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Absence of airway obstruction was confirmed by spirometry.
The diagnosis of COPD was confirmed by spirometry, showing a persistent airflow limitation.
A diagnosis of COPD was confirmed by spirometry at least three months after discharge when the patient had reached clinical stability.
However, despite this increase in use, in 2010 only half (52.5%) of all asthma diagnoses were confirmed by spirometry, and only 19.1% of asthma patients were monitored annually with spirometry.
The diagnosis of COPD was confirmed by spirometry when the patient had reached clinical stability, at least three months after discharge; COPD was identified as a post-bronchodilator forced expiratory volume in one second to forced vital capacity ratio (FEV1/FVC) of less than or equal to 0.7 [ 15].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com