New spirometry recommendations from the Brazilian Thoracic Association – 2024 update
The latest pulmonary function guideline from the Brazilian Thoracic Association was published in 2002, since which there have been updates to international guidelines (mainly those from the European Respiratory Society and the American Thoracic Society), as well as new national and international publications on various aspects of the performance, interpretation, and clinical implications of spirometry. Despite those updates, a careful analysis of what applies to the reality in Brazil is essential, because there have been studies that evaluated individuals who are representative of our population and who could show responses different from those of individuals in other regions of the world. This document is the result of the work of a group of specialists in pulmonary function who evaluated relevant scientific articles that could be applicable to the population of Brazil. After the discussions, new spirometry guidelines were drawn up, covering various aspects such as its technical parameters and performance; its indications and contraindications; its interpretation; concepts of normality and their related variability; reference values; classification of functional severity; and response to an inhaled bronchodilator. Finally, the guidelines emphasize the need to always interpret spirometry results in the context of the clinical condition of the patient and of the pretest probability.
Authors
- Diane Rezende Batista (ORCID: https://orcid.org/0000-0001-7138-6105)
- Felipe Xavier de Melo (ORCID: https://orcid.org/0000-0002-4616-6706)
- André Luís Pereira de Albuquerque (ORCID: https://orcid.org/0000-0003-3486-5240)
- Mariana Lima Lafetá (ORCID: https://orcid.org/0000-0002-8714-9953)
- Danilo Cortozi Berton (ORCID: https://orcid.org/0000-0002-8393-3126)
- Roberto Rodrigues (ORCID: https://orcid.org/0000-0002-5385-1066)
- José Alberto Neder (ORCID: https://orcid.org/0000-0002-8019-281X)
- Alfredo Nicodemos Cruz Santana (ORCID: https://orcid.org/0000-0002-4511-9123)
- Fernando José Pinho Queiroga-Júnior (ORCID: https://orcid.org/0000-0001-7178-3928)
- Bruno de Moraes Santos Wong (ORCID: https://orcid.org/0000-0003-3431-9848)
- João Marcos Salge (ORCID: https://orcid.org/0000-0001-5121-0129)
- Eloara V.M. Ferreira (ORCID: https://orcid.org/0000-0002-3291-6473)
- Fernando Moacyr Fragoso Didier-Neto (ORCID: https://orcid.org/0009-0002-4968-7176)
Institutions
- Universidade Federal do Rio Grande do Sul (BR)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Queen's University (CA)
- Hospital Israelita Albert Einstein (BR)
- Universidade do Sul de Santa Catarina (BR)
- Hospital de Clínicas de Porto Alegre (BR)
- Prefeitura do Município de São Paulo (BR)
- Universidade Tiradentes (BR)
- D’Or Institute for Research and Education (BR)
- Faculdade de Ciências Médicas de Minas Gerais (BR)
- Hospital Nossa Senhora das Graças (BR)
- Hospital Santa Izabel (BR)
- Hospital São Rafael (BR)
- Hospital de Clínicas Universidade Federal do Paraná (BR)
- Hospital Universitário de Brasília (BR)
- Hospital do Coração (BR)
- Faculdade de Medicina do ABC (BR)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Hospital Ana Nery (BR)
- Escola Superior de Ciências da Saúde (BR)
- Hospital de Clínicas da Unicamp (BR)
- Hospital do Servidor Público Estadual (BR)
- Hospital Sírio-Libanês (BR)
- Kingston Health Sciences Centre (CA)
- Fundação Hospitalar do Estado de Minas Gerais (BR)
- Brazilian Network Information Center (BR)
- Universidade de Santo Amaro (BR)
- Universidade Federal do Paraná (BR)
- Universidade de Pernambuco (BR)
- Universidade Estadual Paulista (Unesp) (BR)
- Universidade Federal de São Paulo (BR)
Publication Details
- Journal
- Jornal Brasileiro de Pneumologia
- Published
- 2024-12-20
- DOI
- https://doi.org/10.36416/1806-3756/e20240169
- Citations
- 5
- Primary Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Type
- article
- Field-Weighted Citation Impact
- 2.09