Comparison and interpretation of the ARTP statement on pulmonary function testing 2020 and Chinese guidelines_Chinese Journal of Evidence-Based Medicine

Authors：

LIANG Lina ^1,2 , LI Yun ^1,2 , ZHENG Jinping ^1,2 ,  GAO Yi ^1,2

1. Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, P. R. China;
2. State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou 510120, P. R. China;

Corresponding author：

GAO Yi, Email: misstall2@163.com

Keywords：

Association for Respiratory Technology & Physiology (ARTP); Pulmonary function; Statement; Comparison; Interpretation

DOI：

10.7507/1672-2531.202307029

Video：

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Abstract Full text Figures/Tables Video References Cited by

In 1994, a statement on the performance of lung function testing was issued by the Association for Respiratory Technology & Physiology (ARTP), and it has been updated in 2020. In this paper, we introduced the updated content, including general procedures, normal value ranges and interpretations of obstructive ventilation dysfunction, precautions of lung function tests, and paediatric lung function testing. We also compared the differences between the ARTP statement and the lung function guidelines issued by the Chinese Thoracic Society (CTS) and put forward some appropriate suggestions from the viewpoint of our current situation. We expected it to provide valuable references for the normative update and application of pulmonary function tests in China.

Citation： LIANG Lina, LI Yun, ZHENG Jinping, GAO Yi. Comparison and interpretation of the ARTP statement on pulmonary function testing 2020 and Chinese guidelines. Chinese Journal of Evidence-Based Medicine, 2024, 24(4): 445-450. doi: 10.7507/1672-2531.202307029 Copy

1.	Halpin DMG, Criner GJ, Papi A, et al. Global initiative for the diagnosis, management, and prevention of chronic obstructive lung disease. the 2020 GOLD Science Committee report on COVID-19 and chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 2021, 203(1): 24-36.
2.	Neder JA, de-Torres JP, Milne KM, et al. Lung function testing in chronic obstructive pulmonary disease. Clin Chest Med, 2020, 41(3): 347-366.
3.	焦蕤, 高粹, 孙忻, 等. 肺功能对肺间质病预后评估的临床意义及研究进展. 中华结核和呼吸杂志, 2020, 43(11): 966-970.
4.	王清峰, 杜正驰, 孙国志. 腹部手术术前肺功能测定对腹部手术术后肺部并发症的评估作用. 国际医药卫生导报, 2018, 24(6): 856-860.
5.	American Thoracic Society. ATS statement: snowbird workshop on standardization of spirometry. Am Rev Respir Dis, 1979, 119(5): 831-838.
6.	Statement of the American Thoracic Society. Standardization of spirometry, 1987 update. Am Rev Respir Dis, 1987, 136(5): 1285-1298.
7.	American Thoracic Society. Standardization of spirometry, 1994 Update. Am J Respir Crit Care Med, 1995, 152(3): 1107-1136.
8.	Statement of the American Thoracic Society. Single breath carbon monoxide diffusing capacity (transfer factor). Recommendations for a standard technique. Am Rev Respir Dis, 1987, 136(5): 1299-1307.
9.	Quanjer PH, Tammeling GJ, Cotes JE, et al. Lung volumes and forced ventilatory flows. Eur Respir J, 1993, 6(Suppl 16): 5-40.
10.	Miller MR, Crapo R, Hankinson J, et al. General considerations for lung function testing. Eur Respir J, 2005, 26(1): 153-161.
11.	Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J, 2005, 26(2): 319-338.
12.	Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J, 2005, 26(5): 948-968.
13.	Macintyre N, Crapo RO, Viegi G, et al. Standardisation of the single-breath determination of carbon monoxide uptake in the lung. Eur Respir J, 2005, 26(4): 720-735.
14.	Wanger J, Clausen JL, Coates A, et al. Standardisation of the measurement of lung volumes. Eur Respir J, 2005, 26(3): 511-522.
15.	Graham BL, Brusasco V, Burgos F, et al. 2017 ERS/ATS standards for single-breath carbon monoxide uptake in the lung. Eur Respir J, 2017, 49(1): 1600016.
16.	Graham BL, Steenbruggen I, Miller MR, et al. Standardization of spirometry 2019 update. An Official American Thoracic Society and European Respiratory Society technical statement. Am J Respir Crit Care Med, 2019, 200(8): e70-e88.
17.	Stanojevic S, Kaminsky DA, Miller MR, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J, 2022, 60(1): 2101499.
18.	吴绍青, 崔祥瑸, 李华德. 肺功能测验(一): 通气功能. 中华结核病科杂志, 1956, 4(2): 85-93.
19.	吴绍青, 李华德, 萨藤三. 肺功能测验在临床上的应用. 上海: 上海科学技术出版社, 1961.
20.	朱蕾, 刘又宁, 于润江. 临床肺功能. 北京: 人民卫生出版社, 2004.
21.	郑劲平. 肺功能学基础与临床. 广州: 广东科技出版社, 2007.
22.	郑劲平, 高怡. 肺功能检查实用指南. 北京: 人民卫生出版社, 2009.
23.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第一部分)—概述及一般要求. 中华结核和呼吸杂志, 2014, 37(6): 402-405.
24.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第二部分)—肺量计检查. 中华结核和呼吸杂志, 2014, 37(7): 481-486.
25.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第三部分)—组织胺和乙酰甲胆碱支气管激发试验. 中华结核和呼吸杂志, 2014, 37(8): 566-571.
26.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第四部分)—支气管舒张试验. 中华结核和呼吸杂志, 2014, 37(9): 655-658.
27.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—肺弥散功能检查. 中华结核和呼吸杂志, 2015, 38(3): 164-169.
28.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—肺容量检查. 中华结核和呼吸杂志, 2015, 38(4): 255-260.
29.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—体积描记法肺容量和气道阻力检查. 中华结核和呼吸杂志, 2015, 38(5): 342-347.
30.	中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—呼气峰值流量及其变异率检查. 中华结核和呼吸杂志, 2017, 40(6): 426-430.
31.	中国呼吸医师协会肺功能与临床呼吸生理工作委员会, 中华医学会呼吸病学分会呼吸治疗学组. 肺功能检查报告规范—肺量计检查、支气管舒张试验、支气管激发试验. 中华医学杂志, 2019, 99(22): 1681-1691.
32.	中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(一): 概述. 中华实用儿科临床杂志, 2016, 31(9): 653-658.
33.	中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(二): 肺容积和通气功能. 中华实用儿科临床杂志, 2016, 31(10): 744-750.
34.	中华医学会儿科学分会呼吸学组肺功能协作组《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(三): 脉冲振荡. 中华实用儿科临床杂志, 2016, 31(11): 821-825.
35.	中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(四): 潮气呼吸肺功能. 中华实用儿科临床杂志, 2016, 31(21): 1617-1621.
36.	中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(五): 支气管舒张试验. 中华实用儿科临床杂志, 2017, 32(1): 17-21.
37.	中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(六): 支气管激发试验. 中华实用儿科临床杂志, 2017, 32(4): 263-269.
38.	Cooper BG, Hull JH, Lloyd JK. ARTP statement on pulmonary function testing. BMJ Open Respir Res, 2020, 7(1): e000664.
39.	Quanjer PH, Stanojevic S, Cole TJ, et al. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J, 2012, 40(6): 1324-1343.
40.	Jian W, Gao Y, Hao C, et al. Reference values for spirometry in Chinese aged 4-80 years. J Thorac Dis, 2017, 9(11): 4538-4549.
41.	Donat SM. Peri-operative care in patients treated for testicular cancer. Semin Surg Oncol, 1999, 17(4): 282-288.
42.	Robinson PD, Latzin P, Verbanck S, et al. Consensus statement for inert gas washout measurement using multiple- and single- breath tests. Eur Respir J, 2013, 41(3): 507-522.
43.	Celli BR. Clinical and physiologic evaluation of respiratory muscle function. Clin Chest Med, 1989, 10(2): 199-214.
44.	Morgan RK, McNally S, Alexander M, et al. Use of Sniff nasal-inspiratory force to predict survival in amyotrophic lateral sclerosis. Am J Respir Crit Care Med, 2005, 171(3): 269-274.
45.	Beydon N, Davis SD, Lombardi E, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med, 2007, 175(12): 1304-1345.
46.	高怡, 郑劲平. 开展肺功能规范化培训, 助力慢性呼吸系统疾病综合防控. 中国实用内科杂志, 2019, 39(5): 481-484.

1. Halpin DMG, Criner GJ, Papi A, et al. Global initiative for the diagnosis, management, and prevention of chronic obstructive lung disease. the 2020 GOLD Science Committee report on COVID-19 and chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 2021, 203(1): 24-36.
2. Neder JA, de-Torres JP, Milne KM, et al. Lung function testing in chronic obstructive pulmonary disease. Clin Chest Med, 2020, 41(3): 347-366.
3. 焦蕤, 高粹, 孙忻, 等. 肺功能对肺间质病预后评估的临床意义及研究进展. 中华结核和呼吸杂志, 2020, 43(11): 966-970.
4. 王清峰, 杜正驰, 孙国志. 腹部手术术前肺功能测定对腹部手术术后肺部并发症的评估作用. 国际医药卫生导报, 2018, 24(6): 856-860.
5. American Thoracic Society. ATS statement: snowbird workshop on standardization of spirometry. Am Rev Respir Dis, 1979, 119(5): 831-838.
6. Statement of the American Thoracic Society. Standardization of spirometry, 1987 update. Am Rev Respir Dis, 1987, 136(5): 1285-1298.
7. American Thoracic Society. Standardization of spirometry, 1994 Update. Am J Respir Crit Care Med, 1995, 152(3): 1107-1136.
8. Statement of the American Thoracic Society. Single breath carbon monoxide diffusing capacity (transfer factor). Recommendations for a standard technique. Am Rev Respir Dis, 1987, 136(5): 1299-1307.
9. Quanjer PH, Tammeling GJ, Cotes JE, et al. Lung volumes and forced ventilatory flows. Eur Respir J, 1993, 6(Suppl 16): 5-40.
10. Miller MR, Crapo R, Hankinson J, et al. General considerations for lung function testing. Eur Respir J, 2005, 26(1): 153-161.
11. Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J, 2005, 26(2): 319-338.
12. Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J, 2005, 26(5): 948-968.
13. Macintyre N, Crapo RO, Viegi G, et al. Standardisation of the single-breath determination of carbon monoxide uptake in the lung. Eur Respir J, 2005, 26(4): 720-735.
14. Wanger J, Clausen JL, Coates A, et al. Standardisation of the measurement of lung volumes. Eur Respir J, 2005, 26(3): 511-522.
15. Graham BL, Brusasco V, Burgos F, et al. 2017 ERS/ATS standards for single-breath carbon monoxide uptake in the lung. Eur Respir J, 2017, 49(1): 1600016.
16. Graham BL, Steenbruggen I, Miller MR, et al. Standardization of spirometry 2019 update. An Official American Thoracic Society and European Respiratory Society technical statement. Am J Respir Crit Care Med, 2019, 200(8): e70-e88.
17. Stanojevic S, Kaminsky DA, Miller MR, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J, 2022, 60(1): 2101499.
18. 吴绍青, 崔祥瑸, 李华德. 肺功能测验(一): 通气功能. 中华结核病科杂志, 1956, 4(2): 85-93.
19. 吴绍青, 李华德, 萨藤三. 肺功能测验在临床上的应用. 上海: 上海科学技术出版社, 1961.
20. 朱蕾, 刘又宁, 于润江. 临床肺功能. 北京: 人民卫生出版社, 2004.
21. 郑劲平. 肺功能学基础与临床. 广州: 广东科技出版社, 2007.
22. 郑劲平, 高怡. 肺功能检查实用指南. 北京: 人民卫生出版社, 2009.
23. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第一部分)—概述及一般要求. 中华结核和呼吸杂志, 2014, 37(6): 402-405.
24. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第二部分)—肺量计检查. 中华结核和呼吸杂志, 2014, 37(7): 481-486.
25. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第三部分)—组织胺和乙酰甲胆碱支气管激发试验. 中华结核和呼吸杂志, 2014, 37(8): 566-571.
26. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南(第四部分)—支气管舒张试验. 中华结核和呼吸杂志, 2014, 37(9): 655-658.
27. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—肺弥散功能检查. 中华结核和呼吸杂志, 2015, 38(3): 164-169.
28. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—肺容量检查. 中华结核和呼吸杂志, 2015, 38(4): 255-260.
29. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—体积描记法肺容量和气道阻力检查. 中华结核和呼吸杂志, 2015, 38(5): 342-347.
30. 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南—呼气峰值流量及其变异率检查. 中华结核和呼吸杂志, 2017, 40(6): 426-430.
31. 中国呼吸医师协会肺功能与临床呼吸生理工作委员会, 中华医学会呼吸病学分会呼吸治疗学组. 肺功能检查报告规范—肺量计检查、支气管舒张试验、支气管激发试验. 中华医学杂志, 2019, 99(22): 1681-1691.
32. 中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(一): 概述. 中华实用儿科临床杂志, 2016, 31(9): 653-658.
33. 中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(二): 肺容积和通气功能. 中华实用儿科临床杂志, 2016, 31(10): 744-750.
34. 中华医学会儿科学分会呼吸学组肺功能协作组《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(三): 脉冲振荡. 中华实用儿科临床杂志, 2016, 31(11): 821-825.
35. 中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(四): 潮气呼吸肺功能. 中华实用儿科临床杂志, 2016, 31(21): 1617-1621.
36. 中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(五): 支气管舒张试验. 中华实用儿科临床杂志, 2017, 32(1): 17-21.
37. 中华医学会儿科学分会呼吸学组肺功能协作组, 《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(六): 支气管激发试验. 中华实用儿科临床杂志, 2017, 32(4): 263-269.
38. Cooper BG, Hull JH, Lloyd JK. ARTP statement on pulmonary function testing. BMJ Open Respir Res, 2020, 7(1): e000664.
39. Quanjer PH, Stanojevic S, Cole TJ, et al. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J, 2012, 40(6): 1324-1343.
40. Jian W, Gao Y, Hao C, et al. Reference values for spirometry in Chinese aged 4-80 years. J Thorac Dis, 2017, 9(11): 4538-4549.
41. Donat SM. Peri-operative care in patients treated for testicular cancer. Semin Surg Oncol, 1999, 17(4): 282-288.
42. Robinson PD, Latzin P, Verbanck S, et al. Consensus statement for inert gas washout measurement using multiple- and single- breath tests. Eur Respir J, 2013, 41(3): 507-522.
43. Celli BR. Clinical and physiologic evaluation of respiratory muscle function. Clin Chest Med, 1989, 10(2): 199-214.
44. Morgan RK, McNally S, Alexander M, et al. Use of Sniff nasal-inspiratory force to predict survival in amyotrophic lateral sclerosis. Am J Respir Crit Care Med, 2005, 171(3): 269-274.
45. Beydon N, Davis SD, Lombardi E, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med, 2007, 175(12): 1304-1345.
46. 高怡, 郑劲平. 开展肺功能规范化培训, 助力慢性呼吸系统疾病综合防控. 中国实用内科杂志, 2019, 39(5): 481-484.

Chinese Journal of Evidence-Based Medicine

Comparison and interpretation of the ARTP statement on pulmonary function testing 2020 and Chinese guidelines

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