Office-based spirometry for early detection of obstructive lung disease.
OBJECTIVE
To review the research-based evidence supporting smoking cessation as the only proven method to reduce chronic obstructive pulmonary disease (COPD) progression and to show that early detection of disease with office-based spirometry can lead to therapeutic intervention before physiologic symptoms arise.


METHODS
Extensive review of national and international scientific literature supplemented with drawings and algorithms.


CONCLUSIONS
Early detection of COPD with spirometry, along with smoking cessation, and aggressive intervention can alter the insidious course of this highly preventable disease. It is imperative that nurse practitioners utilize this simple and inexpensive procedure to identify COPD in its earliest stages, so treatment can reduce individual and community disease burden, reduce morbidity and mortality, and help reduce healthcare costs.


CONCLUSIONS
Determination of early airflow obstruction supports smoking cessation education, provides objective data for patient motivation, thereby doubling patient compliance and reducing further disease burden.
Wallace
Laura D
LD
Division of Cardiology, The Heart and Vascular Institute of Florida, Morton Plant Hospital, Clearwater, Florida 33756, USA. lwallace@havi-north.com
Troy
Kenneth E
KE
D000465:Algorithms; D003663:Decision Trees; D003937:Diagnosis, Differential; D018450:Disease Progression; D042241:Early Diagnosis; D019317:Evidence-Based Medicine; D005541:Forced Expiratory Volume; D006801:Humans; D008403:Mass Screening / Q000451:nursing / Q000458:organization & administration*; D009017:Morbidity; D009042:Motivation; D009722:Nurse Practitioners / Q000458:organization & administration*; D009819:Office Visits; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic; D018579:Patient Selection; D011320:Primary Health Care / Q000458:organization & administration*; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D012680:Sensitivity and Specificity; D016540:Smoking Cessation; D013147:Spirometry / Q000379:methods* / Q000451:nursing; D016896:Treatment Outcome; D014797:Vital Capacity