Temporary recommendations of the russian association of functional diagnostics specialists on the registration of a conclusion based on the results of spirometry

The article presents concise guidelines for quality control and protocol development for spirometry, a routine test of lung function. Based on Russian methodological recommendations for spirometry, standards of the American Thoracic Society, and the European Respiratory Society, these guidelines cover all stages of spirometry, from patient preparation to result interpretation, aiming to ensure high quality and reliability of the tests performed. The importance of adhering to standards and quality control is emphasized to guarantee the accuracy and reliability of spirometry results. The guidelines provide criteria for the quality of individual attempts and the entire test, criteria for selecting the best attempt, and recommendations for assessing the severity of abnormalities. Examples of formulating spirometry protocols are also given. These recommendations are intended for physicians in functional diagnostics, pulmonologists, therapists, anesthesiologists, medical staff, and aim to standardize the formation of spirometry protocols.

1. Kameneva M.Yu., Chernyak A.V., Aisanov Z. R., etc. Spirometry: a methodological guide for conducting research and interpreting the results. Interregional public organization «Russian Respiratory Society», All-Russian public organization «Russian Association of Functional Diagnostics Specialists», All-Russian public organization «Russian Scientific and Medical Society of Therapists». Pulmonology. 2023; 33 (3): 307–340. DOI: 10.18093/08690189–2023–33–3–307–340.

2. Graham B.L., Steenbruggen I., Miller M.R. 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): e70–88. DOI: 10.1164/rccm.201908-1590ST.

3. Levy M.L., Quanjer P.H., Booker R. et al. Diagnostic spirometry in primary care: Proposed standards for general practice compliant with American Thoracic Society and European Respiratory Society recommendations. Prim. Care Resp. J. 2009; 18 (3): 130–147. DOI: 10.4104/pcrj.2009.00054.

4. Stanojevic S., Kaminsky D.A., Miller M.R. et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur. Respir. J. 2022; 60 (1): 2101499. DOI: 10.1183/13993003. 01499-2021.

5. Kiryukhina L. D., Struchkov P. V. Standardization of spirometry: what’s new in the 2019 update. Part 1. Medical Alphabet. 2020;(9): 9-14. DOI: 10.33667/2078-5631-2020-9-9-14.

6. Kiryukhina L. D., Struchkov P. V. Standardization of spirometry: what’s new in the 2019 update. Part 2. The Medical Alphabet. 2020;1(14):10-18. DOI: 10.33667/2078-5631-2020-14-10-18.

7. Kameneva M. Y. New international recommendations for the interpretation of pulmonary functional tests (Part 1). Medical Alphabet. 2022;(20):16-22. https://doi.org/10.33667/2078-5631-2022-20-16-22.

8. Kameneva M.Yu., Kiryukhina L.D., Struchkov P.V. Updated domestic recommendations on spirometry. Part 1. Rules for conducting research and criteria for its quality. The medical alphabet. Modern functional diagnostics. 2023;(22), №3: 7–18. https://doi.org/10.33667/2078-5631-2023-22-7-18.

9. Kameneva M.Yu., Kiryukhina L.D., Struchkov P.V. Updated domestic recommendations on spirometry. Part 2. Evaluation of spirometry results. Comments and suggestions for use. The medical alphabet. Modern functional diagnostics 2024;(6) No. 1:7–15. https://doi.org/10.33667/2078-5631-2024-6-7-15.

10. Kameneva M.Yu., Kiryukhina L.D., Struchkov P.V. Updated domestic recommendations on spirometry. Part 3. Conducting and evaluating the results of the bronchodilation test. Features of spirometry in children. The medical alphabet. Modern functional diagnostics 2024;(15)№ 2: 8–12. https://doi.org/10.33667/2078-5631-2024-15-8-12.

11. Dyakova S. E., Orlova E. A., Klyukhina Yu. B., Kudinova T. V. Modern methods for assessing the functional state of the bronchopulmonary system in children (Part 1. Methods based on the study of calm (non-forced) breathing in children). Medical Alphabet. 2022;(20):52–60. https://doi.org/10.33667/2078–5631-2022-20-52-6.

12. Struchkov P.V., Kiryukhina L.D., Drozdov D.V., Shchelykalina S.P., Manichev I.A. Proper values in the study of the function of external respiration. Different due – different conclusions? Medical Alphabet. 2021; (15):22–26. https://doi.org/10.33667/2078-5631-2021-15-22-26.