Kim Sang Hyuk, Han MeiLan K
Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Tuberc Respir Dis (Seoul). 2025 Jul;88(3):413-418. doi: 10.4046/trd.2025.0009. Epub 2025 Mar 25.
In the field of chronic obstructive pulmonary disease (COPD), there is growing interest in methods for early detection with the goal of altering disease progression. At the same time, pulmonary function test (PFT) remains central to the diagnosis and management of COPD. Yet, spirometry remains underused, particularly in primary care, contributing to the underdiagnosis and misdiagnosis of COPD. Challenges hindering more aggressive use of spirometry include a lack of access in primary care clinics or public venues, the complexity of performing spirometry and a lack of comfort with interpretation. Enhancing PFT utilization will require new approaches including broadening availability and adopting different approaches to interpretation.
在慢性阻塞性肺疾病（COPD）领域，人们对旨在改变疾病进展的早期检测方法的兴趣日益浓厚。与此同时，肺功能测试（PFT）仍然是COPD诊断和管理的核心。然而，肺量计的使用仍然不足，尤其是在初级保健中，这导致了COPD的诊断不足和误诊。阻碍更积极使用肺量计的挑战包括在初级保健诊所或公共场所无法使用、进行肺量计检查的复杂性以及对解读结果缺乏信心。提高PFT的利用率将需要新的方法，包括扩大可及性和采用不同的解读方法。
