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Guidelines
ARTP statement on pulmonary function testing 2020
  1. Karl Peter Sylvester1,2,
  2. Nigel Clayton3,
  3. Ian Cliff4,
  4. Michael Hepple4,
  5. Adrian Kendrick5,
  6. Jane Kirkby6,
  7. Martin Miller7,
  8. Alan Moore8,
  9. Gerrard Francis Rafferty9,
  10. Liam O'Reilly10,
  11. Joanna Shakespeare10,
  12. Laurie Smith6,11,
  13. Trefor Watts12,
  14. Martyn Bucknall13 and
  15. Keith Butterfield14
  1. 1Respiratory Physiology, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK
  2. 2Lung Function Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  3. 3The North West Lung Function Laboratory, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK
  4. 4Respiratory Physiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Staffordshire, UK
  5. 5Lung Function Unit, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
  6. 6Respiratory Function Lab, Sheffield Children's NHS Foundation Trust, Sheffield, Sheffield, UK
  7. 7Applied Health Research, University of Birmingham, Birmingham, Birmingham, UK
  8. 8Respiratory Physiology Department, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, Birmingham, UK
  9. 9Child Health, King's College London School of Medicine, London, UK
  10. 10Department of Respiratory Physiology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, Coventry, UK
  11. 11POLARIS, Academic Radiology, The University of Sheffield, Sheffield, Sheffield, Sheffield, UK
  12. 12West Midlands Strategic Health Authority, Birmingham, Birmingham, UK
  13. 13Clinical Physiology, St George's University, London, UK
  14. 14Department of Respiratory Medicine, Dorset County Hospital NHS Foundation Trust, Dorchester, Dorset, UK
  1. Correspondence to Dr Karl Peter Sylvester; karl.sylvester{at}nhs.net

Abstract

The Association for Respiratory Technology & Physiology (ARTP) last produced a statement on the performance of lung function testing in 1994. At that time the focus was on a practical statement for people working in lung function laboratories. Since that time there have been many technological advances and alterations to best practice in the measurement and interpretation of lung function assessments. In light of these advances an update was warranted. ARTP, therefore, have provided within this document, where available, the most up-to-date and evidence-based recommendations for the most common lung function assessments performed in laboratories across the UK. These recommendations set out the requirements and considerations that need to be made in terms of environmental and patient factors that may influence both the performance and interpretation of lung function tests. They also incorporate procedures to ensure quality assured diagnostic investigations that include those associated with equipment, the healthcare professional conducting the assessments and the results achieved by the subject. Each section aims to outline the common parameters provided for each investigation, a brief principle behind the measurements (where applicable), and suggested acceptability and reproducibility criteria.

  • lung physiology
  • respiratory measurement
  • respiratory muscles
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjresp-2020-000575

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    Footnotes

    • Contributors All authors were involved in writing, editing and review of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement The ARTP Council comprises a number of non-executive positions, one of which is held by a patient representative who has been given the opportunity to comment on the development of this manuscript.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Data availability statement Data sharing not applicable as no data sets generated and/or analysed for this study.

    • Author note The group was originally convened in 2016 and a review of the current literature undertaken by each chapter contributor for their relevant section. Literature was further reviewed throughout the development process up until the point of submission, in light of newer best practice publications. The manuscript was reviewed by two independent editors to produce a final manuscript which was sent for consultation to the ARTP Editorial Board prior to submission.

    Linked Articles

    • Respiratory physiology
      ARTP statement on pulmonary function testing
      Brendan G Cooper James H Hull Julie K Lloyd
      BMJ Open Respiratory Research 2020; 7 - Published Online First: 05 Jul 2020. doi: 10.1136/bmjresp-2020-000664