Office Spirometry is essential for the diagnosis and management of asthma and COPD. However, it remains an underutilized tool in clinical practice. In this study we aimed to investigate the use of Spirometry by General Practitioners, General Physicians, Chest Physicians and Pediatricians from different cities across India.
3750 doctors from 20 centers across India were randomly selected and invited to fill in a one-page questionnaire.
1715 doctors returned the completed questionnaire (256 general practitioners, 717 general physicians, 458 chest physicians, 209 pediatricians and 74 others) (response rate: 45.7%). The mean duration of clinical practice was 15.2 years and on average 32 asthma patients and 17.5 COPD patients were seen per week by each clinician. The table shows the use of spirometry by different groups of clinicians in their practice. The commonest cause for not using Spirometry was lack of access to Spirometry (41.6%), and non-affordability of the test by the patients (36.2%).
Spirometry is underutilized by clinicians in India.
Clinicians in India need to be motivated to perform spirometry in clinical practice.
Sundeep Salvi, Grant monies (from industry related sources) Cipla Ltd.Category% Of patients asked to perform SpirometryAsthmaCOPDGeneral Practitioner9.3611.11General Physician19.9922.83Chest Physician54.9256.70Pediatrician5.42Not applicable