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Point and Counterpoint |

POINT: Should Oscillometry Be Used to Screen for Airway Disease? YesOscillometry Screening for Airway Disease? Yes

Kenneth I. Berger, MD; Roberta M. Goldring, MD; Beno W. Oppenheimer, MD
Author and Funding Information

From the Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, New York University School of Medicine; and André Cournand Pulmonary Physiology Laboratory, Bellevue Hospital.

CORRESPONDENCE TO: Kenneth I. Berger, MD, New York University School of Medicine, 240 E 38th St, Room M-15, New York, NY 10016; e-mail: kenneth.berger@nyumc.org


CONFLICT OF INTEREST: None declared.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(5):1131-1135. doi:10.1378/chest.15-0106
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Extract

Detection of airway disease by physiologic testing was initially described using spirometry to determine vital capacity and expiratory airflow under maximal effort to distinguish obstructive from restrictive disease processes.1 Subsequently, Dubois and colleagues2 demonstrated direct assessment of airway resistance using plethysmography and in a separate publication described the precursor of the forced oscillation technique to measure respiratory system resistance.3 This review addresses the question of whether direct assessment of resistance by forced oscillation provides diagnostic information equivalent or superior to standard assessment of airflow rates by spirometry.

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