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Point and Counterpoint |

Rebuttal From Dr Berger et alRebuttal From Dr Berger et al

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):1137-1138. doi:10.1378/chest.15-1037
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Extract

We agree that the holy grail of pulmonary physiologists is a test that detects early chronic airway disease. Although Dr Enright1 remains “cautiously optimistic” that forced oscillation technique (FOT) can serve this purpose, there are sufficient data to mitigate his caution.

1.EnrightPL. Counterpoint: should oscillometry be used to screen for airway disease? No. Chest. 2015;148(5):1135-1137.2.BergerKIGoldringRMOppenheimerBW. Point: should oscillometry be used to screen for airway disease? Yes. Chest. 2015;148(5):1131-1135.3.Caplan-ShawCEYeeHRogersL. Lung pathologic findings in a local residential and working community exposed to World Trade Center dust, gas, and fumes. J Occup Environ Med. 2011;53(9):981-991.4.FriedmanSMMaslowCBReibmanJ. Case-control study of lung function in World Trade Center Health Registry area residents and workers. Am J Respir Crit Care Med. 2011;184(5):582-589.5.CrimCCelliBEdwardsLD; ECLIPSE Investigators. Respiratory system impedance with impulse oscillometry in healthy and COPD subjects: ECLIPSE baseline results. Respir Med. 2011;105(7):1069-1078.6.OostveenEBodaKvan der GrintenCP. Respiratory impedance in healthy subjects: baseline values and bronchodilator response. Eur Respir J. 2013;42(6):1513-1523.7.OppenheimerBWBergerKISegalLN. Airway dysfunction in obesity: response to voluntary restoration of end expiratory lung volume. PLoS One. 2014;9(2):e88015.8.BrownNJSalomeCMBerendNThorpeCWKingGG. Airway distensibility in adults with asthma and healthy adults, measured by forced oscillation technique. Am J Respir Crit Care Med. 2007;176(2):129-137.9.EnrightPLJohnsonLRConnettJEVoelkerHBuistAS. Spirometry in the Lung Health Study. 1. Methods and quality control. Am Rev Respir Dis. 1991;143(6):1215-1223.

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