Society guideline links: Pulmonary function testing

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately:

●(See "Society guideline links: Chronic obstructive pulmonary disease".)

●(See "Society guideline links: Asthma in adolescents and adults".)

●(See "Society guideline links: Asthma in children".)

●(See "Society guideline links: Severe asthma in adolescents and adults".)

●(See "Society guideline links: Occupational asthma".)

●(See "Society guideline links: Exercise-induced bronchoconstriction".)

●(See "Society guideline links: Stress testing and cardiopulmonary exercise testing".)

Canada

●Choosing Wisely Canada: Don't continue medications for asthma (eg, inhalers, leukotriene receptor antagonists, or other) in individuals who have not had a clear clinical benefit or confirmation of reversible airflow limitation with spirometry or peak flow testing, and when non-diagnostic, a positive methacholine or exercise challenge test (2022)

●Choosing Wisely Canada: Don't initiate long-term maintenance treatments (eg, bronchodilators, inhaled corticosteroids, leukotriene receptor antagonists, or other) in adult patients with suspected COPD/asthma without confirming a diagnosis with objective testing such as spirometry/methacholine challenge (2022)

●Choosing Wisely Canada: Don't diagnose or manage current or chronic or persistent asthma in patients >6 years of age without objective testing such as spirometry or a methacholine challenge (2021)

●Canadian Thoracic Society (CTS): Spirometry in primary care – Position statement (2013)

United States

●American Thoracic Society (ATS): An official statement on race and ethnicity in pulmonary function test interpretation (2023)

●ATS and European Respiratory Society (ERS): An official technical statement on standardization of spirometry, update (2019)

●ATS: An official technical statement on preschool multiple-breath washout testing (2018)

●ATS: An official technical statement on recommendations for a standardized pulmonary function report (2017)

●ERS/ATS: Standards for single-breath carbon monoxide uptake in the lung (2017)

●ERS/ATS: An official technical standard on field walking tests in chronic respiratory disease (2014)

●ERS/ATS: Consensus statement for inert gas washout measurement using multiple- and single-breath tests (2013)

●American Association for Respiratory Care (AARC): Clinical practice guideline on infant/toddler pulmonary function tests, revision and update (2008)

Europe

●American Thoracic Society (ATS) and European Respiratory Society (ERS): An official technical statement on standardization of spirometry, update (2019)

●ERS: Statement on respiratory muscle testing at rest and during exercise (2019)

●ERS: Technical standard on bronchial challenge testing – Pathophysiology and methodology of indirect airway challenge testing (2018)

●ERS: Technical standard on bronchial challenge testing – General considerations and performance of methacholine challenge tests (2017)

●ERS: Technical standard on exhaled biomarkers in lung disease (2017)

●ERS: Technical standard on standardisation and application of the single-breath determination of nitric oxide uptake in the lung (2017)

●ERS/ATS: Standards for single-breath carbon monoxide uptake in the lung (2017)

●ERS/ATS: An official technical standard on field walking tests in chronic respiratory disease (2014)

●ERS/ATS: Consensus statement for inert gas washout measurement using multiple- and single-breath tests (2013)

Australia–New Zealand

●Choosing Wisely Australia: Avoid routinely performing preoperative blood investigations, chest X-ray or spirometry prior to surgery, but instead order in response to patient factors, symptoms and signs, disease, or planned surgery (2017)

●Australian and New Zealand Society of Respiratory Science (ANZSRS): Position statement on reference values for spirometry and their use in test interpretation (2016)

Japan

●[In Japanese] Japanese Respiratory Society (JRS): Guideline for the diagnosis and treatment of intractable asthma, 2nd edition (2023)

●[In Japanese] Choosing Wisely Japan: Spirometry test for asthma – Why you need it, if you need it (2016)