PT - JOURNAL ARTICLE AU - Felip Burgos AU - Batxi Galdiz AU - Carles Gallego AU - Montserrat Vallverdú AU - Pere Caminal AU - Diego Castillo AU - Jordi Ayza AU - Joan Escarrabill AU - Josep Roca TI - Novel strategies for quality control of forced spirometry DP - 2011 Sep 01 TA - European Respiratory Journal PG - p3034 VI - 38 IP - Suppl 55 4099 - http://erj.ersjournals.com/content/38/Suppl_55/p3034.short 4100 - http://erj.ersjournals.com/content/38/Suppl_55/p3034.full SO - Eur Respir J2011 Sep 01; 38 AB - High Quality Forced Spirometry (HQS) in primary care (PC) enhances management of respiratory patients. We aimed at: a) developing standards to transfer FS data (HL7-XML) using DICOM; b) deploying web-based support to PC and Community Pharmacists (CPH); c) validating a new algorithm for automatic assessment of quality of the tests; and, d) assessing the web applicationWe explored 1430 subjects from 15 PC and 812 subjects from 40 CPH. The follow-up period was > 6m. The validation of the algorithm for automatic QC was done using 778 curves from 291 patients and the 24 flow-volume and volume-time curves from the ATS. The assessment by an expert professional and the score automatically generated through the algorithm were compared (Grade 0, rejected; Grade 1 accepted; and, Grade 2 doubtful test).The percent of HQS increased from 57% to 78% during the study period (9 months). The CPH study showed on average 70% HQS. The performance of the algorithm for automatic assessment of spirometry quality control was acceptable (Sensitivity 96%; Specificity 95%).Our results prompt the adoption of strategies to standardize the transfer HQS tests (HL7CDA R2) among providers. Thus, facilitating information sharing across the system and reducing duplicities. The automatic algorithm showed high applicability. All together, the study facilitates future strategies for early diagnosis of chronic obstructive diseases as well as long-term follow-up of patients.Supported by Inforegiό, NEXES (CIP-PSP No 225025), FarmaEPOC and PDMAR.