PT - JOURNAL ARTICLE AU - Marina Pokhaznikiva AU - Elena Andreeva AU - Anatoly Lebedev AU - Olga Kuznetsova AU - Jean-Marie Degryse TI - Spirometry quality assessment performed by general practitioners in frame of the RESPECT study DP - 2014 Sep 01 TA - European Respiratory Journal PG - P2793 VI - 44 IP - Suppl 58 4099 - http://erj.ersjournals.com/content/44/Suppl_58/P2793.short 4100 - http://erj.ersjournals.com/content/44/Suppl_58/P2793.full SO - Eur Respir J2014 Sep 01; 44 AB - Background: Obstructive lung diseases remain one of the major public health problems in Russia due to a high prevalence of smoking. There is a consensus about the underestimation of the prevalence of chronic obstructive pulmonary disease (COPD) and a definite need for early screening on the primary care level. General practitioners (GPs) are usually the first to examine patients with asthma and COPD and still do not perform office spirometry.Aim: to assess the quality of GPs' spirometry after the e-learning education course.Methods: The e-learning educational course was created as a part of the RESPECT project which aims to estimate the COPD prevalence in two Russian regions of the North-West. This three week course contains instructional videos with clinical cases, progress tests and literature for future reference. A one day face-to-face session (for each region) makes it possible to improve the practical skills of using a portable spirometer (Spirobank). Spirogram quality assessment was performed according to ATS/ERS criteria.Results: Altogether 33 investigators (from 10 centers in St. Petersburg and 5 centers in Arkhangelsk) were involved in this course. Totally 3020 spirogramms were performed (93.5% of them were acceptable with ATS/ERS 1 and 2 levels). 82% of all acceptable spirogramms were given reversibility tests. The main errors were: expiration less than 6 seconds (54% of all performed spirograms) and the artefacts (non-maximal effort throughout the test, the glottis closure and others, altogether - 4.7%).Conclusion: The RESPECT investigators were able to can carry out spirometry with acceptable quality.