TABLE 2

Role of spirometry

Diagnosis
Assessment of severity of airflow obstruction (for prognosis)
Follow-up assessment
 Therapeutic decisions
  Pharmacological in selected circumstances (e.g., discrepancy between spirometry and level of symptoms)
  Consider alternative diagnoses when symptoms are disproportionate to degree of airflow obstruction
  Nonpharmacological (e.g., interventional procedures)
 Identification of rapid decline