Race Neutral Spirometry Equations

The use of racial categories in pulmonary function testing has been a topic of concern for a while. There is a growing recognition of the need to address the ethical implications of basing medical treatment on racial categories. The utilization of such categories can perpetuate stereotypes and contribute to health disparities, particularly in the context of pulmonary function testing. Therefore, it is crucial to find a solution that guarantees equitable and precise assessments for all patients, irrespective of their ethnic background.

Fortunately, the emergence of "Race Neutral Regression Equations" is a promising solution. These equations consider factors such as age, height, and sex at birth but do not use race as a variable. By eliminating potential biases from using race to evaluate pulmonary function, healthcare providers can establish a more equitable healthcare system that values inclusivity and promotes better patient outcomes.

In conclusion, the issue of using race in pulmonary function testing has become a controversial issue that requires immediate attention (see ATS statement document linked below for details). However, implementing "Race Neutral Regression Equations" in every practice is crucial to ensuring that spirometric patient evaluations are fair and accurate, regardless of ethnic background, ensuring everyone receives optimal care.

The CDS Team is committed to update you on this topic. Thanks again to our colleagues at AstraZeneca for producing the handout below. Please stay tuned for additional posts :)

Resources listed below: 

Race and ethnicity in pulmonary function test interpretation: An official American Thoracic Society statement. (direct link)

Bhakta, N. R., et.al. (2023). Race and ethnicity in pulmonary function test interpretation: An official American Thoracic Society statement. American Journal of Respiratory and Critical Care Medicine, 207(8), 978-995. https://doi.org/10.1164/rccm.202302-0310st