Home Spirometry Has Potential for Detecting Pulmonary Decline in Systemic Sclerosis

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Home Spirometry Has Potential for Detecting Pulmonary Decline in Systemic Sclerosis
Crest SyndromePulmonary Function TestingSpirometry
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Using home spirometry for the management of systemic sclerosis–associated ILD can enhance the ability to detect pulmonary decline early, leading to better patient care and outcomes.

Home spirometry shows potential for early detection of pulmonary function decline in patients with systemic sclerosis –associated interstitial lung disease . It shows good cross-sectional correlation with hospital tests, along with 60% sensitivity and 87% specificity for detecting progressive ILD.Researchers conducted a prospective, observational study to examine the validity of home spirometry for detecting a decline in pulmonary function in patients with SSc-ILD.

All participants were required to take weekly home spirometry measurements using a handheld spirometer for 1 year, with 35 completing 6 months of follow-up and 31 completing 12 months.The primary outcome was the κ agreement between home and hospital measurements after 1 year to detect a decline in forced vital capacity of 5% or more; the sensitivity and specificity of home spirometry were also evaluated to detect an absolute decline in FVC%, using hospital tests as the gold standard.

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