Compatibility of the global lung function 2012 spirometry reference values in children, adolescents and young adults: a systematic review.

Bruna Weber Santos, Janaina Cristina Scalco, Paloma Lopes Francisco Parazzi, Camila Isabel Santos Schivinski
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Abstract

Introduction: The Global Lung Function Initiative (GLI 2012) has published multiethnic spirometry reference values. To identify studies that evaluated the compatibility (applicability, validity, representativeness, agreement and/or adequacy) of the reference equations proposed by the GLI 2012 for spirometry tests in different populations.

Methods: Systematic searches were carried out on the PubMed, LILACS (Latin American and Caribbean Health Sciences Literature), Scopus, Web of Science and Google Scholar databases. Cross-sectional observational studies published between 2012 and 2013 onwards that evaluated the compatibility of the GLI 2012 in children, adolescents and young adults (3-20 years old) were included. The references were manually searched and the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Analytical Studies was applied to assess the methodological quality of the studies included.

Results: All of the 5632 studies identified were classified as low risk of bias, but only 21 were deemed eligible for inclusion. Of these, 8 reported satisfactory GLI 2012 compatibility for their populations (Argentina, Spain, Columbia, Djibouti, Norway, Poland, Jordan and Zimbabwe), 5 cautious applicability, and the remaining 8 considered the equation unsatisfactory, since it over or underestimated spirometric parameters.

Conclusion: The GLI 2012 equations are not applicable to all populations and must be tested before being adopted.

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2012 年儿童、青少年和年轻成人肺功能参考值的兼容性:系统回顾。
简介:全球肺功能倡议(GLI 2012)发布了多种族肺活量参考值:全球肺功能倡议(GLI 2012)发布了多种族肺活量测定参考值。本研究旨在确定对全球肺功能倡议 2012 提出的肺活量测试参考值在不同人群中的兼容性(适用性、有效性、代表性、一致性和/或充分性)进行评估的研究:在 PubMed、LILACS(拉丁美洲和加勒比海健康科学文献)、Scopus、Web of Science 和 Google Scholar 数据库中进行系统检索。研究纳入了 2012 年至 2013 年间发表的横断面观察性研究,这些研究评估了 2012 年 GLI 在儿童、青少年和年轻成人(3-20 岁)中的兼容性。对参考文献进行了人工检索,并采用乔安娜-布里格斯研究所的横断面分析研究批判性评估核对表来评估所收录研究的方法学质量:所有 5632 项已确定的研究都被归类为低偏倚风险,但只有 21 项被认为符合纳入条件。其中,8 项研究(阿根廷、西班牙、哥伦比亚、吉布提、挪威、波兰、约旦和津巴布韦)对 GLI 2012 的适用性表示满意,5 项研究对其适用性持谨慎态度,其余 8 项研究认为该方程不尽人意,因为它高估或低估了肺活量参数:结论:2012 年全球肺活量指数方程并不适用于所有人群,在采用前必须进行测试。
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