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Previous Volume 329:967-968 September 23, 1993 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their review of the management of chronic obstructive pulmonary disease (April 8 issue),¹ Ferguson and Cherniack state, "All persons who are at risk [for the disease] should be evaluated for airflow limitation with the use of spirometry. . . .[S]pirometry should be a part of routine examinations, since it provides valuable information on changes in lung function over time." Why was such a definitive comment made?

Before routine diagnostic testing is recommended, there should be some indication of how the results will alter management. Since the risk factors for chronic obstructive pulmonary disease (i.e., smoking or . . . [Full Text of this Article]

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