Race-specific Interpretation of Spirometry: Impact on the Lung Allocation Score.
J Henry BremsAparna BalasubramanianKevin J PsoterPali D ShahErrol BushChristian A MerloMeredith C McCormackPublished in: Annals of the American Thoracic Society (2023)
A race-specific approach to spirometry interpretation has potential to adversely impact the care of Black patients with advanced respiratory disease. Compared to a race-neutral approach, a race-specific approach resulted in a lower LAS for Black patients and higher LAS for White patients, which may have contributed to racially biased allocation of lung transplants. The future use of race-specific equations must be carefully considered.