Official ERS technical standards: Global Lung Function Initiative reference values for the carbon monoxide transfer factor for Caucasians. Issue 3 (11th September 2017)

• Record Type: Journal Article
• Authors: Stanojevic, Sanja; Graham, Brian L.; Cooper, Brendan G.; Thompson, Bruce R.; Carter, Kim W.; Francis, Richard W.; Hall, Graham L.
• Other Names: author non-byline.; Quanjer Philip author non-byline.; Stocks Janet author non-byline.; Marciniuk Darcy author non-byline.; Ip Mary Sau Man author non-byline.; Vazquez Juan-Carlos author non-byline.; Smith Emma author non-byline.; Zagami Debbie author non-byline.; Kostianev Stefan author non-byline.; Baden Winfried author non-byline.; Michailopoulos Pavlos author non-byline.; Brusasco Vito author non-byline.; Kubota Masaru author non-byline.; Gochicoa Laura author non-byline.; Arets Hubertus author non-byline.; Thompson Bruce author non-byline.; van der Lee Ivo author non-byline.; Collingwood Andrew author non-byline.; Boros Piotr author non-byline.; Ekerljung Linda author non-byline.; Young-Jee Kim author non-byline.; Zavorsky Gerald author non-byline.
• Is Part Of: European respiratory journal. Volume 50:Issue 3(2017)
• Publication Date: 2017-09-11
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiration -- Periodicals; 616.2
• DOI: 10.1183/13993003.00010-2017
• Languages: English
• ISSNs: 0903-1936

Abstract

There are numerous reference equations available for the single-breath transfer factor of the lung for carbon monoxide ( T LCO ); however, it is not always clear which reference set should be used in clinical practice. The aim of the study was to develop the Global Lung Function Initiative (GLI) all-age reference values for T LCO . Data from 19 centres in 14 countries were collected to define T LCO reference values. Similar to the GLI spirometry project, reference values were derived using the LMS (lambda, mu, sigma) method and the GAMLSS (generalised additive models for location, scale and shape) programme in R. 12 660 T LCO measurements from asymptomatic, lifetime nonsmokers were submitted; 85% of the submitted data were from Caucasians. All data were uncorrected for haemoglobin concentration. Following adjustments for elevation above sea level, gas concentration and assumptions used for calculating the anatomic dead space volume, there was a high degree of overlap between the datasets. Reference values for Caucasians aged 5–85 years were derived for T LCO, transfer coefficient of the lung for carbon monoxide and alveolar volume. This is the largest collection of normative T LCO data, and the first global reference values available for T LCO . This is the largest collection of normative T LCO data and represents a step towards standardised interpretation http://ow.ly/4PcZ30dB1tn