Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2003 Dec;86(12):1133-9.

The cost-effectiveness of mini peak expiratory flow as a screening test for chronic obstructive pulmonary disease among the Bangkok elderly

Nanta Maranetra  1 , Benjamas Chuaychoo, Chana Naruman, Jariya Lertakyamanee, Wanchai Dejsomritrutai, Nitipatana Chierakul, Arth Nana, Wisanu Thamlikitkul, Tasneeya Suthamsmai, Sutee Saengkaew, Wichean Sreelum, Montchai Aksornin, Amolwan Dechapol, Chairat Reungcham
Affiliations
  • PMID: 14971521

The cost-effectiveness of mini peak expiratory flow as a screening test for chronic obstructive pulmonary disease among the Bangkok elderly

Nanta Maranetra et al. J Med Assoc Thai. 2003 Dec.

Abstract

This study aims to explore the cost-effectiveness of Mini Peak Expiratory Flow (miniPEF) as a screening test for Chronic Obstructive Pulmonary Disease (COPD) among the elderly in 124 urban communities around Siriraj Hospital, using the gold standard of diagnosis based on the guidelines of the Thoracic Society of Thailand. There were 3,094 subjects who participated and completed all the tests. The results showed that the cut-off miniPEF percentage of predicted value of highest average accuracy was 62 per cent. The sensitivity was 72.7 per cent (95% CI 67.0-78.6) and the specificity was 81.1 per cent (95% CI 79.7-82.5) The cost of screening 19 elderly to detect one case of COPD is 923 baht, with a false negative rate of 1.9 per cent (95% CI 1.3-2.5%) and a false positive rate of 17.5 per cent (95% CI 15.4-19.6%). It is suggested that measuring a miniPEF is regarded as one of the cost-effective screening tests for COPD in the elderly.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

  • Peak expiratory flow rate as a surrogate for forced expiratory volume in 1 second in COPD severity classification in Thailand.
    Pothirat C, Chaiwong W, Phetsuk N, Liwsrisakun C, Bumroongkit C, Deesomchok A, Theerakittikul T, Limsukon A. Pothirat C, et al. Int J Chron Obstruct Pulmon Dis. 2015 Jun 25;10:1213-8. doi: 10.2147/COPD.S85166. eCollection 2015. Int J Chron Obstruct Pulmon Dis. 2015. PMID: 26150713 Free PMC article.
  • Joint Indian Chest Society-National College of Chest Physicians (India) guidelines for spirometry.
    Aggarwal AN, Agarwal R, Dhooria S, Prasad KT, Sehgal IS, Muthu V, Singh N, Behera D, Jindal SK, Singh V, Chawla R, Samaria JK, Gaur SN, Agrawal A, Chhabra SK, Chopra V, Christopher DJ, Dhar R, Ghoshal AG, Guleria R, Handa A, Jain NK, Janmeja AK, Kant S, Khilnani GC, Kumar R, Mehta R, Mishra N, Mohan A, Mohapatra PR, Patel D, Ram B, Sharma SK, Singla R, Suri JC, Swarnakar R, Talwar D, Narasimhan RL, Maji S, Bandopadhyay A, Basumatary N, Mukherjee A, Baldi M, Baikunje N, Kalpakam H, Upadhya P, Kodati R. Aggarwal AN, et al. Lung India. 2019 Apr;36(Supplement):S1-S35. doi: 10.4103/lungindia.lungindia_300_18. Lung India. 2019. PMID: 31006703 Free PMC article.

Publication types

LinkOut - more resources