Am J Respir Crit Care Med April 2023 PMID 36973004

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement.

Nirav R Bhakta, Christian Bime, David A Kaminsky, Meredith C McCormack, Neeta Thakur, Sanja Stanojevic, Aaron D Baugh, Lundy Braun, Stephanie Lovinsky-Desir, Rosemary Adamson, Jonathan Witonsky, Robert A Wise, Sean D Levy, Robert Brown, Erick Forno

Mentions

82
Peak: 36 in Apr 2023
across 6 sources since Apr 2023

Extended reach

265,525
potential audience

Total likes

102

Video views

596

Mentions per month

Apr 2023 – Mar 2025

Where it's discussed

  • X / Twitter53 posts
  • News21 articles
  • YouTube3 videos
  • Facebook2 posts
  • Blogs2 articles
  • Bluesky1 posts

AI synopsis

What people are saying

The discussions demonstrate a shared recognition of the importance of re-evaluating race-based approaches, with examples like comments praising the ATS statement's scientific and ethical considerations. The tone is mostly positive, emphasizing the potential for impactful change, as seen in expressions like 'thoughtful consideration' and 'kudos,' which reinforce the group's engagement and belief in the publication's significance.

AgreementModerate agreement

Most discussions are supportive of the ATS's move towards race-neutral equations, indicating general agreement with the re-evaluation stance.

InterestModerate interest

Participants show moderate curiosity by engaging with multiple posts, highlighting the importance of the topic.

EngagementModerate engagement

Many posts reference specific guidelines, policies, and implications, revealing thoughtful engagement.

ImpactModerate impact

The widespread sharing and discussion suggest that the publication prompts meaningful shifts in perspectives and clinical practices.

Abstract in brief

  • The American Thoracic Society (ATS) currently supports using race and ethnicity-specific equations for interpreting pulmonary function tests (PFTs), but there’s growing concern that this approach may reinforce false racial differences and overlook the impact of varying exposures.
  • A workshop convened by ATS in 2021 found that using race as a factor in PFT interpretation lacks biological validity and suggested switching to race-neutral average reference equations to better reflect individual health without bias.
  • Recommendations included re-evaluating the use of PFTs in clinical and insurance decisions, involving a broader range of stakeholders, and emphasizing ongoing research and education to understand the implications of these changes.

Top posts

Most liked on X and Bluesky
ATS Blue Journal
@ATSBlueEditor · X

The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue. "Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement"

Apr 18, 2023 · 22 likes · 8 shares · 20,029 followers View post →
ATS Blue Journal
@ATSBlueEditor · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 14, 2023 · 20 likes · 8 shares · 20,029 followers View post →
Elizabeth Matsui
@elizabethmatsui · X

Kudos to @atscommunity for statement on race and ethnicity & pulmonary function test interpretation. Thoughtful consideration of scientific evidence presented w historical context. @mmccormackmd @slovinskydesir @nthakurMD @LundyBraun https://t.co/wGGS1iitRB

Apr 1, 2023 · 11 likes · 1 share · 2,647 followers View post →
PulmCrit
@PulmCrit · X

This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs. It’s allready overdue that we eliminate race-based PFTs. ATS statement: https://t.co/2sSpUhXCWe https://t.co/U00xYZbV2P

Aug 14, 2023 · 10 likes · 4 shares · 63,753 followers View post →
James Diao
@JamesADiao · X

7/ In 2022, US and European respiratory societies recommended a new race-neutral equation, but we still knew little about the expected downstream effects on patients (or equivalently, the effects of adding race in the first place). https://t.co/7KitUYuwfw https://t.co/9i5iB3KWEv

May 19, 2024 · 10 likes · 2 shares · 1,436 followers View post →
Sovetorax Tips
@tipssovetorax · X

Destacar el uso de relación de FEV1 a FVC para identificar defectos ventilatorios obstructivos en la enfermedad pulmonar obstructiva crónica, asma y otras enfermedades que afectan las vías respiratorias, porque varía mínimamente por raza o etnia. https://t.co/h5SUj8sHX2

Apr 15, 2023 · 6 likes · 3,246 followers View post →

All mentions

Arghavan Salles, MD, PhD
@arghavansallesmd.medsky.social · Bluesky

I saw pubmed is down but seems like oddly in some places but not in others. This is for me right now

Mar 1, 2025 View post →
Marcia S Newman
@marciasgreen · X

RT @JamesADiao: 7/ In 2022, US and European respiratory societies recommended a new race-neutral equation, but we still knew little about t…

Jul 13, 2024 · 2 shares · 4,954 followers View post →
Pharming in the ED
@jhrx79 · X

RT @JamesADiao: 7/ In 2022, US and European respiratory societies recommended a new race-neutral equation, but we still knew little about t…

May 21, 2024 · 2 shares · 75 followers View post →
James Diao
@JamesADiao · X

7/ In 2022, US and European respiratory societies recommended a new race-neutral equation, but we still knew little about the expected downstream effects on patients (or equivalently, the effects of adding race in the first place). https://t.co/7KitUYuwfw https://t.co/9i5iB3KWEv

May 19, 2024 · 10 likes · 2 shares · 1,436 followers View post →
CommonSpirit Physician Enterprise
@CommonSpiritPE · X

.@CommonSpirit experts discuss the impact of race and ethnicity in pulmonary function testing on this week's 5-Min Check In: https://t.co/nPoSjTOc51 @tommcginn4

Apr 26, 2024 · 1,085 followers View post →
Ken Knox
@kenknoxaz · X

https://t.co/Po4VY5IsP7

Feb 24, 2024 · 93 followers View post →
Erick Forno, MD MPH
@EFornoMD · X

RT @atscommunity: ICYMI: Have you seen our work on race & ethnicity in pulmonary function tests that appeared in @ATSBlueEditor?

Feb 22, 2024 · 1 share · 851 followers View post →
American Thoracic Society (ATS)
@atscommunity · X

ICYMI: Have you seen our work on race & ethnicity in pulmonary function tests that appeared in @ATSBlueEditor?

Feb 22, 2024 · 1 like · 1 share · 41,925 followers View post →
PulmCrit
@PulmCrit · X

@jeremyeorr https://t.co/2sSpUhXCWe

Sep 16, 2023 · 1 like · 63,753 followers View post →
resusnurse
@resusnurse · X

RT @PulmCrit: This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs. It’s all…

Aug 15, 2023 · 4 shares · 409 followers View post →
Richard Choi, DO, FNCS
@rkchoi · X

RT @PulmCrit: This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs. It’s all…

Aug 14, 2023 · 4 shares · 3,787 followers View post →
Natasha MD
@Natasha_ICU · X

RT @PulmCrit: This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs. It’s all…

Aug 14, 2023 · 4 shares · 17 followers View post →
Daala
@daala · X

RT @PulmCrit: This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs. It’s all…

Aug 14, 2023 · 4 shares · 122 followers View post →
PulmCrit
@PulmCrit · X

This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs. It’s allready overdue that we eliminate race-based PFTs. ATS statement: https://t.co/2sSpUhXCWe https://t.co/U00xYZbV2P

Aug 14, 2023 · 10 likes · 4 shares · 63,753 followers View post →
Dr. Toni Eyssallenne
@NYCHealthCMO · X

ICYMI: @atscommunity highlights the critical re-evaluation of race-based pulmonary function testing, with a recommendation to replace race & ethnicity-specific equations with race-neutral average reference equations. #CERCA

Jul 20, 2023 · 1 like · 2,170 followers View post →
Anthony Baynham (He/Him)
@antongyan · X

Hello @BTSrespiratory do you support the @atscommunity official statement on "Race and Ethnicity in Pulmonary Function Test Interpretation" https://t.co/jw1W4SsI68 ? I can see @EuroRespSoc has officially supported the ATS position.

Jun 29, 2023 · 1,829 followers View post →
Jorge Luis Quintero MD. MSc.
@jquinteromd · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement | American Journal of Respiratory and Critical Care Medicine https://t.co/gf056qcmpK

Jun 21, 2023 · 1,938 followers View post →
Chris Bime MD
@CBime · X

RT @ATS_BSHSR: #Race and #Ethnicity in #Pulmonary #Function #Test Interpretation: An Official American #Thoracic Society Statement https://…

May 23, 2023 · 4 shares · 335 followers View post →
Scott Phillips
@pulmonaryMSL · X

RT @mmirsae: The ATS has finally published their long-awaited recommendations on the usage of race and ethnicity in interpreting PFT. The…

Apr 27, 2023 · 2 shares · 43 followers View post →
Reza Aghaei
@Rezaaghaei84 · X

RT @mmirsae: The ATS has finally published their long-awaited recommendations on the usage of race and ethnicity in interpreting PFT. The…

Apr 26, 2023 · 2 shares · 352 followers View post →
Mehdi Mirsaeidi
@mmirsae · X

The ATS has finally published their long-awaited recommendations on the usage of race and ethnicity in interpreting PFT. The approach towards race in PFT has been overtly racist and must be changed. https://t.co/XEerAUyq1t

Apr 26, 2023 · 2 likes · 2 shares · 888 followers View post →
Bhavika Kaul, MD MAS
@BhavikaKaulMD · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 25, 2023 · 8 shares · 253 followers View post →
Daniel Calabrese
@DocCalabrese · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 25, 2023 · 8 shares · 265 followers View post →
ATS EOPH
@ATS_EOPH · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement https://t.co/pKZThhCTp4

Apr 23, 2023 · 1 like · 984 followers View post →
Stephanie Lovinsky-Desir, MD, MS
@slovinskydesir · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 23, 2023 · 8 shares · 991 followers View post →
Bharat Kumar
@BharatKumarMD · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 19, 2023 · 8 shares · 3,221 followers View post →
ERS Assembly 1
@ERSAssembly1 · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 19, 2023 · 8 shares · 647 followers View post →
Lynn Schnapp
@LynnSchnappMD · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 18, 2023 · 8 shares · 832 followers View post →
Ashish
@trivediaa · X

RT @ATSBlueEditor: The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue.…

Apr 18, 2023 · 8 shares · 716 followers View post →
ATS Blue Journal
@ATSBlueEditor · X

The Blue Journal thanks Emerging Investigator Nirav R. Bhakta, M.D., Ph.D., for his contribution to the April 15 issue. "Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement"

Apr 18, 2023 · 22 likes · 8 shares · 20,029 followers View post →
Sovetorax Tips
@tipssovetorax · X

Raza y etnicidad en la interpretación de las pruebas de función pulmonar Una declaración oficial de "American Yhoracic Society" https://t.co/h5SUj8sHX2 @ALAT_Fisiopato @SOVETORAX

Apr 16, 2023 · 3 likes · 3,246 followers View post →
Juliana Ferreira
@FerreiraJu · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 15, 2023 · 8 shares · 369 followers View post →
Sputnik my love ...
@SputnikMyLove_ · X

RT @tipssovetorax: Raza y origen étnico en interpretación de prueba de función pulmonar: declaración de American Thoracic Society 1 https:…

Apr 15, 2023 · 1 share · 343 followers View post →
Sovetorax Tips
@tipssovetorax · X

Destacar el uso de relación de FEV1 a FVC para identificar defectos ventilatorios obstructivos en la enfermedad pulmonar obstructiva crónica, asma y otras enfermedades que afectan las vías respiratorias, porque varía mínimamente por raza o etnia. https://t.co/h5SUj8sHX2

Apr 15, 2023 · 6 likes · 3,246 followers View post →
Sovetorax Tips
@tipssovetorax · X

Raza y origen étnico en interpretación de prueba de función pulmonar: declaración de American Thoracic Society 1 https://t.co/h5SUj8sHX2

Apr 15, 2023 · 4 likes · 1 share · 3,246 followers View post →
Manar Farouk
@manarfarouk11 · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 15, 2023 · 8 shares · 39 followers View post →
Kike Cimas
@KikeCimas · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 15, 2023 · 8 shares · 1,681 followers View post →
Ashutosh Thakar
@1ashutosh_t1 · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 14, 2023 · 8 shares · 69 followers View post →
Refiloe Masekela
@bronchigirl · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 14, 2023 · 8 shares · 147 followers View post →
MGH Division of Pulmonary & Critical Care Medicine
@MGH_PCCM · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 14, 2023 · 8 shares · 1,035 followers View post →
Dr. Jorge Rodríguez-Sanz, MD MSc
@GioRize · X

RT @ATSBlueEditor: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 14, 2023 · 8 shares · 551 followers View post →
ATS Blue Journal
@ATSBlueEditor · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement

Apr 14, 2023 · 20 likes · 8 shares · 20,029 followers View post →
Erick Forno, MD MPH
@EFornoMD · X

RT @ATS_GG: Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement https://t.co/NXWv…

Apr 14, 2023 · 1 share · 851 followers View post →
ATS G&G Section
@ATS_GG · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement https://t.co/NXWvRz5z45

Apr 13, 2023 · 3 likes · 1 share · 743 followers View post →
Frozenwarning
@frozenwarning · X

@Dr_Aust_PhD All spirometers have GLI equations, but new statement from the ATS and ERS. Basically differences are down to environment, nutrition etc, not race https://t.co/9UKvZQZOTi

Apr 5, 2023 · 1 like · 1,766 followers View post →
Stephanie Lovinsky-Desir, MD, MS
@slovinskydesir · X

RT @elizabethmatsui: Kudos to @atscommunity for statement on race and ethnicity & pulmonary function test interpretation. Thoughtful consi…

Apr 4, 2023 · 1 share · 991 followers View post →
Riad Bejta, PT
@leartriad · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement https://t.co/3avOJjkdyb

Apr 3, 2023 · 110 followers View post →
Fatima Zeba
@fzebaMD · X

RT @ATS_BSHSR: #Race and #Ethnicity in #Pulmonary #Function #Test Interpretation: An Official American #Thoracic Society Statement https://…

Apr 2, 2023 · 4 shares · 511 followers View post →
Erick Forno, MD MPH
@EFornoMD · X

RT @ATS_BSHSR: #Race and #Ethnicity in #Pulmonary #Function #Test Interpretation: An Official American #Thoracic Society Statement https://…

Apr 1, 2023 · 4 shares · 851 followers View post →
Annie Rusk
@AnnRuskMD · X

RT @ATS_BSHSR: #Race and #Ethnicity in #Pulmonary #Function #Test Interpretation: An Official American #Thoracic Society Statement https://…

Apr 1, 2023 · 4 shares · 610 followers View post →
ATS BSHSR
@ATS_BSHSR · X

#Race and #Ethnicity in #Pulmonary #Function #Test Interpretation: An Official American #Thoracic Society Statement https://t.co/v8lA8RuQt1 https://t.co/DwW580j3az

Apr 1, 2023 · 4 likes · 4 shares · 1,897 followers View post →
Farzad Refahi
@FarzadRRT · X

ATS Publishes Official Statement on Race, Ethnicity and Pulmonary Function Test Interpretation : https://t.co/AU8ALlpcaJ @atscommunity https://t.co/PBl9wPu6eu

Apr 1, 2023 · 468 followers View post →
Elizabeth Matsui
@elizabethmatsui · X

Kudos to @atscommunity for statement on race and ethnicity & pulmonary function test interpretation. Thoughtful consideration of scientific evidence presented w historical context. @mmccormackmd @slovinskydesir @nthakurMD @LundyBraun https://t.co/wGGS1iitRB

Apr 1, 2023 · 11 likes · 1 share · 2,647 followers View post →
José Valverde-Molina
@jvalverde64 · X

Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement https://t.co/VVsEch6hdE

Apr 1, 2023 · 1,355 followers View post →