Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland
Purpose: Northern Territory (NT)-based clinical service data suggest substantial lung function impairment amongst First Nations adults as young as 18–40 years. Our objectives were to describe the burden of disease and lung function of adults living in regional-remote Queensland, identify determinant...
Published in: | Lung |
---|---|
Main Authors: | , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | unknown |
Published: |
Springer
2021
|
Subjects: | |
Online Access: | https://eprints.qut.edu.au/229304/ |
id |
ftqueensland:oai:eprints.qut.edu.au:229304 |
---|---|
record_format |
openpolar |
spelling |
ftqueensland:oai:eprints.qut.edu.au:229304 2024-02-11T10:03:49+01:00 Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland Collaro, Andrew J. Chang, Anne B. Marchant, Julie M. Chatfield, Mark D. Dent, Annette Blake, Tamara Mawn, Patsi Fong, Kwun McElrea, Margaret S. 2021-08 https://eprints.qut.edu.au/229304/ unknown Springer https://rdcu.be/cKFQr doi:10.1007/s00408-021-00453-7 Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Chatfield, Mark D., Dent, Annette, Blake, Tamara, Mawn, Patsi, Fong, Kwun, & McElrea, Margaret S. (2021) Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland. Lung, 199(4), pp. 417-425. http://purl.org/au-research/grants/nhmrc/2003334 https://eprints.qut.edu.au/229304/ Centre for Healthcare Transformation; Australian Centre for Health Services Innovation; Faculty of Health; School of Public Health & Social Work 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au Lung Contribution to Journal 2021 ftqueensland https://doi.org/10.1007/s00408-021-00453-7 2024-01-22T23:24:01Z Purpose: Northern Territory (NT)-based clinical service data suggest substantial lung function impairment amongst First Nations adults as young as 18–40 years. Our objectives were to describe the burden of disease and lung function of adults living in regional-remote Queensland, identify determinants of lung function, and evaluate the impact of a specialist respiratory outreach service on lung function. Methods: Retrospective 8-year cohort study (February 2012–March 2020) of 1113 First Nations Australian adults (and 648 non-First Nations adults) referred to respiratory outreach clinics in regional-remote Queensland. Results: In the combined cohort, the forced expiratory volume in 1 s (FEV 1 ) was clinically abnormal for 54% of First Nations patients (51% of non-First Nations patients), forced vital capacity (FVC) for 46% (36%), FEV 1 /FVC% for 30% (36%), and gas diffusing capacity (D LCO ) for 44% (37%). A respiratory diagnosis was assigned by a respiratory physician in 78% of First Nations (76% non-First Nations) patients. Smoking, household smoke exposure, underweight BMI, and respiratory disease were associated with reduced lung function. In the 40% of patients (709/1765) followed up, FEV 1 and FVC significantly improved (mean change: zFEV 1 = 0.15 [95% CI 0.10–0.20]; zFVC = 0.25 [0.20, 0.31]), and FEV 1 /FVC% significantly reduced (mean = − 0.10 [95%CI − 0.07 to − 0.03]), with no significant change in D LCO . Patients with COPD had lower FEV 1 improvement, whilst underweight and obese patients had lower FVC improvement. Conclusion: Regional-remote First Nations adult Queenslanders have higher lung function than previously reported, with no lung function decline observed at follow-up visit, including for those with respiratory disease. Article in Journal/Newspaper First Nations Queensland University of Technology: QUT ePrints Queensland Lung 199 4 417 425 |
institution |
Open Polar |
collection |
Queensland University of Technology: QUT ePrints |
op_collection_id |
ftqueensland |
language |
unknown |
description |
Purpose: Northern Territory (NT)-based clinical service data suggest substantial lung function impairment amongst First Nations adults as young as 18–40 years. Our objectives were to describe the burden of disease and lung function of adults living in regional-remote Queensland, identify determinants of lung function, and evaluate the impact of a specialist respiratory outreach service on lung function. Methods: Retrospective 8-year cohort study (February 2012–March 2020) of 1113 First Nations Australian adults (and 648 non-First Nations adults) referred to respiratory outreach clinics in regional-remote Queensland. Results: In the combined cohort, the forced expiratory volume in 1 s (FEV 1 ) was clinically abnormal for 54% of First Nations patients (51% of non-First Nations patients), forced vital capacity (FVC) for 46% (36%), FEV 1 /FVC% for 30% (36%), and gas diffusing capacity (D LCO ) for 44% (37%). A respiratory diagnosis was assigned by a respiratory physician in 78% of First Nations (76% non-First Nations) patients. Smoking, household smoke exposure, underweight BMI, and respiratory disease were associated with reduced lung function. In the 40% of patients (709/1765) followed up, FEV 1 and FVC significantly improved (mean change: zFEV 1 = 0.15 [95% CI 0.10–0.20]; zFVC = 0.25 [0.20, 0.31]), and FEV 1 /FVC% significantly reduced (mean = − 0.10 [95%CI − 0.07 to − 0.03]), with no significant change in D LCO . Patients with COPD had lower FEV 1 improvement, whilst underweight and obese patients had lower FVC improvement. Conclusion: Regional-remote First Nations adult Queenslanders have higher lung function than previously reported, with no lung function decline observed at follow-up visit, including for those with respiratory disease. |
format |
Article in Journal/Newspaper |
author |
Collaro, Andrew J. Chang, Anne B. Marchant, Julie M. Chatfield, Mark D. Dent, Annette Blake, Tamara Mawn, Patsi Fong, Kwun McElrea, Margaret S. |
spellingShingle |
Collaro, Andrew J. Chang, Anne B. Marchant, Julie M. Chatfield, Mark D. Dent, Annette Blake, Tamara Mawn, Patsi Fong, Kwun McElrea, Margaret S. Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland |
author_facet |
Collaro, Andrew J. Chang, Anne B. Marchant, Julie M. Chatfield, Mark D. Dent, Annette Blake, Tamara Mawn, Patsi Fong, Kwun McElrea, Margaret S. |
author_sort |
Collaro, Andrew J. |
title |
Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland |
title_short |
Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland |
title_full |
Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland |
title_fullStr |
Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland |
title_full_unstemmed |
Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland |
title_sort |
determinants and follow-up of lung function data from a predominantly first nations cohort of adults referred to specialist respiratory outreach clinics in regional and remote queensland |
publisher |
Springer |
publishDate |
2021 |
url |
https://eprints.qut.edu.au/229304/ |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Lung |
op_relation |
https://rdcu.be/cKFQr doi:10.1007/s00408-021-00453-7 Collaro, Andrew J., Chang, Anne B., Marchant, Julie M., Chatfield, Mark D., Dent, Annette, Blake, Tamara, Mawn, Patsi, Fong, Kwun, & McElrea, Margaret S. (2021) Determinants and Follow-up of Lung Function Data from a Predominantly First Nations Cohort of Adults Referred to Specialist Respiratory Outreach Clinics in Regional and Remote Queensland. Lung, 199(4), pp. 417-425. http://purl.org/au-research/grants/nhmrc/2003334 https://eprints.qut.edu.au/229304/ Centre for Healthcare Transformation; Australian Centre for Health Services Innovation; Faculty of Health; School of Public Health & Social Work |
op_rights |
2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au |
op_doi |
https://doi.org/10.1007/s00408-021-00453-7 |
container_title |
Lung |
container_volume |
199 |
container_issue |
4 |
container_start_page |
417 |
op_container_end_page |
425 |
_version_ |
1790600147519930368 |